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Multidimensional approach to dyspnea.

Pierantonio Laveneziana1, Thomas Similowski, Capucine Morelot-Panzini

  • 1aSorbonne Universités, UPMC University Paris 06 bINSERM, UMR_S 1158, Neurophysiologie Respiratoire Expérimentale et Clinique cAP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service des Explorations Fonctionnelles de la Respiration, de l'Exercice et de la Dyspnée dAP-HP, Groupe Hospitalier Pitié-Salpêtrière Charles Foix, Service de Pneumologie et Réanimation Médicale, Paris, France.

Current Opinion in Pulmonary Medicine
|January 10, 2015
PubMed
Summary
This summary is machine-generated.

Dyspnea, or shortness of breath, is multidimensional, involving sensory perception, emotional distress, and symptom impact. Understanding these aspects is crucial for effective clinical management of this debilitating symptom.

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Area of Science:

  • Pulmonary Medicine
  • Cardiology
  • Psychology

Background:

  • Dyspnea is a primary reason for medical consultation in cardiorespiratory diseases.
  • It significantly impacts patient quality of life, morbidity, and mortality.
  • The complex interplay between patient perception, expression, and clinician interpretation of dyspnea requires careful consideration.

Purpose of the Study:

  • To review the sensory-perceptual and affective/emotional domains of dyspnea.
  • To highlight the multidimensional nature of dyspnea.
  • To emphasize the importance of recognizing and individualizing dyspnea management.

Main Methods:

  • Literature review focusing on recent studies of dyspnea.
  • Analysis of the sensory-perceptual, affective distress, and symptom impact dimensions.
  • Synthesis of findings related to clinical recognition and management.

Main Results:

  • Dyspnea comprises sensory-perceptual (intensity, quality), affective distress, and symptom impact dimensions.
  • Sensory-perceptual aspects relate to the feeling and quality of breathing.
  • Affective distress concerns the unpleasantness and cognitive evaluation of breathing sensations.

Conclusions:

  • Dyspnea is a critical symptom predicting adverse outcomes in cardiorespiratory conditions.
  • Accurate recognition and individualized management of dyspnea are essential.
  • Addressing the multidimensional aspects of dyspnea can optimize patient care.