Determinants of Dyspnea in Chronic Heart Failure

Kupper, Nina; Bonhof, Cynthia S; Westerhuis, Bert W.J.J.M.; Widdershoven, Jos; Denollet, Johan

doi:10.1016/j.cardfail.2015.09.016

Cited by 42 publications

(35 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[30][31][32] Cardiac decompensation and lung oedema and directing them or not often depends on whether the patients appear in the earlier or the later stages of the disease. 24,33 Certain number of patients has dyspnoeic difficulties because of an earlier diagnosed or undiagnosed psychiatric disorder. 34 Their differentiation is made even harder by the fact that because of hyperventilation they often have tachycardia and tachypnoea in their report, sometimes even auscultatory wheezing or even hypertension because of the anxiety.…”

Section: Resultsmentioning

confidence: 99%

Significance of Dyspnoea as a symptom in the Emergency Department of the Primary Healthcare Centre

Maksimović¹,

Banjac²,

Čović³

2020

Scripta Medica

View full text Add to dashboard Cite

Background/Aim: Dyspnoea represents a subjective feeling of laboured breathing of different intensity. The aim of this study was to determine how often patients come with dyspnoea to a local Emergency Department of the Primary Healthcare Centre (EDPHC) and to analyse the assumed aetiology, diagnostics and therapy of the dyspnoeic patients. Methods: The records of the EDPHC of the City of Banja Luka for the period between 1 October 2019 to 31 December 2019 of all patients older than 15 years of age that have reported laboured breathing were identified and analysed. Following parameters were recorded: age, gender, diagnostics performed, administered therapy, whether the patient was examined in the field or in the ambulance, as well as whether the patient was referred to a hospital (Cardiology, Pulmonology or another department) or not. Results: Laboured breathing was reported by 665 patients. Out of this number, 108 patients were examined by their family doctor, 407 patients in EDPHC ambulance and 150 patients in the field. The average age of the patient was 61.03 ± 19.17, with an equal distribution in males and females. The aetiology of dyspnoea was cardiac and pulmonary in one-third of patients each, whereas the diagnosis in the other patients was versatile, from anxiety disorders, musculoskeletal diseases and active malignancy to unspecified chest pain that could not receive a definitive diagnosis. One half of the patients (N = 261 or 46.86 %) was completely taken care of in the ambulance or in the field, 199 (35.73 %) patients were sent to a cardiologist, 87 (15.62 %) to a pulmonologist and 10 (1.80 %) of patients to another specialist. Referral to hospital was registered more often in men (ch2 = 9.195, p = 0.027), elderly (ch2 = 53.29, p < 0.001), people with lower peripheral oxygen saturation (SpO2 ) (ch2 = 120.61, p < 0.001) and people with significant deviation of normal blood pressure values (ch2 = 120.61, p < 0.001). Conclusion: Dyspnoea can be caused by an array of different diseases and more than one diagnostic method is necessary to confirm/exclude any of the most common causes of dyspnoea. A broader diagnostical palette in ED would be preferred for purposes of ascertaining a timely diagnosis.

show abstract

Section: Resultsmentioning

confidence: 99%

Significance of Dyspnoea as a symptom in the Emergency Department of the Primary Healthcare Centre

Maksimović¹,

Banjac²,

Čović³

2020

Scripta Medica

View full text Add to dashboard Cite

show abstract

“…Furthermore, not all scales have an established minimal clinically important difference PLOS ONE [23] and it may be difficult to capture a meaningful change in dyspnea with the current scales available [4,5]. Finally, psychological and emotional distress has been significantly associated with dyspnea in HF [24,25] but these components or alterations of sensorial quality are usually nor assessed in the most commonly scales used for dyspnea assessment [6]. Accordingly, it is not surprising that many HF drug studies that have dyspnea relief as end points have failed to show a difference between the active drug and placebo.…”

Section: Discussionmentioning

confidence: 97%

Surface respiratory electromyography and dyspnea in acute heart failure patients

et al. 2020

View full text Add to dashboard Cite

show abstract

“…One study found that the somatic symptoms of depression and anxiety are the strongest determinants of dyspnea. Dyspnea is also significantly associated with factors such as older age, chronic obstructive pulmonary disease (COPD), body mass index (BMI) and inflammatory factors such as interleukin‐6 and 10 (Kupper et al, ). Dyspnea can exacerbate fatigue in patients with HF by restricting their daily activities (Tsai et al, ).…”

Section: Introductionmentioning

confidence: 99%

“…Dyspnea is a hallmark symptom of HF (Kupper, Bonhof, Westerhuis, Widdershoven, & Denollet, 2016). In a study conducted on patients with HF, the incidence of severe dyspnea was reported as 69% (Perez- Moreno et al, 2014).…”

Section: Introductionmentioning

confidence: 99%

The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial

Pour

Gholami

Saki

et al. 2019

Japan Journal Nursing Sci

View full text Add to dashboard Cite

Aim Fatigue and dyspnea are debilitating symptoms in patients with heart failure (HF). The purpose of this study was to evaluate the effects of inspiratory muscle training (IMT) on dyspnea, fatigue and the New York Heart Association (NYHA) functional classification in patients with HF. Methods In this prospective, randomized, controlled trial, 84 patients with HF (NYHA classes II‐III/IV) with a mean age of 56.62 ± 9.56 years were randomly assigned to a 6‐week IMT (n = 42) or a sham IMT (n = 42) program. The IMT was performed at 40% of the maximal inspiratory pressure (MIP) in the IMT group and at 10% in the sham group. The main outcomes were assessed at baseline and after the intervention and included dyspnea severity scale (Modified Medical Research Council [MMRC], Fatigue Severity Scale [FSS] and the NYHA functional classification (based on the presenting symptoms). Results The between‐group analysis showed significant improvements in dyspnea, fatigue and the NYHA functional classification in the IMT group compared to the sham group (P < .05). The within‐group analysis showed significant improvements in dyspnea (from 2.63 ± 0.79 to 1.38 ± 0.66, P < .001), fatigue (from 43.36 ± 8.5 to 28.95 ± 9.11, P < .001) and the NYHA functional classification (from 2.73 ± 0.5 to 2.1 ± 0.6, P = .001) in the IMT group, while fatigue and dyspnea increased significantly in the sham group. Conclusions The 6‐week home‐based IMT was found to be an effective and safe tool for reducing dyspnea and fatigue and improving the NYHA functional classification.

show abstract

Determinants of Dyspnea in Chronic Heart Failure

Cited by 42 publications

References 40 publications

Significance of Dyspnoea as a symptom in the Emergency Department of the Primary Healthcare Centre

Significance of Dyspnoea as a symptom in the Emergency Department of the Primary Healthcare Centre

Surface respiratory electromyography and dyspnea in acute heart failure patients

The effect of inspiratory muscle training on fatigue and dyspnea in patients with heart failure: A randomized, controlled trial

Contact Info

Product

Resources

About