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[Dyspnea in patients in palliative situations - the invisible symptom].
Ther Umsch
August 2024
Abteilung für Palliative Care, Universitätsspital Basel,
Dyspnea is a common and distressing symptom in patients with advanced malignant and non-malignant diseases. It is a subjective experience that can only be described by the patients themselves and can be associated with a massive reduction in quality of life, including social isolation and wish to hasten death. Often there is an affective component such as anxiety or panic.
View Article and Find Full Text PDF"In their own words": delineating the contours of dyspnea invisibility in patients with advanced chronic obstructive pulmonary disease from quantitative discourse analysis.
Respir Res
January 2024
Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, 75005, Paris, France.
Background: Dyspnea conveys an upsetting or distressing experience of breathing awareness. It heavily weighs on chronic respiratory disease patients, particularly when it persists despite maximal treatment of causative abnormalities. The physical, psychological and social impacts of persistent dyspnea are ill-appreciated by others.
View Article and Find Full Text PDFFleshing Out the Invisible: A Pericardial Paraganglioma.
CASE (Phila)
November 2023
Heart and Vascular Center, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine at Dartmouth, Lebanon, New Hampshire.
• Pericardial paragangliomas can present with angina and dyspnea. • TTE is often the first-line test for assessing pericardial tumors. • Long sweeps and contrast enhancement may enhance visualization of pericardial masses.
View Article and Find Full Text PDFDescription of a new clinical syndrome: thoracic constriction without evidence of the typical funnel-shaped depression-the "invisible" pectus excavatum.
Sci Rep
July 2023
Department of Cardiology, Angiology, Haemostaseology and Medical Intensive Care, University Medical Centre Mannheim, Medical Faculty Mannheim, Heidelberg University, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.
Pectus excavatum (PE) is a congenital malformation with a funnel-shaped depression of the sternum that can lead to cardiac symptoms. However, there are patients with thoracic constriction (defined as elevated Haller-Index > 3.25 determined by cardiac magnetic resonance imaging (CMR)) without visible evidence of PE, leading to similar complaints.
View Article and Find Full Text PDFUnderstanding persistent breathlessness: impact on patients and optimal approaches to symptomatic reduction - an overview.
Expert Rev Respir Med
May 2023
Faculty of Science, Medicine and Health, University of Wollongong, Wollongong, Australia.
Introduction: Persistent breathlessness (breathlessness persisting despite optimal treatment for the underlying condition and resulting in disability) is a prevalent syndrome associated with chronic and life-limiting conditions. Improving the clinical recognition and assessment of persistent breathlessness is essential to ensure people are provided with the best treatment for optimal symptom control.
Areas Covered: This overview focuses on the impact of persistent breathlessness on patients, carers and the health system.
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