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149 Possible Causes for Exertional Dyspnea, Medication Noncompliance, Orthopnea

  • 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] A 62-year-old man with asthma presented with a 1-month history of wheezing and exertional dyspnea.[ncbi.nlm.nih.gov] She denied any chest pain, cough, fever, orthopnea, or leg swelling. She was afebrile and normotensive, and her physical examination was unremarkable.[ncbi.nlm.nih.gov]

  • 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] […] are often noted during normal pregnancies, the potential for PPCMP should be considered if these symptoms are excessive and/or comorbid paroxysmal nocturnal dyspnea and orthopnea[ncbi.nlm.nih.gov]

  • 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] Here we present an 80-year-old Asian woman complaining of progressive exertional dyspnea.[ncbi.nlm.nih.gov] Orthopnea may occur in any condition in which the vital capacity is low. Marked ascites, regardless of its etiology, is an important cause of orthopnea.[emedicine.medscape.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] According to the history of chronic cough and exertional dyspnea, he was treated with inhaled corticosteroids for COPD.[ncbi.nlm.nih.gov] Orthopnea and tidal expiratory flow limitation in patients with stable COPD. Chest 2001 ; 119 : 99 –104.[dx.doi.org]

  • High Output Heart Failure

    Medication noncompliance: Frequently, diuretics are not taken as prescribed due to the urinary side-effects.[healio.com] A 51-yr-old man presented exertional dyspnea as a consequence of iliocaval fistula combined with paradoxical pulmonary embolism and high-output heart failure.[ncbi.nlm.nih.gov] In advanced cases, the patient must sit up in order to breathe ( orthopnea ).[medical-dictionary.thefreedictionary.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] She was emergently admitted to our hospital due to the worsening exertional dyspnea and severe hypoxemia.[ncbi.nlm.nih.gov] The main symptoms usually include exertional dyspnea, dry cough, and subfebrile temperature or fever. Lactate dehydrogenase may be elevated.[ncbi.nlm.nih.gov]

  • Restrictive Cardiomyopathy

    Treatment is mostly supportive with antihypertensive medications and few possible surgical interventions available, however, prognosis is usually poor.[symptoma.com] dyspnea and palpitations.[ncbi.nlm.nih.gov] Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India History: A 23 year old male presented with increasing dyspnea, abdominal distension, pedal edema and orthopnea[scmr.org]

  • Pulmonary Embolism

    DOACs do not require monitoring, and noncompliance will not be readily apparent. Direct oral anticoagulants.[clevelandclinicmeded.com] Dyspnea may be absent or occur only with exertion. The onset of dyspnea may occur over seconds to days. Orthopnea occurs with PE as well as heart failure.[ncbi.nlm.nih.gov] Limitations of ECS therapy include patient noncompliance due to difficulty in applying the garments, discomfort while wearing them daily, and their cost.[doi.org]

  • Aortic Valve Insufficiency

    […] mortality Severe acute AR carries a very high short-term rate of morbidity and mortality owing to the imposition of a greatly increased regurgitant volume upon a relatively noncompliant[emedicine.medscape.com] dyspnea Chest pain (angina) Dizziness Syncope Complications Left ventricular volume overload with left ventricular dilatation Decreased left ventricular systolic function[echocardiology.org] As the disease progresses, orthopnea and paroxysmal nocturnal dyspnea start to occur. Angina is predominantly nocturnal in these patients.[symptoma.com]

  • Acute Respiratory Distress Syndrome

    Indeed, noninvasive ventilation (NIV) can fail because of the severity of the disease, patient noncompliance or technical problems, particularly at the interface.[ccforum.biomedcentral.com] […] on exertion followed by dyspnea at rest Hypoxia; PaO 2 /FIO 2 300 mm Hg Often sepsis and MODS ( JAMA 2016;315:788 ) Respiratory dysfunction and physical disability may persist[pathologyoutlines.com] With the onset of lung injury, patients initially note dyspnea with exertion.[emedicine.medscape.com]

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