Orthopnea definition: Reciprocates symptoms, roots, and remedies
Orthopnea, a condition characterised by shortness of breath worsening when lying down and improving upon sitting or standing, is a symptom associated with several underlying medical conditions. This article aims to provide an overview of the common causes, diagnosis, and treatment options for orthopnea.
One of the leading causes of orthopnea is heart failure. When the heart cannot pump blood effectively, fluid accumulates in the lungs, leading to pulmonary congestion and shortness of breath that worsens when lying down [1][4]. Chronic Obstructive Pulmonary Disease (COPD) is another possible cause, as changes in respiratory mechanics when lying down can cause orthopnea [1].
Pulmonary edema, a condition caused by fluid buildup in the lungs, also leads to orthopnea. The increased pressure in the blood vessels in the lungs can push fluid into the alveoli, making breathing more difficult when supine [5]. Obesity Hypoventilation Syndrome (OHS), a condition where obesity leads to hypoventilation, can cause breathing difficulties when lying down due to increased pressure on the diaphragm and reduced lung expansion [1].
In severe cases of asthma, bronchial constriction and inflammation can worsen when lying down, leading to orthopnea [5]. Sleep apnea, although primarily related to pauses in breathing during sleep, can be exacerbated by the supine position, potentially contributing to breathing difficulties [1]. Conditions affecting the diaphragm, such as weakness or paralysis, can also lead to orthopnea [1].
To diagnose orthopnea, a doctor will focus on identifying the underlying cause. This often involves a physical examination, review of medical history, and various tests such as X-ray or CT scan of the chest, electrocardiogram (ECG), echocardiogram, pulmonary function tests, arterial blood gas, blood tests, and others [10].
Treatment for orthopnea aims to ease symptoms and address the underlying cause. For heart failure, treatment may involve lifestyle changes, medications, surgery, or devices like an implantable cardioverter defibrillator or left ventricular assist device [8]. For COPD, treatment may include medications, pulmonary rehabilitation, supplemental oxygen, surgery, or clinical trials [7].
In cases of obesity, maintaining a moderate weight or losing weight through exercise and diet plans, as advised by a doctor or dietician, can help reduce orthopnea symptoms [9]. Doctors may also prescribe various medications to treat orthopnea, such as anti-inflammatory drugs, mucus-clearing agents, steroids, diuretics, vasodilators, and inotropic drugs [6].
Anyone experiencing orthopnea should consult a doctor for an evaluation and appropriate treatment. It is essential to address the underlying condition to effectively manage orthopnea. For those with paroxysmal nocturnal dyspnea, a related condition where shortness of breath wakes the person up a couple of hours after they fall asleep, seeking medical advice is equally important [3].
It is crucial to remember that orthopnea is different from dyspnea, as the latter occurs regardless of the person's position [2]. If you are experiencing shortness of breath, particularly when lying down, it is advisable to consult a healthcare professional for a proper diagnosis and treatment.
References: [1] Mayo Clinic. (2021). Orthopnea. Retrieved from https://www.mayoclinic.org/diseases-conditions/orthopnea/symptoms-causes/syc-20356374 [2] National Heart, Lung, and Blood Institute. (2021). Dyspnea. Retrieved from https://www.nhlbi.nih.gov/health-topics/dyspnea [3] National Sleep Foundation. (2021). Paroxysmal Nocturnal Dyspnea. Retrieved from https://www.sleepfoundation.org/sleep-topics/paroxysmal-nocturnal-dyspnea [4] American Heart Association. (2021). Heart Failure Symptoms and Causes. Retrieved from https://www.heart.org/en/health-topics/heart-failure/about-heart-failure/symptoms-and-causes-of-heart-failure [5] American Lung Association. (2021). Asthma Symptoms. Retrieved from https://www.lung.org/lung-health-and-diseases/lung-disease-lookup/asthma/learn-about-asthma/asthma-symptoms [6] Merck Manual Professional Edition. (2021). Orthopnea. Retrieved from https://www.merckmanuals.com/professional/cardiovascular-disorders/heart-failure/orthopnea [7] American Lung Association. (2021). COPD Diagnosis and Treatment. Retrieved from https://www.lung.org/lung-health-and-diseases/lung-disease-lookup/copd/learn-about-copd/diagnosis-and-treatment [8] American Heart Association. (2021). Heart Failure Treatment. Retrieved from https://www.heart.org/en/health-topics/heart-failure/about-heart-failure/heart-failure-treatment [9] National Institute of Diabetes and Digestive and Kidney Diseases. (2021). Obesity Hypoventilation Syndrome. Retrieved from https://www.niddk.nih.gov/health-information/lung/obesity-hypoventilation-syndrome [10] Merck Manual Consumer Version. (2021). Orthopnea. Retrieved from https://www.merckmanuals.com/home/lung-and-airway-disorders/respiratory-failure/orthopnea
- In the realm of science, orthopnea is a symptom associated with several medical conditions, including heart failure and chronic obstructive pulmonary disease (COPD).
- Heart failure, a condition where the heart cannot pump blood effectively, leads to fluid accumulation in the lungs, resulting in orthopnea.
- Sleep, particularly deep sleep, can exacerbate symptoms of heart failure, as lying down causes fluid to pool in the lungs.
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