April 6-8, 2024 Atlanta
1340-67 | EXPLORING THE SKIN-HEART LINK: REVEALING.. | Shailesh Niroula .. | .. | FIT: Heart Failure and Cardiomyopathies.. | - - |
1221-67 | ICE TRAP: A NOVEL APPROACH TO UTILIZING .. | Andrew Boyd .. | Hanad BashirPuvi Seshiah.. | 42. Prevention and Health Promotion: Spe.. | - - |
1260-67 | UHLS ANOMALY IN A 60-YEAR-OLD ADULT FEMA.. | Waseem Farooq .. | .. | FIT: Heart Failure and Cardiomyopathies.. | - - |
1460-68 | A CASE OF EXTENSIVE LOWER EXTREMITY DVT .. | Samriddha Thapa .. | Shahzad Ahmed.. | 42. Prevention and Health Promotion: Spe.. | - - |
1421-68 | MEPOLIZUMAB FOR THE TREATMENT OF COVID A.. | Nikhilesh Bhatt .. | .. | 1421. Complex Clinical Cases: FIT Heart .. | - - |
1521-68 | VAGINAL DELIVERY COMPLICATED BY AMNIOTIC.. | Veronica Andre .. | .. | FIT: Interventional and Structural.. | - - |
1200-68 | A RARE CASE OF OXYTOCIN INDUCED ATRIAL F.. | Robert Libera .. | .. | FIT: Electrophysiology.. | - - |
1340-68 | FATTY METAPLASIA IN HYPERTROPHIC CARDIOM.. | Jason Li .. | .. | 1340. Complex Clinical Cases: FIT Heart .. | - - |
1300-68 | SEAL AND STABILIZE: EMERGENCY TEMPORARY .. | Idris Ali Amghaiab .. | Fathi Ali.. | 1300. Complex Clinical Cases: FIT Interv.. | - - |
1320-68 | EFFUSED ABOUT CONSTRICTIVE PERICARDITIS.. | Travis Wilson .. | .. | 1320. Complex Clinical Cases: FIT Multim.. | - - |
1361-69 | SEVERE HYPOKALEMIA AND PARALYSIS IN A 19.. | Hailey Heil .. | .. | FIT: Electrophysiology.. | - - |
1421-69 | MECHANICAL CIRCULATORY SUPPORT PRIOR TO .. | Valentina Jaramillo Restrepo .. | Nicholas Hess, Edward Horn, Da.. | 1421. Complex Clinical Cases: FIT Heart .. | - - |
1501-69 | WINTER IS COMING: BE PREPARED FOR DE WIN.. | Porfirio E. Diaz-Rodriguez .. | .. | 1501. Complex Clinical Cases: FIT Ischem.. | - - |
1300-69 | SOVAS BIG BANG: A DRAMATIC DETONATION IN.. | Kevin Cortes-Gonzalez .. | Felicia Ourn, Monika Karki, Su.. | FIT: Interventional and Structural.. | - - |
1381-70 | IMPACT OF BALLOON PULMONARY ANGIOPLASTY .. | Alexis Coulis .. | Vladimir Lakhter DO, Ahmed Sad.. | FIT: Pulmonary Vascular Disease.. | - - |
1501-70 | CATASTROPHIC CS - CULPRIT CORONARY OR CO.. | Vuha Reddi .. | .. | FIT: Ischemic Heart Disease.. | - - |
1300-70 | SUCCESSFUL EMERGENT VALVE-IN-VALVE TRANS.. | Alice Zhang .. | Connor GilliesSyed Hussain.. | FIT: Interventional and Structural.. | - - |
1221-70 | STREPTOCOCCUS MITIS ENDOCARDITIS LEADING.. | Edward Shin .. | .. | 1221. Complex Clinical Cases: FIT Valvul.. | - - |
1521-71 | THE NOVEL USE OF A CATHETER BASED RETRIE.. | Nikhilesh Bhatt .. | .. | 1521. Complex Clinical Cases: FIT Interv.. | - - |
1381-72 | A REASON TO THINK TWICE: CASE OF A PULMO.. | William Morgan .. | Hussein Abu Daya, MD.. | 1381. Complex Clinical Cases: FIT Pulmon.. | - - |
Thunderstorm-related asthma in patients sensitised to olea europaea pollen: twenty emergency department visits for asthmatic symptoms in one single day Losappio, Laura1; Heffler, Enrico2; Falco, Antonio1; Contento, Francesco1; Cannito, Cosimo1; Rolla, Giovanni2 1"Dimiccoli" Hospital, Emergency Department, Barletta, Italy; 2University of Torino - AO Mauriziano "Umberto I", Allergy and Clinical Immunology, Torino, Italy
Background: Associations between thunderstorm and asthma morbidity have been reported in several countries. Common to all epidemics of thunderstorm-related asthma is a significant increase in atmospheric allergen load during and immediately after a thunderstorm. Sensitization to Alternaria species or to grass and parietaria pollens has been suggested to play a key role in thunderstorm-related asthma. The only reported event of thunderstorm-related asthma in Mediterranean area was attributed to sensitization to parietaria pollen.
Method: here we describe a series of 20 patients who presented to Emergency Department in Barletta (94,000 inhabitants), Puglia (Italy) for sudden and severe asthmatic symptoms between May 27th and 28th 2010 (from15:36 to 5:02), immediately after a violent thunderstorm which occurred following a very hot morning (mean temperature: 29°C). All the patients have been subsequently visited by an allergist and underwent allergological work-up which included skin prick tests and a careful clinical history. Local pollen counts were available.
Result: Between May 10th and June 10th 2010, 86 Emergency Department asthma visits were recorded, 20 of them during the study day. Patients' mean age was 44.25 +/- 18.5 years (range: 9-81), 8/20 females, 2 smokers, 16 with a previous history of known respiratory allergy. Only two patients regularly took anti-asthma drugs. All 20 patients were sensitized to Olea europaea pollen, 7 of whom were monosensitized. Ten patients were sensitized to grass, 7 to parietaria, 5 to compositae, 5 to cypress, 5 to house dust mites, 3 to dog and 1 to cat danders. No patient was sensitized to Alternaria. Mean pollen count was 17 granules/m3 for Olea europaea, 6 granules/m3 for grass pollen.
Conclusion: This is, in our knowledge, the second epidemic of thunderstorm related asthma described in Mediterranean area and the first one in which sensitization to Olea europaea played a key-role. In conclusion, our report indicates that thunderstorm asthma may involve different allergens (not only fungal spores and grass or parietaria pollen) in different geographic areas, depending on the seasonality of thunderstorms and allergenic pollen.