exertional dyspnea; dyspnea on exertion (DOE)
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Introduction
Also see dyspnea.
Etiology
- heart disease
- pulmonary disease
- chronic obstructive pulmonary disease
- reactive airway disease
- interstitial lung disease
- pulmonary embolism (presentation may be acute) 32%[3]
- systemic disorders
- aortic dissection (acute presentation)
Clinical manifestations
- onset may be subtle & slowly progressive with insidious reduction of activities
- chest discomfort may accompany dyspnea
Laboratory
- Hgb/Hct
- serum TSH
- markers of myocardial infarction (serum troponin-I) if acute
- pulse oximetry (SaO2)
- D-dimer if pulmonary embolism suspected
Diagnostic procedures
Radiology
- chest X-ray
- pulmonary angiography vs ventilation-perfusion scan if pulmonary embolism suspected
More general terms
References
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 16, 19 American College of Physicians, Philadelphia 2012, 2021
- ↑ Jani SM, Nallamothu BK, Cooper LT, Smith A, Fazel R. Beating, Fast and Slow. N Engl J Med 2017; 377:72-78. July 6, 2017 <PubMed> PMID: https://www.ncbi.nlm.nih.gov/pubmed/28679100 <Internet> http://www.nejm.org/doi/full/10.1056/NEJMcps1608688
- ↑ 3.0 3.1 Prandoni P, Lensing AWA, Prins MH et al. Prevalence of pulmonary embolism among patients with recent onset of dyspnea on exertion. A cross-sectional study. J Thromb Haemost 2023 Jan; 21:68-75. PMID: https://www.ncbi.nlm.nih.gov/pubmed/36695397 https://www.jthjournal.org/article/S1538-7836(22)07202-6/fulltext