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(Chest. 1967;52:430-437.)
© 1967 American College of Chest Physicians

Cardiopulmonary Consequences of Rheumatic Diseases

A Sixteen Year Study

Frank D. Gray Jr. M.D., F.C.C.P.1 and Frieda G. Gray M.D.1

1 Arthritis Clinic and Chest Section, Department of Internal Medicine, Yale-New Haven Medical Center

Pulmonary function tests including lung volumes, maximal voluntary ventilation, blood gas tensions, pH, alveolar ventilation, and diffusing capacity were studied in a group of 14 patients with rheumatoid arthritis and three with spondylitis. Seven of the rheumatoid arthritis patients and all three of the spondylitis patients were observed before, during, and after corticosteroid treatment. Two of each group were studied over a period of 11 to 16 years. None had evidence of intrinsic lung disease, but all were dyspneic on minimal activity. The data suggest that musculoskeletal inefficiency, including an inordinate effort for ambulation, accounts for most of the dyspnea.







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Copyright © 1967 by the American College of Chest Physicians.