Orthopnea: Causes & Reasons

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Possible Causes for Orthopnea

Pulmonary Edema

[…] with no orthopnea. [edm.bioscientifica.com]

[…] 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]

Associated symptoms included cough, weakness, expectoration of froth, chest discomfort, orthopnea, wheezing, hemoptysis, and dizziness. [ncbi.nlm.nih.gov]

High-Output Heart Failure

He denied orthopnea, paroxysmal nocturnal dyspnea, and lower-extremity swelling. He also denied abdominal pain, hematochezia, melena, diarrhea, and flushing. [annals.org]

In fact, some physicians will ask patients to use terms such as ‘2 pillow’ or ‘3 pillow’ orthopnea to differentiate how severe their congestion is. [ausmed.com]

Symptoms like dyspnea (difficulty in breathing), orthopnea (shortness of breath when lying flat) and paroxysmal nocturnal dyspnea (a severe increase in shortness of breath [ausmed.com]

Acute Aortic Regurgitation

Symptoms include exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, palpitations, and chest pain. [merckmanuals.com]

Another reason is the increased demand of oxygen by the hypertrophied left ventricle. [2] Features of Heart Failure (HF) Eg: Paroxysmal nocturnal dyspnea, peripheral edema, orthopnea [explainmedicine.com]

[…] aortic dissection ) Chronic AR May be asymptomatic for up to decades despite progressive LV dilation Palpitations Symptoms of left heart failure Exertional dyspnea Angina Orthopnea [amboss.com]

Congestive Heart Failure

The patient experienced orthopnea due to congestive heart failure and could not assume any other position. [ncbi.nlm.nih.gov]

Later on orthopnea and paroxysmal nocturnal dyspnea also develop. Later on dyspnea occurs even at rest. Orthopnea refers to breathlessness on lying flat. [symptoma.com]

A 31-year-old woman complained of dyspnea and orthopnea at 38 weeks of gestation. [ncbi.nlm.nih.gov]

Mitral Valve Stenosis

[…] and right ventricular hypertrophy Clinical features Initially asymptomatic; (onset ∼ 10 years after acute rheumatic carditis) Dyspnea (paroxysmal nocturnal dyspnea) and orthopnea [amboss.com]

Reduced cardiac output characteristically produces fatigue, dyspnea, orthopnea, and cyanosis. Surgical correction of the defective valve may be necessary. [medical-dictionary.thefreedictionary.com]

As the stenosis worsens, symptoms of orthopnea, paroxysmal nocturnal dyspnea or dyspnea on exertion develops. [symptoma.com]

Restrictive Cardiomyopathy

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]

When the legs are elevated at night, the fluid redistributes centrally causing pulmonary edema resulting in orthopnea (dyspnea while laying flat) or paroxysmal nocturnal dyspnea [healio.com]

Chronic Constrictive Pericarditis

Topics Pericarditis Myocardial Infarction Heart failure Dyspnea Pericardiocentesis Virus Diseases Tachycardia Cardiac Tamponade Chest Pain Shock Pericardial body location Orthopnea [semanticscholar.org]

Patients typically present with symptoms of both left and right sided heart failure including: dyspnea orthopnea easy fatigability hepatomegaly ascites Characterized by fibrous [radiopaedia.org]

 Elevated pulmonary venous pressures, leading to exertional dyspnea, cough, and orthopnea, may also appear with progressive disease. 10.  Atrial fibrillation and tricuspid [slideshare.net]

Mitral Valve Insufficiency

Patients may be asymptomatic or may have manifestations like fatigue caused by reduced cardiac output, tachypnea or dyspnea, orthopnea, paroxysmal nocturnal dyspnea and hemoptysis [symptoma.com]

[…] myocardial infarction, which may lead to papillary muscle dysfunction), significant acute MR is accompanied by symptoms of impaired LV function, such as dyspnea, fatigue, and orthopnea [emedicine.medscape.com]

Individuals with acute mitral regurgitation will have the signs and symptoms of decompensated congestive heart failure (i.e. shortness of breath, pulmonary edema, orthopnea [slideshare.net]

Aortic Valve Insufficiency

Symptoms include exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea, palpitations, and chest pain. [msdmanuals.com]

As the disease progresses, orthopnea and paroxysmal nocturnal dyspnea start to occur. Angina is predominantly nocturnal in these patients. [symptoma.com]

Chronic AR is typically asymptomatic for years followed by progressive exertional dyspnea, orthopnea, and paroxysmal nocturnal dyspnea. [msdmanuals.com]

Pericardial Effusion

If pericardial effusion symptoms do occur, they might include: Shortness of breath or difficulty breathing (dyspnea) Discomfort when breathing while lying down (orthopnea) [mayoclinic.com]

The pressure from the outside causes the blood to pool back and accumulate in the lungs which causes the symptoms of orthopnea and dyspnea. [pericarditispain.info]

These include: Shortness of breath (or dyspnea) Difficulty breathing in a lying down position (orthopnea) Chest pain: This pain is usually located right behind the sternum [pericarditispain.info]

Pleural Effusion

[…] condition that has caused the effusion.Symptoms of pleural effusion include: Chest pain Dry, nonproductive cough Dyspnea (shortness of breath, or difficult, labored breathing) Orthopnea [my.clevelandclinic.org]

Heart Failure

In advanced cases, the patient must sit up in order to breathe ( orthopnea ). [medical-dictionary.thefreedictionary.com]

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]

When the legs are elevated at night, the fluid redistributes centrally, causing pulmonary edema that results in orthopnea (dyspnea while laying flat) or paroxysmal nocturnal [healio.com]

Suppurative Pericarditis

If left heart is unable to receive the blood, it can lead to congestion of vessels in the lungs, causing the dyspnea, cough, orthopnea and tachypnea etc. [drnajeeblectures.com]

In severe cases, patients may complain of dyspnea, mild-to-moderate chest discomfort, pleuritic chest pain, edema, cough, or orthopnea. [atsu.edu]

The chest discomfort noted with acute pericarditis, as well as orthopnea and paroxysmal nocturnal dyspnea, does not usually occur in individuals with constrictive pericarditis [tele.med.ru]

Superior Vena Cava Syndrome

Respiratory symptoms : initially started as orthopnea, later on progressed to dyspnea. [telemedicina.med.muni.cz]

The subject of this case report, who fell into the mild category, evinced only slight orthopnea, intermittent dry cough, facial plethora, and superficial blue vessels on the [karger.com]

SVCS) was defined in a review [ 1 ] in terms of when “Patients with superior vena cava obstruction present complaining of face, neck, and arm swelling; shortness of breath; orthopnea [omicsonline.org]

Dissecting Aortic Aneurysm

Also, cardiovascular symptoms such as orthopnea and dyspnea reflect the development of congestive heart failure (CHF) secondary to aortic regurgitation. [symptoma.com]

Fainting or dizziness Heavy sweating (clammy skin) Nausea and vomiting Pale skin ( pallor ) Rapid, weak pulse Shortness of breath and trouble breathing when lying flat ( orthopnea [nlm.nih.gov]

Hypereosinophilic Syndrome

There was no history of dyspnea, orthopnea or wheezing. The child was initially treated for similar complaints and became asymptomatic. [indianpediatrics.net]

Patients usually complain of chest pain, dyspnea and orthopnea. HES can also result in widespread hematologic complications. [symptoma.com]

Negative history No history of dyspnea, orthopnea, wheezing, joint pains, oliguria, anuria, worm infestation, or allergic disorders. [amhsjournal.org]

High-Altitude Pulmonary Edema

Orthopnea is thought to be fairly uncommon. [emdocs.net]

Left untreated, HAPE can progress and lead to resting shortness of breath, orthopnea, and the development of cough with pink, frothy sputum. [clinicaladvisor.com]

Cyanosis and orthopnea may become prominent in severe cases. [journals.lww.com]

Aortic Valve Stenosis

Other symptoms associated with AS are related to cardiac failure, such as paroxysmal nocturnal dyspnea, orthopnea, and dyspnea on exertion. [symptoma.com]

The patient also presented dyspnea on minimal exertion, orthopnea, paroxysmal nocturnal dyspnea and edema of lower limbs. The patient denied fever. [web.archive.org]

Acute Myocarditis

Case 1: A 48-years-old, previously healthy male patient admitted to our clinic with complaints of acute onset of rest dyspnea and orthopnea, started the day before. [ncbi.nlm.nih.gov]

vomiting Fever, tachycardia Myopericarditis Chest pain, breathlessness Pericardial rub, signs of tamponade Myocardial dysfunction Chest pain, breathlessness, collapse, orthopnea [rcemlearning.co.uk]

Pulmonary Embolism

Orthopnea occurs with PE as well as heart failure. [ncbi.nlm.nih.gov]

Interestingly, in this evaluation of patients, only 3 of 800 patients (0.4%) complained of orthopnea; in the PIOPED II study, orthopnea was a presenting symptom in 28% of [journals.lww.com]

Dyspnea, Orthopnea, and Paroxysmal Nocturnal Dyspnea. Butterworth Publishers. Archived from the original on 27 April 2018. Retrieved 15 August 2014. [en.wikipedia.org]

Pericarditis

Pericardial effusion symptoms may include : Shortness of breath or difficulty breathing (dyspnea) Shortness of breath when lying down (orthopnea) Chest pain, usually behind [cardiachealth.org]

There was no chest discomfort, orthopnea or paroxysmal nocturnal dyspnea. He did not have symptoms of cough, fever, foamy urine, or body weight loss. [casesjournal.biomedcentral.com]

Cardiac tamponade which leads to: (1) Dyspnea (2) Agitation (3) Orthopnea (4) Cough d. Pericardial friction rub - occurs in less than 50% of patients. [atsu.edu]

Acute Massive Pulmonary Embolism

He was sent to radiology for CT angiography of the chest however he was sent immediately back to the ED due to recurrent hypotension (BP 80/60 mm Hg) and severe orthopnea. [epmonthly.com]

Lung Abscess

There was no history of orthopnea or Paroxysmal nocturnal dyspnoea. [austinpublishinggroup.com]

Chronic Obstructive Pulmonary Disease

Dyspnea, Orthopnea, and Paroxysmal Nocturnal Dyspnea. Butterworth Publishers. Archived from the original on 27 April 2018. Retrieved 15 August 2014. [en.wikipedia.org]

Orthopnea and tidal expiratory flow limitation in patients with stable COPD. [dx.doi.org]

[35][36][37] HY-pəp-NEE-ə[33][36] absent apnea a- + -pnea AP-nee-ə,[34][35][33][36][37]:US ap-NEE-ə[33][36][37]:UK See also[edit] List of terms of lung size and activity Orthopnea [en.wikipedia.org]

Bronchial Asthma

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]

Acute Respiratory Distress Syndrome

Dyspnea, Orthopnea, and Paroxysmal Nocturnal Dyspnea. Butterworth Publishers. Archived from the original on 27 April 2018. Retrieved 15 August 2014. [en.wikipedia.org]

Increasing breathlessness on lying flat, called orthopnea, occurs. [en.wikipedia.org]

Diffuse Large B-Cell Lymphoma

DCM usually presents with any one of the following: (1) Heart failure with symptoms of congestion (edema, orthopnea, paroxysmal nocturnal dyspnea) and/or reduced cardiac output [flybase.org]

Presentation usually occurs late in the disease course with any one of the following: Heart failure, characterized by symptoms that include edema, orthopnea, paroxysmal nocturnal [centogene.com]

Pneumonia

Shortness of breath can manifest as orthopnea (inability to lie down flat due to breathlessness) and/or paroxysmal nocturnal dyspnea (episodes of severe sudden breathlessness [en.wikipedia.org]

Malignant Pericardial Effusion

[…] right-sided heart failure (eg, peripheral edema, nausea, abdominal discomfort, ascites) become apparent and usually precede signs of left-sided failure (eg, exertional dyspnea, orthopnea [clevelandclinicmeded.com]

Amniotic Fluid Embolism

An ARDS patient has clinical signs of acute hypoxemic respiratory failure: dyspnea, orthopnea, tachypnea and tachycardia ( 26). [medichub.ro]