Association of types of dyspnea including 'bendopnea' with cardiopulmonary disease in primary care.

Autor:	Martínez Cerón DM; Departamento de Epidemiologia e Bioestatística, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil. Electronic address: mcdianamaria@gmail.com., Garcia Rosa ML; Departamento de Epidemiologia e Bioestatística, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil., Lagoeiro Jorge AJ; Departamento de Clínica Médica, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil., de Andrade Martins W; Departamento de Clínica Médica, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil., Tinoco Mesquita E; Departamento de Clínica Médica, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil., Di Calafriori Freire M; Departamento de Clínica Médica, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil., da Silva Correia DM; Departamento de Fundamentos de Enfermagem e Administração, Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil., Kang HC; Departamento de Patologia, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology [Rev Port Cardiol] 2017 Mar; Vol. 36 (3), pp. 179-186. Date of Electronic Publication: 2017 Feb 15.
DOI:	10.1016/j.repc.2016.08.007
Abstrakt:	Introduction: Dyspnea is the symptom most commonly reported by patients with heart failure (HF) and/or pulmonary disease, the obese and the elderly. Recently 'bendopnea' (shortness of breath when bending forward) has been described in patients with HF. Objective: To determine the association of exertional dyspnea, orthopnea, paroxysmal nocturnal dyspnea and bendopnea with chronic disease, especially heart failure, and their phenotypes in primary care. Methods: This cross-sectional study included 633 individuals aged between 45 and 99 years enrolled in a primary care program in Niteroi, Brazil. Participants underwent clinical assessment and laboratory tests and completed a questionnaire, all on the same day. Results: Paroxysmal nocturnal dyspnea and bendopnea were associated with HF (unadjusted OR 2.42, 95% CI 1.10-5.29 and OR 2.59, 95% CI 1.52-4.44, respectively). In multivariate models, chronic obstructive pulmonary disease, coronary heart disease and myocardial infarction were not associated with bendopnea. Conclusions: Bendopnea was the only type of dyspnea not linked to respiratory disease or coronary heart disease. Even after adjusting for depression and body mass index, the association remained with HF with or without preserved ejection fraction, and bendopnea thus appears to be a promising symptom to differentiate HF from the other two disease groups. (Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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