An unusual cause of exertional dyspnea in a 55 years old man.

Autor:	Vézina FA; Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Ste-Foy Road, Quebec, QC, GIV 4G5, Canada., Milad D; Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Ste-Foy Road, Quebec, QC, GIV 4G5, Canada., Godbout K; Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Ste-Foy Road, Quebec, QC, GIV 4G5, Canada., Bernier M; Clinique D'orthophonie Québec, 1000 Ste-Foy Road, Suite 203, Quebec, QC, G1S, Canada., Maltais F; Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Ste-Foy Road, Quebec, QC, GIV 4G5, Canada., Nadreau É; Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Ste-Foy Road, Quebec, QC, GIV 4G5, Canada., Sénéchal M; Institut Universitaire de Cardiologie et de Pneumologie de Québec, 2725 Ste-Foy Road, Quebec, QC, GIV 4G5, Canada.
Jazyk:	angličtina
Zdroj:	Respiratory medicine case reports [Respir Med Case Rep] 2020 Jan 27; Vol. 29, pp. 101004. Date of Electronic Publication: 2020 Jan 27 (Print Publication: 2020).
DOI:	10.1016/j.rmcr.2020.101004
Abstrakt:	A 55-year-old former professional athlete reported out of proportion dyspnea on exertion. After a detailed cardiac investigation, a cardiopulmonary exercise test on an ergocycle demonstrated an abnormal and non-physiological ventilatory response characterized by a sharp rise in ventilation followed by a decrease while exercise workload was progressively increasing. This was accompanied by noisy breathing. A laryngoscopy with direct visualisation of larynx and vocal cord during voluntary eucapnic hyperventilation confirmed the diagnosis of exercise-induced laryngeal obstruction. The patient was treated with speech therapy and all the symptoms resolved. A second cardiopulmonary exercise test showed a normalisation of the ventilatory pattern during exercise. This case demonstrates the importance of recognizing the symptoms of an exercise-induced laryngeal obstruction regardless of age, and the effectiveness of the speech therapy on symptoms and on exercise testing. Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. (© 2020 Published by Elsevier Ltd.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu