Dyspnea

Abstract

When evaluating a dyspneic patient in the office, a quick initial assessment of the airway, breathing, and circulation, while gathering a brief history and focused physical examination are necessary. Most often, an acute cardiopulmonary disorder, such as CHF, cardiac ischemia, pneumonia, asthma, or COPD exacerbation, can be identified and treated. Stable patients who improve can be sent home, but those in acute distress with unstable or impending unstable conditions need to be transferred emergently to definitive care. Because of the difficult logistics involved in attempting to work up an outpatient for new onset of SOB, some patients will need to be transferred to the nearest ED for a definitive diagnosis.

Asynchrony and DyspneaDiscussion

“…Other attempts at defining dyspnea include "difficulty in breathing," "disordered or inadequate breathing," "uncomfortable awareness of breathing," and as the experience of "breathlessness." 96,97 Dyspnea is a common manifestation of respiratory and cardiac disease, resulting from an increase in respiratory drive or effort required to overcome an imposed load, in the proportion of respiratory muscle force required for breathing, and in V E requirements. 96 The sensation of dyspnea and the underlying physiology are complex and include interaction of chemoreceptors, peripheral sensory receptors, the cerebral cortex, and "psychophysics."…”

Un enfoque práctico de disnea

“…Jerson Quitian (1) , Oscar Sáenz (2) , Camilo Manrique (3) , Francisco Gonzales (4) , Nicolás Rocha (5) , Rafael Miranda (6) .…”

“…ARTÍCULO DE REVISIÓN (1) Residente III Medicina Interna Hospital Santa Clara -Universidad el Bosque. jerson.quitianmd@hotmail.com (2) Internista Neumologo.…”

“…No se considera patológica cuando surge con el ejercicio extenuante en individuos sanos con buena condición física ni con el ejercicio moderado en personas sanas no acostumbradas al esfuerzo (1) Es el síntoma cardinal de enfermedades que afectan al sistema cardíaco como respiratorio. Varía en intensidad dependiendo de la sensibilidad del paciente y del grado de afectación del mismo a los esfuerzos (Tabla 1).…”

Bedside Evaluation of Critical Dyspnea. Proposal of a Diagnostic Score for Acute Heart Failure in Emergency Setting

“…Dyspnea is one of the most common causes of admission to the emergency department worldwide: Acute heart failure (AHF) is a major cause of serious morbidity and death in the general population and one of the most common medical causes of hospitalization among people aged over 60 [1]. The incidence rate is significantly higher in men than in women and increases with age from 1.4/1000 person per year in subjects aged 55-59 to 47.4/1000 person per year in those aged 90 or over in Europe [2].…”