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Paroxysmal nocturnal dyspnea is a common symptom of several heart conditions such as heart failure with preserved ejection fraction, in addition to asthma, chronic obstructive pulmonary disease, and sleep apnea. [8] Other symptoms that may be seen alongside paroxysmal nocturnal dyspnea are weakness, orthopnea, edema, fatigue, and dyspnea. [9]
Pulmonary edema (British English: oedema), also known as pulmonary congestion, is excessive fluid accumulation in the tissue or air spaces (usually alveoli) of the lungs. [1] This leads to impaired gas exchange , most often leading to shortness of breath ( dyspnea ) which can progress to hypoxemia and respiratory failure .
Chest Radiograph to evaluate for presence of lung congestion or increased heart size. [2] [7] Echocardiography to evaluate heart function. Echocardiography is the preferred choice for diagnosis of heart failure in patients. [1] [2] As well as evaluation of lung function via: Pulmonary function testing (PFT) complete with bronchoprovocation ...
Brown induration is fibrosis and hemosiderin pigmentation of the lungs due to long standing pulmonary congestion (chronic passive congestion). Occurs with mitral stenosis and left sided heart failure. Pathology: The lung vessels are congested with blood and this leads to pulmonary edema when plasma escapes in alveolar spaces.
They are suggestive for the diagnosis of congestive heart failure, but are also seen in various non-cardiac conditions such as pulmonary fibrosis, interstitial deposition of heavy metal particles or carcinomatosis of the lung. Chronic Kerley B lines may be caused by fibrosis or hemosiderin deposition caused by recurrent pulmonary edema.
Cardiac symptoms of heart failure include chest pain/pressure and palpitations.Common noncardiac signs and symptoms of heart failure include loss of appetite, nausea, weight loss, bloating, fatigue, weakness, low urine output, waking up at night to urinate, and cerebral symptoms of varying severity, ranging from anxiety to memory impairment and confusion.
The Lake Louise Consensus Definition for high-altitude pulmonary edema has set widely used criteria for defining HAPE symptoms. [7] In the presence of a recent gain in altitude, the presence of the following: Symptoms: at least two of: Shortness of breath at rest; Cough; Weakness or decreased exercise performance; Chest tightness or congestion
Histopathology of a case of chronic pulmonary congestion, showing a siderophage (white arrow, characterized by coarse brown pigment, which is slightly refractile), and interstitium with edema, hemosiderin deposition (black arrow) and collagenous thickening. Siderophages (brown spots) in an endometriotic focus.