Some of the signs and symptoms, such as dyspnea, orthopnea, and paroxysmal nocturnal dyspnea
, are due to congestion, while some are due to lack of adequate cardiac output, including fatigue, weakness, and exercise intolerance.
Congestive heart failure can present with acutely worsening dyspnea and cough, but is also commonly associated with orthopnea and/or paroxysmal nocturnal dyspnea
He denied any history of fever, cough, shortness of breath, abdominal pain, paroxysmal nocturnal dyspnea
, and weight loss.
Other exclusion criteria were as follows: heart dysfunction (symptoms of dyspnea, orthopnea, or paroxysmal nocturnal dyspnea
, accompanied by a left ventricular ejection fraction <40%); hypersensitivity to CM or BNP; end-stage renal failure; systolic blood pressure [less than or equal to] 100 mmHg before study drug infusion; CM administered within the past 7 days; BNP infusion within 1 month; administration of dopamine, N-acetyl-cysteine, sodium bicarbonate, and fenoldopam during the study.
There is no associated dyspnea on exertion, paroxysmal nocturnal dyspnea
There was no febrile illness, angina, paroxysmal nocturnal dyspnea
, weight loss, or syncope reported.
There was no history of angina pain, cough, paroxysmal nocturnal dyspnea
orthopnea, exertional dyspnea, paroxysmal nocturnal dyspnea
, raised jugular venous pressure, bilateral ankle edema and lung crepitation.
There was no history of fever, cough, joint pains, paroxysmal nocturnal dyspnea
, syncope, palpitations or hemoptysis.
Our patient was a 56 years old African American female, who presented to the emergency room with a two week history of progressive exertional dyspnea, paroxysmal nocturnal dyspnea
, orthopnea and bilateral lower extremity edema.
She also experienced symptoms of shortness of breath with mild activities, but had no symptoms of dyspnea at rest, orthopnea, or paroxysmal nocturnal dyspnea
Three patients reported nocturnal dyspnea
independent of position.