Cited by 433Respiratory and Cough-Related ResearchCardiovascular and exercise physiologyChronic Obstructive Pulmonary Disease (COPD) Research

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Distinguishable Types of Dyspnea in Patients with Shortness of Breath

Simon, Peggy M., Schwartzstein, Richard M., Weiss, J. Woodrow, Fencl, Vladimir, Teghtsoonian, Martha, Weinberger, Steven E.·1990·American Review of Respiratory Disease

DOI 10.1164/ajrccm/142.5.1009

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Abstract

Dyspnea frequently accompanies a variety of cardiopulmonary abnormalities. Although dyspnea is often considered a single sensation, alternatively it may encompass multiple sensations that are not well explained by a single physiologic mechanism. To investigate whether breathlessness experienced by patients represents more than one sensation, we studied 53 patients with one of the following seven conditions: pulmonary vascular disease, neuromuscular and chest wall disease, congestive heart failure, pregnancy, interstitial lung disease, asthma, and chronic obstructive pulmonary disease. Patients were asked to choose descriptions of their sensation(s) of breathlessness from a dyspnea questionnaire listing 19 descriptors. Cluster analysis was used to identify natural groupings among the chosen descriptors. We found that patients could distinguish different sensations of breathlessness. In addition, we found an association between certain groups of descriptors and specific conditions producing dyspnea. These findings concur with those in an earlier study in normal volunteers in whom dyspnea was induced by various stimuli. We conclude that different types of dyspnea exist in patients with a variety of cardiopulmonary abnormalities. Furthermore, different mechanisms may mediate these various sensations.

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Authors: Simon, P. M., Schwartzstein, R. M., Weiss, J. W., Fencl, V., Teghtsoonian, M., & Weinberger, S. E.
ORCID: Schwartzstein, Richard M.
Weiss, J. Woodrow
Venue: American Review of Respiratory Disease
Publisher: Oxford University Press (OUP)
Published: 1990-11-01
Volume: 142
Issue: 5
Pages: 1009-1014
ISSN: 0003-0805 (ISSN-L)
DOI: 10.1164/ajrccm/142.5.1009
OpenAlex: W2112355851
Cited by: 433
References: 4
Citations by year: 2026: 6 · 2025: 9 · 2024: 5 · 2023: 7 · 2022: 14 · 2021: 23 · 2020: 13 · 2019: 13 · 2018: 9 · 2017: 16 · 2016: 11 · 2015: 11 · 2014: 10 · 2013: 20 · 2012: 18
FWCI: 4.87
Type: journal article
Language: en
Open access: closed
Licence: academic.oup.com/pages/standard-publication-reuse-rights (vor)
Locations: American Review of Respiratory Disease (publishedVersion)
PubMed (publishedVersion)
Funders: National Institutes of Health (5p50hl019170-20)
National Heart, Lung, and Blood Institute (HL07633, HL 19170, T32HL007633)
Topics: Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory and Cough-Related Research
Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
Keywords: dyspnea, pulmonary vascular disease, neuromuscular disorders, chest wall disorders, congestive heart failure, pregnancy, interstitial lung disease, asthma, chronic obstructive pulmonary disease
MeSH terms: Adult, Dyspnea, Female, Forced Expiratory Volume, Heart Diseases, Humans, Hypertension, Pulmonary, Lung Diseases, Middle Aged, Neuromuscular Diseases, Pregnancy, Pulmonary Embolism, Surveys and Questionnaires, Sensation, Total Lung Capacity, Vital Capacity

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Distinguishable Types of Dyspnea in Patients with Shortness of Breath

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