Respiratory complaints with the syndrome Dunbar simulate asthma
| Autor: | Ludmila Fiodorovna Kovaleva, Aleksei Gichkin, Maria Petrova, Nadezhda Jakovleva, Anatoly Ignashev, Olga Titova, Elena Privalova, Vitaly Perley |
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| Rok vydání: | 2015 |
| Předmět: |
Spirometry
medicine.medical_specialty medicine.diagnostic_test business.industry Standard treatment nutritional and metabolic diseases Exercise intolerance medicine.disease Surgery Bronchospasm Diaphragm (structural system) Celiac artery Internal medicine medicine.artery medicine Cardiology Respiratory system medicine.symptom business Asthma |
| Zdroj: | 1.11 Clinical Problems - Asthma. |
| Popis: | The diaphragm is the most important respiratory muscles. Disturbances of movement diaphragm accompanied by various respiratory complaints such as difficulty inhaling and exhaling. It can simulate asthma. Disorders of the diaphragm kinetics may occur with the celiac artery compression syndrome (CACS, Dunbar syndrome). The aim: of the study was to evaluate the functional activity of the diaphragm in patients with CACS and respiratory complaints simulate asthma. Methods: The 44 patients with respiratory disorders and CACS (mean age 23.4 years) were studied. We evaluated: clinical manifestations, chest X-ray, spirometry, PImax and PEmax test, ultrasound duplex celiac artery (CA). Right hemidiaphragm function was investigated by ultrasound. Results: Patients with CACS complaints were: shortness of breath (98%), exercise intolerance (87%), decreased working capacity (68%). In most cases, the standard treatment of asthma in patients with a diagnosis of asthma and CACS was ineffective. The phenomenon of bronchospasm were detected in 20% of patients. Extreme weakness of the respiratory muscles was detected in 20.5% of patients, moderately expressed - at 22.7%, light - at 20.5%. In patients correlations (p Conclusion: Firstly - misdiagnosis of asthma can be supplied in patients with CACS. Secondly - the absence of effect from standard asthma therapy is an indication to exclude Dunbar syndrome. |
| Databáze: | OpenAIRE |
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