Document Detail


Perceptions and pathophysiology of dyspnea and exercise intolerance.
MedLine Citation:
PMID:  19135580     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dyspnea is a complex psychophysiologic sensation that requires intact afferent and efferent pathways for the full perception of the neuromechanical dissociation between the respiratory effort attempted and the work actually accomplished. The sensation is triggered or accentuated by a variety of receptors located in the chest wall, respiratory muscles, lung parenchyma, carotid body, and brain stem. The sensation of dyspnea is stronger in patients with higher scores for anxiety and has been reported in patients with anxiety disorders with no cardiopulmonary disease. These observations demonstrate the importance of cerebral cognition in this complex symptom. Ten cases are presented that illustrate different clinical manifestations of dyspnea.
Authors:
Miles Weinberger; Mutasim Abu-Hasan
Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Pediatric clinics of North America     Volume:  56     ISSN:  0031-3955     ISO Abbreviation:  Pediatr. Clin. North Am.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-01-12     Completed Date:  2009-03-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401126     Medline TA:  Pediatr Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-48, ix     Citation Subset:  AIM; IM    
Affiliation:
Pediatric Allergy and Pulmonary Division, Pediatrics Department, University of Iowa Children's Hospital, University of Iowa College of Medicine, Iowa City, IA 52242, USA. miles-weinberger@uiowa.edu
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MeSH Terms
Descriptor/Qualifier:
Administration, Inhalation
Adolescent
Adult
Anoxia / diagnosis
Asthma, Exercise-Induced / diagnosis*,  drug therapy,  physiopathology*,  psychology
Bronchodilator Agents / therapeutic use
Child
Child, Preschool
Clinical Protocols
Diagnosis, Differential
Dyspnea / diagnosis*,  drug therapy,  physiopathology*,  psychology
Exercise Test
Female
Glucocorticoids / therapeutic use
Humans
Male
Perception
Spirometry
Chemical
Reg. No./Substance:
0/Bronchodilator Agents; 0/Glucocorticoids

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