Key result
Dyspnea in patients with cardiovascular diseases has diverse pathophysiological mechanisms and requires comprehensive differential diagnosis to avoid overdiagnosis of chronic heart failure.
Why the study?
Dyspnea in stable IHD is often attributed solely to CHF, potentially leading to overdiagnosis, while the absence of a universal, accessible assessment tool complicates differential diagnosis.
Dyspnea in patients with ischemic heart disease is often misattributed to heart failure, highlighting the need for careful differential diagnosis including respiratory, psychogenic, and other causes.
May warrant caution against HF misdiagnosis from dyspnea in stable IHD; leaves open prospective validation of diagnostic algorithms.
Dyspnea is one of the most common symptoms in patients with various diseases. Dyspnea in stable ischemic heart disease (IHD), especially in a patient with prior myocardial infarction, is in most cases considered as a manifestation of congestive heart failure (CHF). And often practicing physicians do not think about the possibility of another genesis of dyspnea in their patients. This may lead to overdiagnosis of CHF. The review presents data on the occurrence, prognostic significance, classification features, as well as methods of dyspnea evaluation in therapeutic patients. The peculiarities of dyspnea genesis in patients with IHD, CHF, as well as in elderly patients are described. The absence of a universal and accessible method of dyspnea assessment complicates its differential diagnosis, especially in patients with a combination of pathology of respiratory and cardiovascular systems. Further research is needed to develop methods of complex assessment of dyspnea in patients with cardiovascular and other diseases in different age groups.
No takes yet. Share an insight, caveat, or question.
Yupatov et al. (2024) conducted a review in Cardiovascular diseases with dyspnea. Dyspnea in patients with cardiovascular diseases has diverse pathophysiological mechanisms and requires comprehensive differential diagnosis to avoid overdiagnosis of chronic heart failure.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: