After thyroidectomy, all 8 patients reported alleviation of their compressive symptoms, with resolution of orthopnea
, dysphagia, and dyspnea.
Diagnosis of HF was based on patient symptoms of dyspnea, orthopnea
, lung rales, or leg edema and confirmed by echocardiography studies (GE Vivid 7 ultrasound imaging system) and x-ray examination.
, and dizziness or syncope, which might be symptoms of other heart disease, also are normal symptoms of pregnancy.
The main complains ate: exertional dyspnea, orthopnea
, paroxysmal nocturnal dyspnea, palpitations, angina (with or without epicardial coronary artery disease) mainly due to the increased in oxygen demand from the LV hypertrophy.
All patients with respiratory involvement continued to experience orthopnea
, dyspnea on exertion, and weakness of cough.
RTs are trained to assess the awake breathing of their patients and have been educated in identifying such problems using a variety of descriptive terms such as apnea, hypopnea, dyspnea, hyperpnea, tachypnea, hyper and hypoventilation (requiring an ABG to confirm), orthopnea
and so forth.
Specific areas of questioning related to EDW that may be of benefit include presence of extreme weakness, fatigue, or dizziness, which may indicate hypotensive episode(s); quality of appetite, which may point to occult weight gain or loss; GI symptoms such as vomiting and diarrhea, which may indicate fluid volume deficit; and respiratory symptoms such as dyspnea or orthopnea
, which may indicate fluid volume overload (Nissenson & Fine, 1993).
In the 48 hours before admission at Mayo, she was profoundly dyspneic, arriving in extremis with orthopnea
. Her pulse was 120 beats per minute.
Her chief complaints included dyspnea, orthopnea
, and increasing weakness and fatigue.
An 86-year-old woman with known history of coronary artery disease and sick sinus syndrome was admitted to the hospital with dyspnea, orthopnea
, and exertional dizziness.
When symptomatic, patients can experience dyspnea, orthopnea
, pyrexia, dysrhythmia, and angina .
Subjective findings for heart failure include fatigue, dyspnea, orthopnea
, paroxysmal nocturnal dyspnea, tachycardia, edema, nocturia, dusky, diaphoresis, behavioral changes, and chest pain (AHA, 2013).