Why the worsening dyspnea with fatigue and chest pain

Michael C. Boyars, Akhil Bidani

Research output: Contribution to journalArticlepeer-review


Dyspnea, a term used to describe a multitude of symptoms related to 'an uncomfortable sensation of breathing,' is a common symptom that is very disturbing to patients. To further complicate matters, this sensation has a wide range of causes, has no accurate objective measurement, and is described and experienced differently - patients with the same degree of disease can perceive their symptoms as a mild annoyance or an acute crisis. Given so many pulmonary and cardiac possibilities - what is the best way to pinpoint the cause of dyspnea? To facilitate your own work-up of patients with this symptom, The Journal of Respiratory Diseases has asked two pulmonologists to present a series of cases from their own practices in which dyspnea presented a challenge. In this series of 'dyspnea clinics,' Drs Boyars and Bidani present the history, physical examination, initial diagnosis and treatment, follow-up, and outcome of each case. They provide step-by-step assessment that highlights the important diagnostic clues and illustrates how certain objective tests are used to refine and confirm the diagnosis.

Original languageEnglish (US)
Pages (from-to)373-377
Number of pages5
JournalJournal of Respiratory Diseases
Issue number5
StatePublished - May 1999

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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