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CASE SUMMARY A 38-year-old postpartum female presented with fatigue, shortness of breath, and dyspnea on exertion, 3 months following an uneventful spontaneous vaginal delivery.
4) People with COPD experience dyspnea on exertion which is primarily the result of airflow obstruction and is the principle cause of decreased functional ability.
Fever, cough, progressive dyspnea on exertion, weight loss, night sweats, and chest pain are all common symptoms.
For several years, she had suffered with dyspnea on exertion and repeated flulike illnesses.
This method works reasonably well for patients without lung disease, and can provide additional information as to why the patient may be experiencing dyspnea on exertion.
A 21-year-old man admitted with dyspnea on exertion (NYHA Class II) and palpitation.
001 By consultation 68 (24%) Table 2 Admission Characteristics by Age Category All 65-74 Yrs (N = 1,090) (n = 343) Symptoms Dyspnea at rest 975 (89%) 309 (90%) Dyspnea on exertion 279 (26%) 103 (30%) Orthopnea 356 (33%) 143 (42%) PND * 230 (21%) 93 (27%) Fatigue 56 (5%) 20 (6%) Angina 30 (3%) 9 (3%) Leg swelling 621 (57%) 213 (62%) Physical signs Pulse (beats per minute) + 92 ([+ or -]22) 92 ([+ or -]21) Systolic BP ** (mm Hg) + 147 ([+ or -]32) 146 ([+ or -]33) Third heart sound 201 (18%) 67 (19%) Jugular venous distension 452 (41%) 137 (40%) Pulmonary rales 744 (68%) 228 (66%) PMI ++ displaced 97 (9%) 38 (11%) Laboratory values BUN (ss)(mg/dL) + 29.
The most common clinical presentation is symptomatic left ventricular outflow tract (LVOT) obstruction occurring as a result of mass effect in the early years of life or progressing gradually due to the continued accumulation of fibrous tissue within the LVOT and generally becomes symptomatic as dyspnea on exertion, chest pain, syncope or very rarely cerebrovascular accident.