At 1 year, 3 patients continued to experience substantial orthopnea
and dyspnea on exertion, and 2 had no respiratory symptoms.
Examination revealed orthopnea
and lip and skin cyanosis.
A 15 year old girl with type-1 diabetes mellitus since the age of 4 years, resident of Peshawar, was admitted through outpatient department with complaints of progressive peri-orbital puffiness, pedal edema, dyspnoea, orthopnea
and paroxysmal nocturnal dyspnoea since one month, associated with polyuria, nocturnal enuresis, and frequent episodes of dysuria, fever associated with rigors and chills diagnosed and treated as recurrent urinary tract infections, with rest of the systemic inquiry being unremarkable.
(3,6,7) The most common presenting symptom is dyspnea, followed by atypical chest pain, hemoptysis, orthopnea
, and non-specific symptoms such as nausea, emesis, fever, and anorexia.
A 71-year-old female patient was admitted to emergency unit with severe dyspnea, angina, and orthopnea
symptoms in the preceding 5 days.
He denied any chest pain, dyspnea, or orthopnea
, but indicated that he'd been having difficulty swallowing food for the past month.
One of the reasons for that difficulty is that symptoms frequently observed in patients with heart disease, like fatigue, shortness of breath, orthopnea
, palpitations, chest pain or discomfort, dizziness and leg edema, are also commonly reported during normal pregnancy (5).
The eligibility criteria for targeted screening consisted of (a) documented history of cardiopathy (patients with known risk factors and/or structural heart diseases predisposing to HF, such as left ventricular hypertrophy, left ventricular dilation, or hypocontractility; asymptomatic valvular heart disease; or previous myocardial infarction) (10); (b) symptoms suggestive of HF [dyspnea on exertion, orthopnea
, paroxysmal nocturnal dyspnea, lower extremity edema, or rapid weight gain (defined as a 2 kg increase over 48 h or less)] (12); and (c) no previous diagnosis.
No significant differences in age, sex, current residency, and cardiopulmonary symptoms (e.g., dyspnea, orthopnea
, peripheral edema) were found between patients with or without HHV-8 antibodies.
While symptoms of dyspnea, orthopnea
, or increasing peripheral edema are the first that come to mind when thinking of a CHF exacerbation, we must broaden our scope to include such things as nausea, vomiting, abdominal pain, and bloating which can also indicate worsening cardiac function.
There was no history of orthopnea
, PND, chest pain or syncopal attack.
She was admitted to the emergency department with rapidly progressing dyspnea, orthopnea
and edema of the legs.