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152 Possible Causes for Dyspnea at Rest, Medication Noncompliance

  • Asthma

    A meta-analysis by DiMatteo et al [ 50 ] revealed that patients with a chronic disease and depression were three times more likely to be noncompliant with medical treatment[doi.org] Noninvasive ventilation mainly works by improving alveolar ventilation, resting fatigued ventilatory muscles, relieving dyspnea, and improving gas exchange, while it avoids[ncbi.nlm.nih.gov] Depression is a risk factor for noncompliance with medical treatment: meta analysis of the effects of anxiety and depression on patient adherence.[ncbi.nlm.nih.gov]

  • Obesity

    Noncompliance with behavioral recommendations following bariatric surgery. Obes Surg 2005 ;15: 546 - 551 Citing Articles (1519) Letters Article Figures/Media[dx.doi.org] The populations in the studies reviewed were generally self‐ or researcher‐selected, and often noncompliant patients were excluded from analyses.[dx.doi.org] Correcting for noncompliance and dependent censoring in an AIDS clinical trial with inverse probability of censoring weighted (IPCW) log-rank tests.[dx.doi.org]

  • Morbid Obesity

    Morbid obesity is associated with liver pathology, most commonly non-alcoholic steatohepatitis (NASH) leading to cirrhosis. However, the morbid obesity impedes qualification for organ transplantation. We present a case report of a 56-year-old woman who underwent bariatric procedure followed by liver transplantation[…][ncbi.nlm.nih.gov]

  • Congestive Heart Failure

    These include any recent infection, dietary non compliance (excess use of fluids, alcohol, or salt), medication noncompliance (especially diuretics), presence of chest pain[clinicaladvisor.com] Initially dyspnea occurs only at exertion. Later on orthopnea and paroxysmal nocturnal dyspnea also develop. Later on dyspnea occurs even at rest.[symptoma.com] When congestive heart failure worsens, fluid backs up into the lungs and interferes with oxygen getting into the blood, causing dyspnea at rest and at night (orthopnea).[emedicinehealth.com]

  • Heart Failure

    Pathophysiology – Congestive Heart Failure - Diastolic Diastolic dysfunction occurs when the left ventricular myocardium is noncompliant and not able to accept blood return[healio.com] These include, among others: Dyspnea ( exertional-, dyspnea at rest, orthopnea, paroxysmal nocturnal dyspnea); Fatigue, inadequate exhaustion after stress, weakness, lethargy[flexikon.doccheck.com] noncompliance, counsel and educate such patients about the importance of proper diet and the necessity of medication compliance.[emedicine.com]

  • Pulmonary Edema

    ) Patient noncompliance with medications (eg, diuretics) Severe anemia Sepsis Thyrotoxicosis Myocarditis Myocardial toxins (eg, alcohol, cocaine, chemotherapeutic agents such[emedicine.com] High altitude pulmonary edema (HAPE) is a form of high altitude illness characterized by cough, dyspnea upon exertion progressing to dyspnea at rest and eventual death, seen[ncbi.nlm.nih.gov] Class IV is defined by symptoms at rest or with any physical activity.[radcliffecardiology.com]

  • Chronic Obstructive Pulmonary Disease

    […] with medications, and the presence of serious comorbidities. 6,7 GOALS OF TREATMENT The main goals of treatment for patients with COPD are to optimize their pulmonary capacity[pharmacytimes.com] The diagnosis of chronic obstructive pulmonary disease (COPD) should be suspected in patients with risk factors (primarily a history of smoking) who report dyspnea at rest[ncbi.nlm.nih.gov] Long-acting bronchodilators have recently been shown to reduce hyperinflation during both rest and exercise in moderate to severe COPD.[ncbi.nlm.nih.gov]

  • Psychogenic Hyperventilation

    . • Patients who have been noncompliant with instructions for CPAP use prior to surgery and are in need of CPAP post surgery, pose the highest risk of potential complications[slideshare.net] Normal tidal volumes range from 35-45% of vital capacity at rest.[unp.me] The elastic recoil of the chest wall resists hyperinflation of the lungs beyond that level, and inspiratory volumes beyond this level are perceived as effort or dyspnea.[unp.me]

  • Acute Myocardial Infarction

    The S4 sound is from the blood itself striking the noncompliant ventricle.[healio.com] After 48h following the accident, the patient's condition rapidly deteriorated, with severe dyspnea at rest, tachycardia, and increasing chest pain.[ncbi.nlm.nih.gov] Recall that myocardial relaxation is an active process requiring ATP, which is reduced during ischemia, and a S4 heart sound occurs when the noncompliant, stiffened left ventricle[healio.com]

  • Pneumonia

    […] independently associated with greater durations of mechanical ventilation: development of acute renal failure (hazard ratio 1.47, 95% CI 1.02 to 2.12) and prescription of an IDSA-noncompliant[doi.org]

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