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How to clinically differentiate between asthma and Paroxysmal nocturnal dyspnoea?
How to clinically differentiate between asthma and Paroxysmal nocturnal dyspnoea?
But when in doubt....blame the heart....
I've had numerous referrals from patients with ischemic cardiomyopathy with EF < 10% where they have ongoing dyspnea, and the reason for referral is "rule out asthma/COPD" .... ehh, good for business I guess.
Dx: "Cardiac denial syndrome." I tell my cardiologists the the good lord gave us 4-5 times the lung capacity that we need to do normal day to day activities, so unless you expect them to low sports it is the heart causing issues.
Is that syndrome for the patient or the cardiologist? 😉
(obviously some cardiologists or cardiology group are better than others .... after a while, you know who you would refer your parents to and who to avoid)