Evaluation of the dyspneic patient in the office
- PMID:17088153
- DOI: 10.1016/j.pop.2006.06.007
Evaluation of the dyspneic patient in the office
Abstract
Dyspnea is a nonspecific symptom of any disease involving the respiratory system. Although diseases of the lungs, chest wall, pleura, diaphragm, upper airway, and heart are most common, diseases of many other organ systems (eg, neuromuscular, skeletal, renal, endocrine, rheumatologic, hematologic, and psychiatric) may involve the respiratory system and present with dyspnea. Dyspnea should be evaluated systematically, and a thorough history and physical examination and baseline tests of heart and lung function are necessary to establish a complete database. More sophisticated testing may be needed when the cause is not readily apparent from the initial work-up. Treatment is best and most effective when geared toward a specific etiology, but if this is not possible, nonspecific treatment of the symptom pf dyspnea may afford the patient some benefit.
Similar articles
- Dyspnea.Shiber JR, Santana J.Shiber JR, et al.Med Clin North Am. 2006 May;90(3):453-79. doi: 10.1016/j.mcna.2005.11.006.Med Clin North Am. 2006.PMID:16473100Review.
- Acute dyspnea in the office.Zoorob RJ, Campbell JS.Zoorob RJ, et al.Am Fam Physician. 2003 Nov 1;68(9):1803-10.Am Fam Physician. 2003.PMID:14620600Review.
- Evaluation of chronic dyspnea.Karnani NG, Reisfield GM, Wilson GR.Karnani NG, et al.Am Fam Physician. 2005 Apr 15;71(8):1529-37.Am Fam Physician. 2005.PMID:15864893Review.
- [Dyspnea: is medical history still useful for its evaluation?].Bonvin AL, Soccal PM.Bonvin AL, et al.Rev Med Suisse. 2006 Nov 15;2(87):2598-600, 2603-4.Rev Med Suisse. 2006.PMID:17343149Review.French.
- Dyspnea: diagnosis and management.Mahler DA.Mahler DA.Clin Chest Med. 1987 Jun;8(2):215-30.Clin Chest Med. 1987.PMID:3304812Review.
Cited by
- The impact of sport on the physical, psychological and social wellbeing of people with chronic breathlessness: A mixed-methods systematic review.Bradford C, Martin D, J Loughran K, Robertson N, Carne A, Skidmore N, L Harrison S.Bradford C, et al.Clin Rehabil. 2023 Dec;37(12):1611-1636. doi: 10.1177/02692155231190770. Epub 2023 Jul 30.Clin Rehabil. 2023.PMID:37518887Free PMC article.
- Integrative Assessment of Cardiopulmonary Fitness Using Cardiopulmonary Exercise Test With Supine Bicycle Echocardiography in Patients Presenting Dyspnea.Park J, Ahn HB, Choi H, Choi HM, Hwang IC, Yoon YE, Cho GY.Park J, et al.J Am Heart Assoc. 2024 Mar 19;13(6):e033815. doi: 10.1161/JAHA.123.033815. Epub 2024 Mar 12.J Am Heart Assoc. 2024.PMID:38471829Free PMC article.
- Dyspnea as the reason for encounter in general practice.Frese T, Sobeck C, Herrmann K, Sandholzer H.Frese T, et al.J Clin Med Res. 2011 Oct;3(5):239-46. doi: 10.4021/jocmr642w. Epub 2011 Sep 26.J Clin Med Res. 2011.PMID:22383911Free PMC article.
- Cardiac platypnea-orthodeoxia syndrome: an often unrecognized malady.Knapper JT, Schultz J, Das G, Sperling LS.Knapper JT, et al.Clin Cardiol. 2014 Oct;37(10):645-9. doi: 10.1002/clc.22301. Epub 2014 Jun 9.Clin Cardiol. 2014.PMID:24912004Free PMC article.Review.
- The patient with dyspnea. Rational diagnostic evaluation.Brenner S, Güder G.Brenner S, et al.Herz. 2014 Feb;39(1):8-14. doi: 10.1007/s00059-014-4057-6.Herz. 2014.PMID:24509867
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical