Professional Documents
Culture Documents
of Cardiac
Origin
Sukman T Putra,MD
2
DYSPNEA
The sensation of breathlessness or
inadequate breath the sensation of
breathlessness or inadequate breathing,
is the most common complaint of
patients with cardiopulmonary diseases
, is the most common complaint of
patients with cardiopulmonary diseases
Easily
Performed
Diagnostic
Tests
• Chest radiographs
• Electrocardiograph
• Screening spirometry
• Dyspnea - common
complaint/symptom
– “shortness of breath” or
“breathlessness”
• Defined as abnormal/uncomfortable
breathing
• Multiple etiologies -
– 2/3 of cases - cardiac or
pulmonary etiology
• There is no one specific
cause of dyspnea and no
single specific treatment
• Peripheral edema
• JVP >>
• tachycardia
• tachypnea, using accessory muscles of
respiration
• Skin - diaphoretic/cold/gray/cyanotic
• Wheezing/rales on ausculation
• Apical impulse displaced laterally
• Ascites
• Hepatosplenomegaly
Left sided
Failure
• History
• Physical examination
• EKG
• Echo
• Chest x-ray
• BNP
• ABG/pulse oximet.
Treatment
• Diuretics
• Digitalis
• Peripheral vasodilators/NTG
• Positive inotropic agents
• ACE inhibitors
• Beta blockers
• Oxygen