The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Distinguishable Types of Dyspnea in Patients with Shortness of Breath
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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“Variations in coordination of muscle contraction are often implicated in dysfunctional breathing and sensations of dyspnoea [35]; particularly thoracic dominant breathing (also termed apical breathing).”
From Dysfunctional breathing: a review of the literature and proposal for classification (2016) · cites this paper as [35]
Citations
Cites
Effect of increased lung volume on perception of breathlessness, effort, and tension
Killian, K. J., Gandevia, S. C., Summers, E., & Campbell, E. J. M. (1984) · Journal of Applied Physiology · doi:10.1152/jappl.1984.57.3.686 · Cited by 245
Breathlessness Induced by Dissociation between Ventilation and Chemical Drive
Schwartzstein, R. M., Simon, P. M., Weiss, J. W., Fencl, V., & Weinberger, S. E. (1989) · American Review of Respiratory Disease · doi:10.1164/ajrccm/139.5.1231 · Cited by 122
Self-citationDYSPNEA: Physiological And Pathophysiological Mechanisms
Wasserman, K., & Casaburi, R. H. (1988) · Annual Review of Medicine · doi:10.1146/annurev.me.39.020188.002443 · Cited by 77
Burki, N. K. (1987) · Lung · doi:10.1007/bf02714443 · Cited by 24
Research works printed but not linked: 3
- 1987, Physiol, 63, 1822
- 1981, New York: Marcel Dekker, 1181
- 1970, Churchill, 233
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Vestbo, J., Hurd, S. S., Agustí, A. G., Jones, P. W., Vogelmeier, C., Anzueto, A., Barnes, P. J., Fabbri, L. M., Martinez, F. J., Nishimura, M., et al. (2013) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201204-0596pp · Cited by 15,983
Parshall, M. B., Schwartzstein, R. M., Adams, L., Banzett, R. B., Manning, H. L., Bourbeau, J., Calverley, P. M., Gift, A. G., Harver, A., Lareau, S. C., et al. (2012) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201111-2042st · Cited by 1,844
Self-citationDyspnea: Mechanisms, Assessment, and Management: A Consensus Statement
(1999) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/ajrccm.159.1.ats898 · Cited by 1,052
Burden and clinical features of chronic obstructive pulmonary disease (COPD)
PAUWELS, R. A., & Rabe, K. F. (2004) · The Lancet · doi:10.1016/s0140-6736(04)16855-4 · Cited by 1,015
The Middle-Range Theory of Unpleasant Symptoms: An Update
Lenz, E. R., Pugh, L. C., Milligan, R. A., Gift, A. G., & Suppe, F. (1997) · Advances in Nursing Science · doi:10.1097/00012272-199703000-00003 · Cited by 905
Metadata
- Authors
- Simon, P. M., Schwartzstein, R. M., Weiss, J. W., Fencl, V., Teghtsoonian, M., & Weinberger, S. E.
- 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)
- 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
- 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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