Skip to main content
Erschienen in: Der Internist 9/2005

01.09.2005 | Schwerpunkt: Internistische Notfallmedizin

Akute Dyspnoe

verfasst von: PD Dr. U. Wagner, C. Vogelmeier

Erschienen in: Die Innere Medizin | Ausgabe 9/2005

Einloggen, um Zugang zu erhalten

Zusammenfassung

Die häufigsten Diagnosen bei Patienten mit Dyspnoe sind Asthma, chronisch obstruktive Lungenerkrankung, interstitielle Lungenerkrankung und Herzinsuffizienz. Akute Dyspnoe, definiert als Atemnot, die innerhalb von Minuten oder wenigen Stunden entsteht, wird im Allgemeinen von einer begrenzten Zahl von Grunderkrankungen verursacht und kann Ausdruck einer lebensbedrohlichen Situation sein, die dann einer akuten zielgerichteten Diagnostik mit konsekutiver lebensrettender Therapie nach den Leitlinien der verursachenden Grunderkrankung bedarf.
Literatur
1.
Zurück zum Zitat Adams L, Lane R, Shea SA et al. (1985) Breathlessness during different forms of ventilatory stimulation: A study of mechanisms in normal subjects and respiratory patients. Clin Sci 69: 663–672PubMed Adams L, Lane R, Shea SA et al. (1985) Breathlessness during different forms of ventilatory stimulation: A study of mechanisms in normal subjects and respiratory patients. Clin Sci 69: 663–672PubMed
2.
Zurück zum Zitat Alintop L, Yardan T, Cander B, Findik S, Yilmaz O (2005) An increase of BNP levels in massive pulmonary embolism and the reduction in response to the acute treatment. Resuscitation 65: 225–229CrossRefPubMed Alintop L, Yardan T, Cander B, Findik S, Yilmaz O (2005) An increase of BNP levels in massive pulmonary embolism and the reduction in response to the acute treatment. Resuscitation 65: 225–229CrossRefPubMed
3.
Zurück zum Zitat Ambrosio N, Scano G (2004) Dyspnea and its measurement. Breathe 2: 101–107 Ambrosio N, Scano G (2004) Dyspnea and its measurement. Breathe 2: 101–107
4.
Zurück zum Zitat Banzett RB, Lansing RW, Brown R et al. (1990) „Air hunger“ arising from increased pCO2 persists after complete neuromuscular block in humans. Respir Physiol 81: 1–17CrossRefPubMed Banzett RB, Lansing RW, Brown R et al. (1990) „Air hunger“ arising from increased pCO2 persists after complete neuromuscular block in humans. Respir Physiol 81: 1–17CrossRefPubMed
5.
Zurück zum Zitat Banzett RB, Lansing RW, Brown R. (1987) High-level quadriplegics perceive lung volume change. J Appl Physiol 62: 567–573PubMed Banzett RB, Lansing RW, Brown R. (1987) High-level quadriplegics perceive lung volume change. J Appl Physiol 62: 567–573PubMed
6.
Zurück zum Zitat Banzett RB, Mulnier HE, Murphy K et al. (2000) Breathlessness in humans activates insular cortex. Neuroreport 11: 2117–2120PubMed Banzett RB, Mulnier HE, Murphy K et al. (2000) Breathlessness in humans activates insular cortex. Neuroreport 11: 2117–2120PubMed
7.
Zurück zum Zitat Chronos N, Adams L, Guz A (1988) Effect of hyperoxia and hypoxia on exercise-induced breathlessness in normal subjects. Clin Sci 74: 531–537PubMed Chronos N, Adams L, Guz A (1988) Effect of hyperoxia and hypoxia on exercise-induced breathlessness in normal subjects. Clin Sci 74: 531–537PubMed
8.
Zurück zum Zitat Clark AL, Piepoli M, Coats AJ (1995) Skeletal muscle and the control of ventilation on exercise: Evidence of metabolic receptors. Eur J Clin Invest 25: 299–305PubMed Clark AL, Piepoli M, Coats AJ (1995) Skeletal muscle and the control of ventilation on exercise: Evidence of metabolic receptors. Eur J Clin Invest 25: 299–305PubMed
9.
Zurück zum Zitat Cook DG, Shaper AG (1988) Breathlessness, lung function, and risk of heart attack. Eur Heart J 9: 1215–1222PubMed Cook DG, Shaper AG (1988) Breathlessness, lung function, and risk of heart attack. Eur Heart J 9: 1215–1222PubMed
10.
Zurück zum Zitat Corfield DR, Fink GR, Ramsay SC et al. (1995) Evidence for limbic system activation during CO2-stimulated breathing in man. J Physiol 488: 77–84PubMed Corfield DR, Fink GR, Ramsay SC et al. (1995) Evidence for limbic system activation during CO2-stimulated breathing in man. J Physiol 488: 77–84PubMed
11.
Zurück zum Zitat Cristiano LM, Schwartzstein RM (1997) Effect of chest wall vibration on dyspnea during hypercapnia and exercise in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 155: 1552–1559PubMed Cristiano LM, Schwartzstein RM (1997) Effect of chest wall vibration on dyspnea during hypercapnia and exercise in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 155: 1552–1559PubMed
12.
Zurück zum Zitat Demediuk BH, Manning HL, Lilly J et al. (1992) Dissociation between dyspnea and respiratory effort. Am Rev Respir Dis 146: 1222–1225PubMed Demediuk BH, Manning HL, Lilly J et al. (1992) Dissociation between dyspnea and respiratory effort. Am Rev Respir Dis 146: 1222–1225PubMed
13.
Zurück zum Zitat American Thoracic Society (1999) Dyspnea. Mechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med 159: 321–340PubMed American Thoracic Society (1999) Dyspnea. Mechanisms, assessment, and management: a consensus statement. Am J Respir Crit Care Med 159: 321–340PubMed
14.
Zurück zum Zitat Higgins M (1993) Epidemiology of obstructive pulmonary disease. In: Casaburi R, Petty TL (eds) Principles and practice of pulmonary rehabilitation. WB Saunders, Philadelphia, pp 10–17 Higgins M (1993) Epidemiology of obstructive pulmonary disease. In: Casaburi R, Petty TL (eds) Principles and practice of pulmonary rehabilitation. WB Saunders, Philadelphia, pp 10–17
15.
Zurück zum Zitat Lane R, Cockcroft A, Adams L, Guz A (1987) Arterial oxygen saturation and breathlessness in patients with chronic obstructive airways disease. Clin Sci 72: 693–698PubMed Lane R, Cockcroft A, Adams L, Guz A (1987) Arterial oxygen saturation and breathlessness in patients with chronic obstructive airways disease. Clin Sci 72: 693–698PubMed
16.
Zurück zum Zitat Mahler DA, Harver A, Lentine T et al. (1996) Descriptors of breathlessness in cardiorespiratory diseases. Am J Respir Crit Care Med 154: 1357–1363PubMed Mahler DA, Harver A, Lentine T et al. (1996) Descriptors of breathlessness in cardiorespiratory diseases. Am J Respir Crit Care Med 154: 1357–1363PubMed
17.
Zurück zum Zitat Maisel AS, Krishnaswamy P, Nowak RM et al. (2002) Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure. N Engl J Med 347: 161–167CrossRefPubMed Maisel AS, Krishnaswamy P, Nowak RM et al. (2002) Rapid measurement of B-type natriuretic peptide in the emergency diagnosis of heart failure. N Engl J Med 347: 161–167CrossRefPubMed
18.
Zurück zum Zitat McBride B, Whitelaw WA (1981) A physiological stimulus to upper airway receptors in humans. J Appl Physiol 51: 1189–1197PubMed McBride B, Whitelaw WA (1981) A physiological stimulus to upper airway receptors in humans. J Appl Physiol 51: 1189–1197PubMed
19.
Zurück zum Zitat McCloskey DI (1981) Corollary discharges: Motor commands and perception. In: Brookahrt JM, Mountcastle VB (eds) Handbook of physiology. Section I, the nervous system. American Physiological Society, Bethesda, pp 1415–1447 McCloskey DI (1981) Corollary discharges: Motor commands and perception. In: Brookahrt JM, Mountcastle VB (eds) Handbook of physiology. Section I, the nervous system. American Physiological Society, Bethesda, pp 1415–1447
20.
Zurück zum Zitat Moy ML, Woodrow Weiss J, Sparrow D et al. (2000). Quality of dyspnea in bronchoconstriction differs from external resistive loads. Am J Respir Crit Care Med 162: 451–455PubMed Moy ML, Woodrow Weiss J, Sparrow D et al. (2000). Quality of dyspnea in bronchoconstriction differs from external resistive loads. Am J Respir Crit Care Med 162: 451–455PubMed
21.
Zurück zum Zitat Mueller C, Scholer A, Laule-Kilian K et al. (2004) Use of B-type natriuretic peptide in the evaluation and management of acute dyspnea. N Engl J Med 350: 647–654CrossRefPubMed Mueller C, Scholer A, Laule-Kilian K et al. (2004) Use of B-type natriuretic peptide in the evaluation and management of acute dyspnea. N Engl J Med 350: 647–654CrossRefPubMed
22.
Zurück zum Zitat O’Donnell DE, Bertley JC, Chau LK, Webb KA (1997) Qualitative aspects of exertional breathlessness in chronic airflow limitation: Pathophysiologic mechanisms. Am J Respir Crit Care Med 155: 109–115PubMed O’Donnell DE, Bertley JC, Chau LK, Webb KA (1997) Qualitative aspects of exertional breathlessness in chronic airflow limitation: Pathophysiologic mechanisms. Am J Respir Crit Care Med 155: 109–115PubMed
23.
Zurück zum Zitat O’Donnell DE, Webb KA (1993) Exertional breathlessness in patients with airflow obstruction. Am Rev Respir Dis 148: 1351–1357PubMed O’Donnell DE, Webb KA (1993) Exertional breathlessness in patients with airflow obstruction. Am Rev Respir Dis 148: 1351–1357PubMed
24.
Zurück zum Zitat Peiffer C, Poline JB, Thivard L et al. (2001) Neural substrates for the perception of acutely induced dyspnea. Am J Respir Crit Care Med 163: 951–957PubMed Peiffer C, Poline JB, Thivard L et al. (2001) Neural substrates for the perception of acutely induced dyspnea. Am J Respir Crit Care Med 163: 951–957PubMed
25.
Zurück zum Zitat Rao AB, Gray D (2003) Breathlessness in hospitalised adult patients. Postgrad Med J 79: 681–685PubMed Rao AB, Gray D (2003) Breathlessness in hospitalised adult patients. Postgrad Med J 79: 681–685PubMed
26.
Zurück zum Zitat Schwartzstein RM, Lahive K, Pope A et al. (1987) Cold facial stimulation reduces breathlessness induced in normal subjects. Am Rev Respir Dis 136: 58–61PubMed Schwartzstein RM, Lahive K, Pope A et al. (1987) Cold facial stimulation reduces breathlessness induced in normal subjects. Am Rev Respir Dis 136: 58–61PubMed
27.
Zurück zum Zitat Schwartzstein RM, Simon PM, Weiss JW et al. (1989) Breathlessness induced by dissociation between ventilation and chemical drive. Am Rev Respir Dis 139: 1231–1237PubMed Schwartzstein RM, Simon PM, Weiss JW et al. (1989) Breathlessness induced by dissociation between ventilation and chemical drive. Am Rev Respir Dis 139: 1231–1237PubMed
28.
Zurück zum Zitat Sibuya M, Yamada M, Kanamaru A et al. (1994) Effect of chest wall vibration in patients with chronic obstructive respiratory disease. Am J Respir Crit Care Med 149: 1235–1240PubMed Sibuya M, Yamada M, Kanamaru A et al. (1994) Effect of chest wall vibration in patients with chronic obstructive respiratory disease. Am J Respir Crit Care Med 149: 1235–1240PubMed
29.
Zurück zum Zitat Simon PM, Basner RC, Weinberger SE et al. (1991) Oral mucosal stimulation modulates intensity of breathlessness induced in normal subjects. Am Rev Respir Dis 144: 419–422PubMed Simon PM, Basner RC, Weinberger SE et al. (1991) Oral mucosal stimulation modulates intensity of breathlessness induced in normal subjects. Am Rev Respir Dis 144: 419–422PubMed
30.
Zurück zum Zitat Spence DP, Graham DR, Ahmed J et al. (1993) Does cold air affect exercise capacity and dyspnea in stable chronic obstructive pulmonary disease? Chest 103: 693–696PubMed Spence DP, Graham DR, Ahmed J et al. (1993) Does cold air affect exercise capacity and dyspnea in stable chronic obstructive pulmonary disease? Chest 103: 693–696PubMed
31.
Zurück zum Zitat Taguchi O, Kikuchi Y, Hida W et al. (1991) Effects of bronchoconstriction and external resistive loading on the sensation of dyspnea. J Appl Physiol 71: 2183–2190PubMed Taguchi O, Kikuchi Y, Hida W et al. (1991) Effects of bronchoconstriction and external resistive loading on the sensation of dyspnea. J Appl Physiol 71: 2183–2190PubMed
Metadaten
Titel
Akute Dyspnoe
verfasst von
PD Dr. U. Wagner
C. Vogelmeier
Publikationsdatum
01.09.2005
Verlag
Springer-Verlag
Erschienen in
Die Innere Medizin / Ausgabe 9/2005
Print ISSN: 2731-7080
Elektronische ISSN: 2731-7099
DOI
https://doi.org/10.1007/s00108-005-1481-y

Weitere Artikel der Ausgabe 9/2005

Der Internist 9/2005 Zur Ausgabe

Mitteilungen des BDI

Mitteilungen des BDI 09/05

Schwerpunkt: Internistische Notfallmedizin

Der akute Thoraxschmerz

Einführung zum Thema

Internistische Notfallmedizin

Schwerpunkt: Internistische Notfallmedizin

Akutes Abdomen

Schwerpunkt: Internistische Notfallmedizin

Katastrophenmedizin geht uns alle an

Mitteilungen des BDI

BDI-Kongressseiten 09/2005

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.