Idiopathic Clubbing
To the Editor: With respect to the Image in Clinical Medicine entitled “Idiopathic Clubbing” (Oct. 26 issue), 1 it seems difficult to justify the use of right heart catheterization, a technique with a recognized risk of complications and even of death, 2 in the investigation of an asymptomatic clini...
Gespeichert in:
| Veröffentlicht in: | The New England journal of medicine 2001-02, Vol.344 (8), p.611-611 |
|---|---|
| 1. Verfasser: | |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 611 |
|---|---|
| container_issue | 8 |
| container_start_page | 611 |
| container_title | The New England journal of medicine |
| container_volume | 344 |
| creator | Baragwanath, P |
| description | To the Editor:
With respect to the Image in Clinical Medicine entitled “Idiopathic Clubbing” (Oct. 26 issue),
1
it seems difficult to justify the use of right heart catheterization, a technique with a recognized risk of complications and even of death,
2
in the investigation of an asymptomatic clinical finding that had been unchanged for the better part of four decades. It may be that the clinicians did have a good reason to proceed with this investigation, but if so, it was not stated.
Dr. Reynen and a colleague reply:
To the Editor:
Boyd et al.
1
reported a substantial risk of complications . . . |
| doi_str_mv | 10.1056/NEJM200102223440814 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70579051</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>70579051</sourcerecordid><originalsourceid>FETCH-LOGICAL-c427t-112ffac341075b1faf7f55fd11c301bcdd39002ddf73fc0d3731330b7ee1092c3</originalsourceid><addsrcrecordid>eNp9kE1Lw0AQhhdRbKyePAriyYtEZ3Z2s81RQtVK1Yuel2Q_NCVpYrY5-O9dacGLOJdh4HkfZoaxM4RrBJndPM8fnzgAAuechIAZij2WoCRK45TtswSAz1KhcpqwoxBWEAtFfsgmiJxjRpCw04Wtu77cfNTmomjGqqrX78fswJdNcCe7PmVvd_PX4iFdvtwvittlagRXmzRKvC8NCQQlK_SlV15KbxENAVbGWsrjBtZ6Rd6AJUVIBJVyDiHnhqbscuvth-5zdGGj2zoY1zTl2nVj0AqkykFiBGkLmqELYXBe90PdlsOXRtA_v9B__CKmznf6sWqd_c3sjo_A1RZo26DXbtX-q_sGL6ljFw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70579051</pqid></control><display><type>article</type><title>Idiopathic Clubbing</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>ProQuest Central UK/Ireland</source><source>New England Journal of Medicine</source><creator>Baragwanath, P</creator><creatorcontrib>Baragwanath, P</creatorcontrib><description>To the Editor:
With respect to the Image in Clinical Medicine entitled “Idiopathic Clubbing” (Oct. 26 issue),
1
it seems difficult to justify the use of right heart catheterization, a technique with a recognized risk of complications and even of death,
2
in the investigation of an asymptomatic clinical finding that had been unchanged for the better part of four decades. It may be that the clinicians did have a good reason to proceed with this investigation, but if so, it was not stated.
Dr. Reynen and a colleague reply:
To the Editor:
Boyd et al.
1
reported a substantial risk of complications . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM200102223440814</identifier><identifier>PMID: 11221630</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Catheterization, Swan-Ganz - adverse effects ; Humans ; Hypertension, Pulmonary - diagnosis ; Osteoarthropathy, Secondary Hypertrophic - etiology</subject><ispartof>The New England journal of medicine, 2001-02, Vol.344 (8), p.611-611</ispartof><rights>Copyright © 2001 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c427t-112ffac341075b1faf7f55fd11c301bcdd39002ddf73fc0d3731330b7ee1092c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM200102223440814$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM200102223440814$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,776,780,2745,2746,26083,27904,27905,52362,54044,64365</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11221630$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baragwanath, P</creatorcontrib><title>Idiopathic Clubbing</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
With respect to the Image in Clinical Medicine entitled “Idiopathic Clubbing” (Oct. 26 issue),
1
it seems difficult to justify the use of right heart catheterization, a technique with a recognized risk of complications and even of death,
2
in the investigation of an asymptomatic clinical finding that had been unchanged for the better part of four decades. It may be that the clinicians did have a good reason to proceed with this investigation, but if so, it was not stated.
Dr. Reynen and a colleague reply:
To the Editor:
Boyd et al.
1
reported a substantial risk of complications . . .</description><subject>Catheterization, Swan-Ganz - adverse effects</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - diagnosis</subject><subject>Osteoarthropathy, Secondary Hypertrophic - etiology</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRbKyePAriyYtEZ3Z2s81RQtVK1Yuel2Q_NCVpYrY5-O9dacGLOJdh4HkfZoaxM4RrBJndPM8fnzgAAuechIAZij2WoCRK45TtswSAz1KhcpqwoxBWEAtFfsgmiJxjRpCw04Wtu77cfNTmomjGqqrX78fswJdNcCe7PmVvd_PX4iFdvtwvittlagRXmzRKvC8NCQQlK_SlV15KbxENAVbGWsrjBtZ6Rd6AJUVIBJVyDiHnhqbscuvth-5zdGGj2zoY1zTl2nVj0AqkykFiBGkLmqELYXBe90PdlsOXRtA_v9B__CKmznf6sWqd_c3sjo_A1RZo26DXbtX-q_sGL6ljFw</recordid><startdate>20010222</startdate><enddate>20010222</enddate><creator>Baragwanath, P</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20010222</creationdate><title>Idiopathic Clubbing</title><author>Baragwanath, P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c427t-112ffac341075b1faf7f55fd11c301bcdd39002ddf73fc0d3731330b7ee1092c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Catheterization, Swan-Ganz - adverse effects</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - diagnosis</topic><topic>Osteoarthropathy, Secondary Hypertrophic - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Baragwanath, P</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Baragwanath, P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Idiopathic Clubbing</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>2001-02-22</date><risdate>2001</risdate><volume>344</volume><issue>8</issue><spage>611</spage><epage>611</epage><pages>611-611</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
With respect to the Image in Clinical Medicine entitled “Idiopathic Clubbing” (Oct. 26 issue),
1
it seems difficult to justify the use of right heart catheterization, a technique with a recognized risk of complications and even of death,
2
in the investigation of an asymptomatic clinical finding that had been unchanged for the better part of four decades. It may be that the clinicians did have a good reason to proceed with this investigation, but if so, it was not stated.
Dr. Reynen and a colleague reply:
To the Editor:
Boyd et al.
1
reported a substantial risk of complications . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>11221630</pmid><doi>10.1056/NEJM200102223440814</doi><tpages>1</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0028-4793 |
| ispartof | The New England journal of medicine, 2001-02, Vol.344 (8), p.611-611 |
| issn | 0028-4793 1533-4406 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70579051 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
| subjects | Catheterization, Swan-Ganz - adverse effects Humans Hypertension, Pulmonary - diagnosis Osteoarthropathy, Secondary Hypertrophic - etiology |
| title | Idiopathic Clubbing |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T10%3A09%3A10IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Idiopathic%20Clubbing&rft.jtitle=The%20New%20England%20journal%20of%20medicine&rft.au=Baragwanath,%20P&rft.date=2001-02-22&rft.volume=344&rft.issue=8&rft.spage=611&rft.epage=611&rft.pages=611-611&rft.issn=0028-4793&rft.eissn=1533-4406&rft_id=info:doi/10.1056/NEJM200102223440814&rft_dat=%3Cproquest_cross%3E70579051%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=70579051&rft_id=info:pmid/11221630&rfr_iscdi=true |