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Trepopnea /tɹɛpəʊpˈniːə/ is dyspnea (shortness of breath) that is sensed while lying on one side but not on the other [1] (lateral recumbent position). It results from disease of one lung, one major bronchus, or chronic congestive heart failure that affects only a side of breathing.
Platypnea or platypnoea is shortness of breath (dyspnea) that is relieved when lying down, and worsens when sitting or standing upright. It is the opposite of orthopnea. [1] The condition was first described in 1949 and named in 1969.
A wheeze is a clinical symptom of a continuous, coarse, whistling sound produced in the respiratory airways during breathing. [1] For wheezes to occur, part of the respiratory tree must be narrowed or obstructed (for example narrowing of the lower respiratory tract in an asthmatic attack), or airflow velocity within the respiratory tree must be heightened.
When a person is recumbent, or is lying down, blood is redistributed from the lower extremities and abdominal cavity (splanchnic circulation) to the lungs. [5] Failure to accommodate this redistribution results in decreased vital capacity and pulmonary compliance , further causing the shortness of breath experienced in PND.
Respiratory sounds, also known as lung sounds or breath sounds, are the specific sounds generated by the movement of air through the respiratory system. [1] These may be easily audible or identified through auscultation of the respiratory system through the lung fields with a stethoscope as well as from the spectral characteristics of lung sounds. [2]
Cardiac asthma is the medical condition of intermittent wheezing, coughing, and shortness of breath that is associated with underlying congestive heart failure (CHF). [1] Symptoms of cardiac asthma are related to the heart's inability to effectively and efficiently pump blood in a CHF patient. [ 2 ]
Hypoventilation – decreased breathing that causes CO 2 gain; Labored breathing – physical presentation of respiratory distress; Tachypnea – increased breathing rate; Orthopnea – Breathlessness in lying down position relieved by sitting up or standing; Platypnea – Breathlessness when seated or standing, relieved by lying flat
When the airways spasm or constrict in response to the irritating stimulus of the breathing tube, it is difficult to maintain the airway and the patient can become apneic. During general anesthesia, signs of bronchospasm include wheezing, high peak inspiratory pressures, increased intrinsic PEEP , decreased expiratory tidal volumes, and an ...