Dyspnea duration, distress, and intensity in emergency department visits for heart failure

Parshall, Mark B.; Welsh, John; Brockopp, Dorothy; Heiser, Regina M.; Schooler, Mary P.; Cassidy, Karma B.

doi:10.1067/mhl.2001.112492

Cited by 78 publications

(56 citation statements)

References 11 publications

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“…We believe that our patients are more representative of the current demographic situation of Swedish PHC centres. Dyspnoea, as in most other studies, was the most common symptom [19, 20]. However, the mechanisms responsible for dyspnoea are only partially understood [21, 22].…”

Section: Discussionmentioning

confidence: 85%

Are Elderly Patients with Suspected HF Misdiagnosed?

Olofsson

Edebro²,

Boman³

2006

Cardiology

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Background: Few studies are published on heart failure patients in primary health care, in elderly in advanced age. Objective: The purpose of this study was to examine the accuracy of the diagnosis of heart failure in all men and women with focus on age and gender. Methods: The patients were recruited from one selected primary health care in the city of Skellefteå, Sweden. The general practitioners included all patients who had symptoms and signs indicating heart failure. The patients were then referred for an echocardiographic examination and a final cardiology consultation. Results: The general practitioners identified 121 women and 49 men with suspected heart failure of whom 39% (51 women and 16 men) were above 80 years. Women were significantly older than men (mean age 78 and 75 years, respectively, p = 0.03). The main symptom was dyspnoea (80%). Confirmed heart failure was verified in 45% of the patients and was significantly more common in men than women (p = 0.02). Of all men and women above 80 years, 75% and 22%, respectively (p = 0.01) had a verified systolic heart failure, while there were no significant gender differences in patients younger than 80. In a multivariate regression analysis taking gender, age, smoking, atrial fibrillation, hypertension, angina, myocardial infarction and diabetes into account, myocardial infarction (OR = 4.3, CL = 1.8–10.6) hypertension (OR = 3.4, CI = 1.6–6.9) atrial fibrillation (OR = 2.8, CL = 1.0–7.9) remained significantly predictive of a confirmed diagnosis of heart failure. Conclusion: This study showed the difficulty of diagnosing heart failure accurately based only on clinical symptoms, especially in women above 80 years.

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Section: Discussionmentioning

confidence: 85%

Are Elderly Patients with Suspected HF Misdiagnosed?

Olofsson

Edebro²,

Boman³

2006

Cardiology

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“…7 In this study, the same descriptors used in the studies by Simon et al 3,4 were employed, but the patterns of language were found to be different from those observed in the laboratory studies. Four of the 5 background studies that examined the language of breathing intensity took place in laboratory settings, and the only one not conducted in an artificial setting targeted the CHF population.…”

mentioning

confidence: 93%

The language of breathing among individuals with chronic obstructive pulmonary disease

Michaels

Meek

2004

Heart & Lung

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“…[25][26][27] This delay may be due to a failure to routinely monitor symptoms or an inability to recognize and interpret symptoms when they occur. Unfortunately, symptom-monitoring behaviors are performed infrequently by HF patients.…”

Section: Symptom Monitoringmentioning

confidence: 99%