

An acute exacerbation presents with increased shortness of breath and sputum production. People with chronic obstructive pulmonary disease (COPD), most commonly emphysema or chronic bronchitis, frequently have chronic shortness of breath and a chronic productive cough. Treatment efforts are directed towards decreasing lung congestion. Risk factors for acute decompensation include high dietary salt intake, medication noncompliance, cardiac ischemia, abnormal heart rhythms, kidney failure, pulmonary emboli, hypertension, and infections. It affects between 1–2% of the general United States population and occurs in 10% of those over 65 years old. People that have been infected by COVID-19 may have symptoms such as a fever, dry cough, loss of smell and taste, and in moderate to severe cases, shortness of breath.Ĭongestive heart failure frequently presents with shortness of breath with exertion, orthopnea, and paroxysmal nocturnal dyspnea. Treatment involves measures to decrease the oxygen requirement of the heart and efforts to increase blood flow. An electrocardiogram and cardiac enzymes are important both for diagnosis and directing treatment. Risk factors include old age, smoking, hypertension, hyperlipidemia, and diabetes. It however may atypically present with shortness of breath alone. Acute coronary syndrome Īcute coronary syndrome frequently presents with retrosternal chest discomfort and difficulty catching the breath.

In contrast, most asthmatics do not have daily symptoms, but have intermittent episodes of dyspnea, cough, and chest tightness that are usually associated with specific triggers, such as an upper respiratory tract infection or exposure to allergens. Patients with COPD and idiopathic pulmonary fibrosis (IPF) have a mild onset and gradual progression of dyspnea on exertion, punctuated by acute exacerbations of shortness of breath. Acute shortness of breath is usually connected with sudden physiological changes, such as laryngeal edema, bronchospasm, myocardial infarction, pulmonary embolism, or pneumothorax. The tempo of onset and the duration of dyspnea are useful in knowing the etiology of dyspnea. On a pathophysiological basis the causes can be divided into: (1) an increased awareness of normal breathing such as during an anxiety attack, (2) an increase in the work of breathing and (3) an abnormality in the ventilatory or respiratory system. The most common cardiovascular causes are acute myocardial infarction and congestive heart failure while common pulmonary causes include chronic obstructive pulmonary disease, asthma, pneumothorax, pulmonary edema and pneumonia. DiagnosisPro, an online medical expert system, listed 497 distinct causes in October 2010. While shortness of breath is generally caused by disorders of the cardiac or respiratory system, others such as the neurological, musculoskeletal, endocrine, hematologic, and psychiatric systems may be the cause. Differential diagnosis įurther information: List of causes of shortness of breath

The American Thoracic Society defines dyspnea as: "A subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity." Other definitions also describe it as "difficulty in breathing", "disordered or inadequate breathing", "uncomfortable awareness of breathing", and as the experience of "breathlessness" (which may be either acute or chronic).

