Bendopnea
Bendopnea | |
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Bendopnea can occur in patients with heart failure when they bend over, such as when tying their shoes. | |
Differential diagnosis | heart failure |
Bendopnea is a newly described symptom, normally of heart failure, meaning shortness of breath felt when leaning forward.[1][2][3][4][5] It was introduced by Thibodeau et al. in 2014.[1][2] Patients with heart failure often experience this when bending over to tie a shoe, putting socks on, or other activities requiring bending downwards.[1][2] It has been defined as occurring within 30 seconds of bending over, but could occur in as few as 8 seconds in severe cases.[3] When a patient is in heart failure, it often means the ventricular filling pressures are high at baseline.[1][2] When said person bends forward, it causes a further increase in ventricular filling pressures that causes dyspnea, especially in patients with lower cardiac indices.[1][2]
The term "bendopnea" (meaning "bent" and "breath") was coined to be easily identifiable among patients and physicians.[3]
Bendopnea should be distinguished from orthopnea (shortness of breath while lying down), trepopnea (shortness of breath while lying on one side), and platypnea (shortness of breath relieved by lying down and worsened when upright) with or without orthodeoxia (oxygen desaturation).
References
- ^ a b c d e Thibodeau, Jennifer T.; Turer, Aslan T.; Gualano, Sarah K.; Ayers, Colby R.; Velez-Martinez, Mariella; Mishkin, Joseph D.; Patel, Parag C.; Mammen, Pradeep P.A.; Markham, David W.; Levine, Benjamin D.; Drazner, Mark H. (2014). "Characterization of a Novel Symptom of Advanced Heart Failure: Bendopnea". JACC: Heart Failure. 2 (1): 24–31. doi:10.1016/j.jchf.2013.07.009. ISSN 2213-1779. PMID 24622115.
- ^ a b c d e "'Bendopnea': A New Symptom to Help Spot Sicker HF Patients?". Medscape. 2014-04-14. Retrieved 2016-05-06.
- ^ a b c Rice, Sabriya (2014-03-20). "'Bendopnea' identified as heart failure symptom". Modern Healthcare. Retrieved 2016-05-09.
- ^ "Cardiologists define new heart failure symptom: Shortness of breath while bending over: March 18, 2014 News Releases". UT Southwestern, Dallas, Texas. 2014-03-18. Retrieved 2016-05-09.
- ^ "Bendopnea — What Is It and What's Its Significance?". AHC Media. 2014-05-15. Retrieved 2016-05-09.
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