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呼吸困难的评估:心脏病专家的观点。

Assessment of breathlessness: a cardiologist's perspective.

作者信息

Nic Aodha Bhuí Brídóg, Fahy Eoin

机构信息

Cardiology Department, Beaumont Hospital, Dublin, Ireland.

Cardiology Department, Mater Misercordiae University Hospital, Dublin, Ireland.

出版信息

Breathe (Sheff). 2025 Jun 17;21(2):240097. doi: 10.1183/20734735.0097-2024. eCollection 2025 Apr.

DOI:10.1183/20734735.0097-2024
PMID:40529312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12171858/
Abstract

"Breathlessness" or dyspnoea is a common, subjective symptom that can be multifactorial. It is a frequent complaint encountered by cardiologists, both in the outpatient and inpatient clinical setting. It requires a comprehensive clinical evaluation including accurate history taking and pursuing appropriate clinical investigations. It is imperative to distinguish cardiac causes of dyspnoea from other causes, including pulmonary, neurological and other systemic conditions. In this review we attempt to summarise the approach to the evaluation of dyspnoea.

摘要

“气促”或呼吸困难是一种常见的主观症状,可能由多种因素引起。这是心脏病专家在门诊和住院临床环境中经常遇到的主诉。它需要进行全面的临床评估,包括准确的病史采集和进行适当的临床检查。区分呼吸困难的心脏原因与其他原因(包括肺部、神经和其他全身性疾病)至关重要。在本综述中,我们试图总结呼吸困难的评估方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fa6/12171858/9680844824b1/EDU-0097-2024.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fa6/12171858/9680844824b1/EDU-0097-2024.01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0fa6/12171858/9680844824b1/EDU-0097-2024.01.jpg

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2022 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension.2022年欧洲心脏病学会/欧洲呼吸学会肺动脉高压诊断和治疗指南。
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