Chronic Dyspnea


Chronic Dyspnea, Chronic Shortness of Breath

  • Definitions
  1. Chronic Dyspnea
    1. Subjective difficult or distressed breathing lasting >1 month
  • Epidemiology
  1. Reported by a third of patients over age 60-70 years old
    1. Confers an increased mortality risk (esp. COPD)
  • Causes
  • Exam
  1. See Dyspnea
  2. Pulse Oximetry (at rest and while walking)
  3. Six-Minute Walk Test
  • Management
  • Management
  • Refractory Dyspnea of unclear cause
  1. Consider cardiology evaluation for angiography
  2. Consider pulmonology for bronchoscopy and biopsy
  3. Consider esophageal pH and manometry testing