Cleve Clin J Med 2017 Dec;84(12):943-950
Department of Internal Medicine, St. Joseph Mercy Ann Arbor Hospital, Ann Arbor, MI, USA.
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Am J Emerg Med 2015 Mar 11;33(3):352-8. Epub 2014 Dec 11.
Anesthesiology and Critical Care Department, Toulouse University Hospital, University Toulouse 3 Paul Sabatier, Toulouse, France.
Objective: The etiologic diagnosis of acute dyspnea in the emergency department (ED) remains difficult, especially for elderly patients or those with previous cardiorespiratory medical history. This may lead to inappropriate treatment and potentially a higher mortality rate. Our objective was to evaluate the performance of cardiopulmonary ultrasound compared with usual care for the etiologic diagnosis of acute dyspnea in the ED. Read More
Dtsch Arztebl Int 2016 Dec;113(49):834-845
Department of Cardiology and Angiology, Hannover Medical School; Institute for General Practice, Hannover Medical School; Department of Respiratory Medicine, Hannover Medical School.
Background: Dyspnea is a common symptom affecting as many as 25% of patients seen in the ambulatory setting. It can arise from many different underlying conditions and is sometimes a manifestation of a life-threatening disease.
Methods: This review is based on pertinent articles retrieved by a selective search in PubMed, and on pertinent guidelines. Read More
Med Clin North Am 2006 May;90(3):453-79
Department of Medicine, East Carolina University, Greenville, NC 27834, USA.
When evaluating a dyspneic patient in the office, a quick initial assessment of the airway, breathing, and circulation, while gathering a brief history and focused physical examination are necessary. Most often, an acute cardiopulmonary disorder, such as CHF, cardiac ischemia, pneumonia, asthma, or COPD exacerbation, can be identified and treated. Stable patients who improve can be sent home, but those in acute distress with unstable or impending unstable conditions need to be transferred emergently to definitive care. Read More
Chest 2017 06 16;151(6):1295-1301. Epub 2017 Feb 16.
Emergency Department, Careggi University Hospital, Florence, Italy.
Background: Acute dyspnea is a common symptom in the ED. The standard approach to dyspnea often relies on radiologic and laboratory results, causing excessive delay before adequate therapy is started. Use of an integrated point-of-care ultrasonography (PoCUS) approach can shorten the time needed to formulate a diagnosis, while maintaining an acceptable safety profile. Read More