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Published on: February 2, 2024
Burden of unexplained dyspnea: a single-center study
Anissa Reguig1, Clémence Remy1, Lidwine Wemeau2
1Univ. Lille, CHU de Lille, Service de Pneumologie et Immuno-allergologie, Centre de référence constitutif pour les maladies pulmonaires rares F-59000 Lille, France.
Unexplained dyspnea significantly impacts quality of life, causing physical and mental health burdens. Early diagnosis by expert centers is crucial for managing these breathing difficulties.
Area of Science:
- Pulmonology
- Psychosomatic Medicine
- Quality of Life Research
Background:
- Unexplained dyspnea is characterized by breathing discomfort without a diagnosed underlying medical condition.
- Patients referred to specialized dyspnea centers often present with complex symptoms requiring thorough evaluation.
Purpose of the Study:
- To assess the comprehensive burden of unexplained dyspnea on patients' physical and mental health.
- To characterize the clinical features, exercise capacity, and psychological profiles of individuals with unexplained dyspnea.
Main Methods:
- A cohort of 29 patients with confirmed unexplained dyspnea was evaluated.
- Assessments included the SF-36 questionnaire for quality of life, mMRC, multidimensional dyspnea profile (MDP), Borg score, Nijmegen questionnaire, HAD scale, peak V̇O2, and ventilatory response to exercise.
Main Results:
- Patients reported significantly low scores across multiple SF-36 domains, indicating a substantial impact on physical functioning, emotional well-being, and general health.
- A high prevalence of activity-limiting dyspnea (79%), low exercise capacity (55%), and exertional hyperventilation or inefficient breathing patterns (74%) was observed.
- Hyperventilation symptoms were prevalent (59%) and correlated with poorer quality of life and increased anxiety.
Conclusions:
- Unexplained dyspnea imposes a significant burden on patients' physical and mental health.
- Specialized centers play a vital role in diagnosing unexplained dyspnea, facilitating timely and effective symptomatic management.
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