{"title":"[How to deal with unexplained dyspnoea].","authors":"Stéphane Mouraux, Chloé Cantero, Claudio Rabec, Benoît Lechartier, Aileen Kharat","doi":"10.53738/REVMED.2024.20.895.2122","DOIUrl":null,"url":null,"abstract":"<p><p>Unexplained dyspnoea is defined as a chronic (≥ 3 months) and significant (mMRC ≥ 2) dyspnoea without a diagnosis after clinical examination, chest X-ray, biological work-up and electrocardiogram. This condition affects 15 % of patients with dyspnoea and is associated with prolonged diagnostic delay and difficulties in patient referral. This article presents the definition and epidemiology of unexplained dyspnoea, as well as the useful elements of the history and clinical examination. It covers the specific differential diagnosis and proposes a diagnostic algorithm for the primary care physician. Finally, it discusses possible developments in this field to improve the management of these patients.</p>","PeriodicalId":21286,"journal":{"name":"Revue medicale suisse","volume":"20 895","pages":"2122-2125"},"PeriodicalIF":0.0000,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revue medicale suisse","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.53738/REVMED.2024.20.895.2122","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Unexplained dyspnoea is defined as a chronic (≥ 3 months) and significant (mMRC ≥ 2) dyspnoea without a diagnosis after clinical examination, chest X-ray, biological work-up and electrocardiogram. This condition affects 15 % of patients with dyspnoea and is associated with prolonged diagnostic delay and difficulties in patient referral. This article presents the definition and epidemiology of unexplained dyspnoea, as well as the useful elements of the history and clinical examination. It covers the specific differential diagnosis and proposes a diagnostic algorithm for the primary care physician. Finally, it discusses possible developments in this field to improve the management of these patients.
期刊介绍:
Destinée aux professionnels de santé, la plateforme revmed.ch regroupe la version électronique de la Revue Médicale Suisse et les applications de formation et d"aide à la prise de décision eRMS. La eRMS est le fruit d’une large collaboration entre institutions et praticiens de Suisse romande.