Dyspnoe bei Atemwegs- und Lungenerkrankungen

Niedermeyer, J

doi:10.1007/s00108-015-3692-1

Cited by 4 publications

(5 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, the development of asthma at 28-years-old after decades without symptoms is unlikely, and the patient did not endorse nor did physical exam find any wheezing. PE can also lead to dyspnea, and palpitations, similar to the symptoms our patient experienced [2,3,13]. However, outside of her OCP use, her history was not suggestive of a PE.…”

Section: Discussionsupporting

confidence: 66%

“…Shortness of breath is a frequent, deceptively simple presenting symptom clinicians evaluate daily [3]. The differential diagnosis is incredibly lengthy and requires a thorough history and physical examination to determine if further diagnostic evaluation is indicated.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, while the patient is a graduate student and reports moderate levels of stress, there had been no changes in her stress level for several years [13]. Asthma was high on the differential given the patient's history of asthma and exacerbation of symptoms with exertion, in the context of physical activity being performed in the winter [2,3]. However, the development of asthma at 28-years-old after decades without symptoms is unlikely, and the patient did not endorse nor did physical exam find any wheezing.…”

Section: Discussionmentioning

confidence: 99%

“…Additionally, while the patient was at a mild risk of developing a clot due to her OCP use, she had no other risk factors for thrombosis. Iron deficiency anemia is a less common, but significant cause of dyspnea, especially in female patients [3,13]. A lower than normal amount of hemoglobin decreases the availability of binding sites for oxygen and can compromise tissue oxygenation.…”

Section: Discussionmentioning

confidence: 99%

“…Shortness of breath, or "dyspnea", is one of the most common presenting complaints of patients visiting the emergency department and comprises nearly one-quarter of patients Open Access Case Report DOI: 10.7759/cureus.8509 evaluated in ambulatory clinics [1,2]. The differential diagnosis of dyspnea is expansive, ranging from common conditions including asthma and emphysema to the less common zebras, such as pulmonary hypertension (PH) and Eisenmenger syndrome (ES) [3].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Where on the Differential Is Eisenmenger Syndrome in a Patient Without Prior Cardiopulmonary Disease?

Kellish¹,

Hakim²,

Soal³

et al. 2020

Cureus

View full text Add to dashboard Cite

Pulmonary hypertension (PH) can occur in patients with undiagnosed congenital heart disease, like atrial septal defects (ASDs), causing chronic left-to-right shunting. This may ultimately result in Eisenmenger physiology or syndrome (ES), a reversal of left-to-right shunting, resulting in a right-to-left shunt, thereby causing deoxygenated blood to enter systemic circulation as it bypasses the lungs. Development of PH due to an ASD is uncommon, and the occurrence of ES is <1% as most ASDs are corrected early in life. We present a 28-year-old female presenting with new-onset dyspnea found to have an undiagnosed ASD with ES.A 28-year-old female without past medical history presented to the emergency department after a chest x-ray performed by her primary care physician (PCP) showed dilation of the pulmonary artery concerning PH. The patient reported a three-month history of progressively worsening intermittent palpitations and dyspnea, now unable to walk more than one block without becoming dyspneic. Further imaging studies revealed a 1.4 centimeters (cm) secundum ASD, 4.4 cm dilatation of the PA, a mean pulmonary artery pressure (PAPm) of 132 millimeters (mm) mercury (Hg), and Eisenmenger physiology. She was placed on pulmonary vasodilators and iron supplementation to address an underlying iron-deficiency anemia. The patient is stable on her current regimen and is undergoing evaluation for possible heart-lung transplantation at an outside hospital.Dyspnea is one of the top 10 most common indications for emergency room visits annually. The differential diagnosis for dyspnea is vast, with ES, affecting only 0.8 in 1 million, far down on the list of possibilities, thus requiring high clinical suspicion to prompt further evaluation. Ultimately, the condition is preventable with early identification of underlying structural abnormalities for which definitive treatment options exist and are readily available, dramatically improving the prognosis if implemented before ES develops.

show abstract

Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Where on the Differential Is Eisenmenger Syndrome in a Patient Without Prior Cardiopulmonary Disease?

Kellish¹,

Hakim²,

Soal³

et al. 2020

Cureus

View full text Add to dashboard Cite

show abstract

Woher kommt die Atemnot?

Schumacher¹

2017

CME

View full text Add to dashboard Cite

Clinical values of diaphragmatic movement in patients with chronic obstructive pulmonary disease

et al. 2023

View full text Add to dashboard Cite

Background The limitation of activity due to dyspnea in chronic obstructive pulmonary disease (COPD) patients is affected by diaphragmatic dysfunction and reduced lung function. This study aimed to analyze the association between diaphragm function variables and forced expiratory volume in the first second (FEV1) and to estimate the clinical significance of diaphragm function in the correlation between COPD severity and lung function. Methods This prospective, single-center, cross-sectional observational study enrolled 60 COPD patients in a respiratory outpatient clinic. Data for baseline characteristics and the dyspnea scale were collected. Participants underwent a pulmonary function test (PFT), a 6-minute walk test (6MWT), and diaphragm function by ultrasonography. Results The right excursion at forced breathing showed the most significant correlation with FEV1 (r = 0.370, p = 0.004). The cutoff value was 6.7 cm of the right diaphragmatic excursion at forced breathing to identify the FEV1 above 50% group. In the group with a right diaphragmatic excursion at forced breathing < 6.7 cm, modified Medical Research Council (mMRC), St. George's Respiratory Questionnaire and the total distance of 6MWT showed no difference between groups with FEV1 under and above 50% (p > 0.05). In the group with ≥ 6.7 cm, mMRC and the total distance of 6MWT showed a significant difference between FEV1 under and above 50% (p = 0.014, 456.7 ± 69.7 m vs. 513.9 ± 60.3 m, p = 0.018, respectively). Conclusion The right diaphragmatic forced excursion was closely related to FEV1, and analysis according to the right diaphragmatic forced excursion-based cut-off value showed a significant difference between both groups. When the diaphragm function was maintained, there was a lot of difference in the 6MWT’s factors according to the FEV1 value. Our data suggest that diaphragmatic function should be performed when interpreting PFT.

show abstract

Dyspnoe bei Atemwegs- und Lungenerkrankungen

Cited by 4 publications

References 16 publications

Where on the Differential Is Eisenmenger Syndrome in a Patient Without Prior Cardiopulmonary Disease?

Where on the Differential Is Eisenmenger Syndrome in a Patient Without Prior Cardiopulmonary Disease?

Woher kommt die Atemnot?

Clinical values of diaphragmatic movement in patients with chronic obstructive pulmonary disease

Contact Info

Product

Resources

About