Skip to main content
Erschienen in: Die Innere Medizin 1/2020

30.12.2019 | Dyspnoe | Schwerpunkt: Hausärztliche Medizin – Teil I

Dyspnoe

Eine Herausforderung in der internistisch-hausärztlichen Praxis

verfasst von: Dr. med. Georg Fröhlich, Kai Schorn, Heike Fröhlich

Erschienen in: Die Innere Medizin | Ausgabe 1/2020

Einloggen, um Zugang zu erhalten

Zusammenfassung

Dyspnoe ist eines der häufigen Symptome, die zu einem Hausarztbesuch führen. Die Herausforderung für den Hausarzt besteht in der korrekten Differenzialdiagnose. Leitlinien zur Dyspnoe existieren nicht. Der vorliegende Beitrag gibt einen Überblick zu den ursächlichen Krankheitsbildern, zeigt Wege der Anamnese und Differenzialdiagnose auf und schildert die Rolle des Hausarztes in der Primärversorgung bei Dyspnoe.
Literatur
1.
Zurück zum Zitat Abernethy AP, McDonald CF, Frith PA et al (2010) Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnoea: a double-blind, randomised controlled trial. Lancet 376(9743):784–793PubMedPubMedCentral Abernethy AP, McDonald CF, Frith PA et al (2010) Effect of palliative oxygen versus room air in relief of breathlessness in patients with refractory dyspnoea: a double-blind, randomised controlled trial. Lancet 376(9743):784–793PubMedPubMedCentral
2.
Zurück zum Zitat Abidov A, Rozanski A, Hachamovitch R et al (2005) Prognostic significance of dyspnea in patients referred for cardiac stress testing. N Engl J Med 353(18):1889–1898PubMed Abidov A, Rozanski A, Hachamovitch R et al (2005) Prognostic significance of dyspnea in patients referred for cardiac stress testing. N Engl J Med 353(18):1889–1898PubMed
3.
4.
Zurück zum Zitat Banzett RB, Pedersen SH, Schwartzstein RM et al (2008) The affective dimension of laboratory dyspnea: air hunger is more unpleasant than work/effort. Am J Respir Crit Care Med 177(12):1384–1390PubMedPubMedCentral Banzett RB, Pedersen SH, Schwartzstein RM et al (2008) The affective dimension of laboratory dyspnea: air hunger is more unpleasant than work/effort. Am J Respir Crit Care Med 177(12):1384–1390PubMedPubMedCentral
7.
Zurück zum Zitat Bausewein C, Simon ST (2013) Shortness of breath and cough in patients in palliative care. Dtsch Arztebl Int 110(33–34):563–571PubMedPubMedCentral Bausewein C, Simon ST (2013) Shortness of breath and cough in patients in palliative care. Dtsch Arztebl Int 110(33–34):563–571PubMedPubMedCentral
8.
Zurück zum Zitat Breitenbücher A (2006) From understanding the pathophysiological mechanisms of dyspnea to the correct symptomatic treatment. Ther Umsch 63:211–216PubMed Breitenbücher A (2006) From understanding the pathophysiological mechanisms of dyspnea to the correct symptomatic treatment. Ther Umsch 63:211–216PubMed
10.
Zurück zum Zitat Burri E, Hochholzer K, Arenja N et al (2012) B‑type natriuretic peptide in the evaluation and management of dyspnoea in primary care. J Intern Med 272(5):504–513PubMed Burri E, Hochholzer K, Arenja N et al (2012) B‑type natriuretic peptide in the evaluation and management of dyspnoea in primary care. J Intern Med 272(5):504–513PubMed
11.
Zurück zum Zitat Celli BR, Cote CG, Marin JM et al (2004) The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med 350(10):1005–1012PubMed Celli BR, Cote CG, Marin JM et al (2004) The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. N Engl J Med 350(10):1005–1012PubMed
12.
Zurück zum Zitat Charles J, Ng A, Britt H (2005) Presentation of shortness of breath in Australien general practice. Aust Fam Physician 34:520–521PubMed Charles J, Ng A, Britt H (2005) Presentation of shortness of breath in Australien general practice. Aust Fam Physician 34:520–521PubMed
13.
Zurück zum Zitat Criée CP, Baur X, Berdel (2015) Spirometrie. S2k-Leitlinie. AWMF-Leitlinie Registernr. 020-017 Criée CP, Baur X, Berdel (2015) Spirometrie. S2k-Leitlinie. AWMF-Leitlinie Registernr. 020-017
14.
Zurück zum Zitat Currow DC, Plummer JL, Crockett A et al (2009) A community population survey of prevalence and severity of dyspnea in adults. J Pain Symptom Manage 38(4):533–545PubMed Currow DC, Plummer JL, Crockett A et al (2009) A community population survey of prevalence and severity of dyspnea in adults. J Pain Symptom Manage 38(4):533–545PubMed
15.
Zurück zum Zitat Currow DC, McDonald C, Oaten S et al (2011) Once-daily opioids for chronic dyspnea: a dose increment and pharmacovigilance study. J Pain Symptom Manage 42(3):388–399PubMed Currow DC, McDonald C, Oaten S et al (2011) Once-daily opioids for chronic dyspnea: a dose increment and pharmacovigilance study. J Pain Symptom Manage 42(3):388–399PubMed
16.
Zurück zum Zitat Currow DC, Clark K, Mitchell GK et al (2013) Prospectively collected characteristics of adult patients, their consultations and outcomes as they report breathlessness when presenting to general practice in Australia. Plos One 8:e74814PubMedPubMedCentral Currow DC, Clark K, Mitchell GK et al (2013) Prospectively collected characteristics of adult patients, their consultations and outcomes as they report breathlessness when presenting to general practice in Australia. Plos One 8:e74814PubMedPubMedCentral
17.
Zurück zum Zitat Elliott MW, Adams L, Cockcroft A et al (1991) The language of breathlessness. Use of verbal descriptors by patients with cardiopulmonary disease. Am Rev Respir Dis 144(4):826–832PubMed Elliott MW, Adams L, Cockcroft A et al (1991) The language of breathlessness. Use of verbal descriptors by patients with cardiopulmonary disease. Am Rev Respir Dis 144(4):826–832PubMed
18.
Zurück zum Zitat Ewert R, Bahr C, Weirich C et al (2012) Number of patients with chronic dyspnea in three German specialist practices. Pneumologie 66(11):662–665PubMed Ewert R, Bahr C, Weirich C et al (2012) Number of patients with chronic dyspnea in three German specialist practices. Pneumologie 66(11):662–665PubMed
19.
Zurück zum Zitat Ewert R, Gläser S (2015) Dyspnea. From the concept up to diagnostics. Internist 56(8):865–871PubMed Ewert R, Gläser S (2015) Dyspnea. From the concept up to diagnostics. Internist 56(8):865–871PubMed
20.
Zurück zum Zitat Ewig S, Höffken G, Kern WV (2016) Behandlung von Erwachsenen Patienten mit ambulant erworbener Pneumonie und Prävention – Update 2016. S3 Leitlinie. Pneumologie 70:151–200PubMed Ewig S, Höffken G, Kern WV (2016) Behandlung von Erwachsenen Patienten mit ambulant erworbener Pneumonie und Prävention – Update 2016. S3 Leitlinie. Pneumologie 70:151–200PubMed
21.
Zurück zum Zitat Frese T, Mahlmeister J, Deutsch T et al (2016) Reasons for elderly patients GP visits: results of a cross-sectional study. Clin Interv Aging 11:127–132PubMedPubMedCentral Frese T, Mahlmeister J, Deutsch T et al (2016) Reasons for elderly patients GP visits: results of a cross-sectional study. Clin Interv Aging 11:127–132PubMedPubMedCentral
22.
Zurück zum Zitat Frese T, Sobeck C, Herrmann K et al (2011) Dyspnea as the reason for encounter in general practice. J Clin Med Res 3(5):239–246PubMedPubMedCentral Frese T, Sobeck C, Herrmann K et al (2011) Dyspnea as the reason for encounter in general practice. J Clin Med Res 3(5):239–246PubMedPubMedCentral
23.
Zurück zum Zitat Fröhlich G, Grawe A, Schmidt N et al (2013) Difficult course of rhabdomyolysis in influenza A/H1N1. Dtsch Med Wochenschr 138(46):2351–2354PubMed Fröhlich G, Grawe A, Schmidt N et al (2013) Difficult course of rhabdomyolysis in influenza A/H1N1. Dtsch Med Wochenschr 138(46):2351–2354PubMed
24.
Zurück zum Zitat Fröhlich G, Märker-Hermann E, Ferrari M (2015) 77-year-old female with temporal arteriitis, fever, exhaustion and cough. Dtsch Med Wochenschr 140(6):393: 447 Fröhlich G, Märker-Hermann E, Ferrari M (2015) 77-year-old female with temporal arteriitis, fever, exhaustion and cough. Dtsch Med Wochenschr 140(6):393: 447
25.
Zurück zum Zitat Galbraith S, Fagan P, Perkins P et al (2010) Does the use of a handheld fan improve chronic dyspnea? A randomized, controlled, crossover trial. J Pain Symptom Manage 39(5):831–838PubMed Galbraith S, Fagan P, Perkins P et al (2010) Does the use of a handheld fan improve chronic dyspnea? A randomized, controlled, crossover trial. J Pain Symptom Manage 39(5):831–838PubMed
26.
Zurück zum Zitat Gibson GJ (2000) Obesity, respiratory function and breathlessness. Thorax 55(Suppl 1):41–44 Gibson GJ (2000) Obesity, respiratory function and breathlessness. Thorax 55(Suppl 1):41–44
27.
Zurück zum Zitat Gillespie ND, McNeill G, Pringle T et al (1997) Cross sectional study of contribution of clinical assessment and simple cardiac investigations to diagnosis of left ventricular systolic dysfunction in patients admitted with acute dyspnoe. BMJ 314(7085):936–940PubMedPubMedCentral Gillespie ND, McNeill G, Pringle T et al (1997) Cross sectional study of contribution of clinical assessment and simple cardiac investigations to diagnosis of left ventricular systolic dysfunction in patients admitted with acute dyspnoe. BMJ 314(7085):936–940PubMedPubMedCentral
28.
Zurück zum Zitat Rutten GGFH (2014) Comorbidity of heart failure and chronic obstructive pulmonary disease: more than coincidence. Curr Heart Fail Rep 11(3):337–346PubMed Rutten GGFH (2014) Comorbidity of heart failure and chronic obstructive pulmonary disease: more than coincidence. Curr Heart Fail Rep 11(3):337–346PubMed
29.
Zurück zum Zitat Guenette JA, Jensen D, O’Donnell DE (2010) Respiratory function and the obesity paradox. Curr Opin Clin Nutr Metab Care 13(6):618–624PubMed Guenette JA, Jensen D, O’Donnell DE (2010) Respiratory function and the obesity paradox. Curr Opin Clin Nutr Metab Care 13(6):618–624PubMed
30.
Zurück zum Zitat Havelock T, Teoh R, Laws D et al (2010) Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax 65(Suppl 2):ii61–ii76PubMed Havelock T, Teoh R, Laws D et al (2010) Pleural procedures and thoracic ultrasound: British Thoracic Society Pleural Disease Guideline 2010. Thorax 65(Suppl 2):ii61–ii76PubMed
31.
Zurück zum Zitat Hoffman JM, Lee A, Grafton ST, Bellamy P, Hawkins RA, Webber M (1994) Clinicla signs and symptoms in pulmonary embolism. A reassessment. Clin Nucl Med 19:803–808PubMed Hoffman JM, Lee A, Grafton ST, Bellamy P, Hawkins RA, Webber M (1994) Clinicla signs and symptoms in pulmonary embolism. A reassessment. Clin Nucl Med 19:803–808PubMed
32.
Zurück zum Zitat Htun TP, Sun Y, Chua HL (2019) Clinical features for diagnosis of pneumonia among adultes in primary care setting: a systematic and meta-review. Sci Rep 9(1):7600–7609PubMedPubMedCentral Htun TP, Sun Y, Chua HL (2019) Clinical features for diagnosis of pneumonia among adultes in primary care setting: a systematic and meta-review. Sci Rep 9(1):7600–7609PubMedPubMedCentral
34.
Zurück zum Zitat Konstantinides SV, Torbicki A, Agnelli G et al (2014) 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 35(43):3033–3069PubMed Konstantinides SV, Torbicki A, Agnelli G et al (2014) 2014 ESC guidelines on the diagnosis and management of acute pulmonary embolism. Eur Heart J 35(43):3033–3069PubMed
36.
Zurück zum Zitat Löwe B, Kroenke K, Gräfe K (2005) Detecting and monitoring depression with a 2-item questionnaire (PHQ 2). J Psychosom Res 58:163–171PubMed Löwe B, Kroenke K, Gräfe K (2005) Detecting and monitoring depression with a 2-item questionnaire (PHQ 2). J Psychosom Res 58:163–171PubMed
37.
Zurück zum Zitat Magnussen H (2005) Prevalence of respiratory symptoms. Currently available data on German practices. Med Klin 100(Suppl 1):1–4 Magnussen H (2005) Prevalence of respiratory symptoms. Currently available data on German practices. Med Klin 100(Suppl 1):1–4
38.
Zurück zum Zitat Mahler DA, Mejia R (1999) Dyspnea. In: Davis GS (Hrsg) Medical management of pulmonary diseases. Marcel Dekker, New York, S 221 Mahler DA, Mejia R (1999) Dyspnea. In: Davis GS (Hrsg) Medical management of pulmonary diseases. Marcel Dekker, New York, S 221
39.
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(3):161–167PubMed 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(3):161–167PubMed
40.
Zurück zum Zitat Manning HL, Schwartzstein RM (1995) Pathophysiology of dyspnea. N Engl J Med 333(23):1547–1553PubMed Manning HL, Schwartzstein RM (1995) Pathophysiology of dyspnea. N Engl J Med 333(23):1547–1553PubMed
41.
Zurück zum Zitat Möckel M, Searle J, Muller R et al (2013) Chief complaints in medical emergencies. Eur J Emerg Med 20(2):103–108PubMed Möckel M, Searle J, Muller R et al (2013) Chief complaints in medical emergencies. Eur J Emerg Med 20(2):103–108PubMed
42.
Zurück zum Zitat Moens K, Higginson IJ, Harding R et al (2014) Are there differences in the prevalence of palliative care-related problems in people living with advanced cancer and eight non-cancer conditions? A systematic review. J Pain Symptom Manage 48(4):660–677PubMed Moens K, Higginson IJ, Harding R et al (2014) Are there differences in the prevalence of palliative care-related problems in people living with advanced cancer and eight non-cancer conditions? A systematic review. J Pain Symptom Manage 48(4):660–677PubMed
43.
Zurück zum Zitat Nielsen LS, Svanegaard J, Wiggers P et al (2001) The yield of a diagnostic hospital dyspnoea clinic for the primary health care section. J Intern Med 250(5):422–428PubMed Nielsen LS, Svanegaard J, Wiggers P et al (2001) The yield of a diagnostic hospital dyspnoea clinic for the primary health care section. J Intern Med 250(5):422–428PubMed
44.
Zurück zum Zitat Palange P, Ward SA, Carlsen KH et al (2007) Recommendations on the use of exercise testing in clinical practice. Eur Respir J 29(1):185–209PubMed Palange P, Ward SA, Carlsen KH et al (2007) Recommendations on the use of exercise testing in clinical practice. Eur Respir J 29(1):185–209PubMed
45.
Zurück zum Zitat Palmer JL, Fisch MJ (2005) Association between symptom distress and survival in outpatients seen in a palliative care cancer center. J Pain Symptom Manage 29(6):565–571PubMed Palmer JL, Fisch MJ (2005) Association between symptom distress and survival in outpatients seen in a palliative care cancer center. J Pain Symptom Manage 29(6):565–571PubMed
46.
Zurück zum Zitat Parshall MB, Schwartzstein RM, Adams L et al (2012) An official Amercican Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea. Am J Respir Crit Care Med 185(4):435–452PubMedPubMedCentral Parshall MB, Schwartzstein RM, Adams L et al (2012) An official Amercican Thoracic Society statement: update on the mechanisms, assessment, and management of dyspnea. Am J Respir Crit Care Med 185(4):435–452PubMedPubMedCentral
47.
Zurück zum Zitat Ponikowski P, Voors AA, Anker SD et al (2016) 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 37(27):2129–2200PubMed Ponikowski P, Voors AA, Anker SD et al (2016) 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 37(27):2129–2200PubMed
48.
Zurück zum Zitat Pratter MR, Abouzgheib W, Akers S et al (2011) An algorithmic approach to chronic dyspnea. Respir Med 105(7):1014–1021PubMed Pratter MR, Abouzgheib W, Akers S et al (2011) An algorithmic approach to chronic dyspnea. Respir Med 105(7):1014–1021PubMed
49.
Zurück zum Zitat Saisch SG, Wessely S, Gardner WN (1996) Patients with acute hyperventilation presenting to an inner-city emergency department. Chest 110:952–957PubMed Saisch SG, Wessely S, Gardner WN (1996) Patients with acute hyperventilation presenting to an inner-city emergency department. Chest 110:952–957PubMed
50.
Zurück zum Zitat Scano G, Stendardi L, Grazzini M (2005) Understanding dyspnoea by ist language. Eur Respir J 25(2):380–385PubMed Scano G, Stendardi L, Grazzini M (2005) Understanding dyspnoea by ist language. Eur Respir J 25(2):380–385PubMed
51.
Zurück zum Zitat Schneider N, Mitchell G, Murray SA (2010) Ambulante Palliativversorgung: Der Hausarzt als Ansprechpartner. Dtsch Arztebl Int 107(19):925–927 Schneider N, Mitchell G, Murray SA (2010) Ambulante Palliativversorgung: Der Hausarzt als Ansprechpartner. Dtsch Arztebl Int 107(19):925–927
52.
Zurück zum Zitat Schnell J, Beer M, Eggeling S et al (2018) Management of spontaneous pneumothorax and postinterventional pneumothorax: German S3-guideline. Zentralbl Chir 143(1):12–43 Schnell J, Beer M, Eggeling S et al (2018) Management of spontaneous pneumothorax and postinterventional pneumothorax: German S3-guideline. Zentralbl Chir 143(1):12–43
53.
Zurück zum Zitat Simon PM, Schwartzstein RM, Weiss JW et al (1990) Distinguishable types of dyspnea in patients with shortness of breath. Am Rev Respir Dis 142(5):1009–1014PubMed Simon PM, Schwartzstein RM, Weiss JW et al (1990) Distinguishable types of dyspnea in patients with shortness of breath. Am Rev Respir Dis 142(5):1009–1014PubMed
55.
Zurück zum Zitat Sin DD, Jones RL, Man SF (2002) Obesity is a risk factor for dyspnea but not for airflow obstruction. Arch Intern Med 162:1477–1481PubMed Sin DD, Jones RL, Man SF (2002) Obesity is a risk factor for dyspnea but not for airflow obstruction. Arch Intern Med 162:1477–1481PubMed
56.
Zurück zum Zitat Solano JP, Gomes B, Gigginson IJ (2006) A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. J Pain Symptom Manage 31(1):58–69PubMed Solano JP, Gomes B, Gigginson IJ (2006) A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. J Pain Symptom Manage 31(1):58–69PubMed
57.
Zurück zum Zitat Speich R (2012) Dyspnoe. Objektivierung des Subjektiven oder die Quadratur des Zirkels. Pneumologe 9:248–253 Speich R (2012) Dyspnoe. Objektivierung des Subjektiven oder die Quadratur des Zirkels. Pneumologe 9:248–253
58.
Zurück zum Zitat Spruit MA, Singh SJ, Garvey C et al (2013) An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 188(8):13–64 Spruit MA, Singh SJ, Garvey C et al (2013) An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med 188(8):13–64
60.
Zurück zum Zitat Tessier JF, Nejjari C, Letenneur L et al (2001) Dyspnea and 8‑year mortality among elderly men and women: the PAQUID cohort study. Eur J Epidemiol 17(3):223–229PubMed Tessier JF, Nejjari C, Letenneur L et al (2001) Dyspnea and 8‑year mortality among elderly men and women: the PAQUID cohort study. Eur J Epidemiol 17(3):223–229PubMed
61.
Zurück zum Zitat Viniol A, Beidatsch D, Frese T et al (2015) Studies of the symptom dyspnoea: a systematic review. BMC Fam Pract 16:152–162PubMedPubMedCentral Viniol A, Beidatsch D, Frese T et al (2015) Studies of the symptom dyspnoea: a systematic review. BMC Fam Pract 16:152–162PubMedPubMedCentral
62.
Zurück zum Zitat Voltz R (2008) Palliativmedizin: Eine Disziplin für den „ganzen Menschen“. Dtsch Arztebl Int 105(1–2):20–22 Voltz R (2008) Palliativmedizin: Eine Disziplin für den „ganzen Menschen“. Dtsch Arztebl Int 105(1–2):20–22
63.
Zurück zum Zitat Wahls SA (2012) Causes and evaluation of chronic dyspnea. Am Fam Physician 86(2):173–182PubMed Wahls SA (2012) Causes and evaluation of chronic dyspnea. Am Fam Physician 86(2):173–182PubMed
64.
Zurück zum Zitat Wells PS, Ginsberg JS, Anderson DR et al (1998) Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med 129(12):997–1005PubMed Wells PS, Ginsberg JS, Anderson DR et al (1998) Use of a clinical model for safe management of patients with suspected pulmonary embolism. Ann Intern Med 129(12):997–1005PubMed
65.
Zurück zum Zitat Wilkens H (2012) Pulmonale Dyspnoe. Pneumologe 9:254–261 Wilkens H (2012) Pulmonale Dyspnoe. Pneumologe 9:254–261
66.
Zurück zum Zitat von Winckelmann K, Renier W, Thompson M (2016) The frequency and outcome of acute dyspnoea in primary care: an observational study. Eur J Gen Pract 22(4):240–246 von Winckelmann K, Renier W, Thompson M (2016) The frequency and outcome of acute dyspnoea in primary care: an observational study. Eur J Gen Pract 22(4):240–246
67.
Zurück zum Zitat Worster A, Balion CM, Hill SA et al (2008) Diagnostic accuracy of BNP and NT-proBNP in patients presenting to acute care settings with dyspnea: a systematic review. Clin Biochem 41(4–5):250–259PubMed Worster A, Balion CM, Hill SA et al (2008) Diagnostic accuracy of BNP and NT-proBNP in patients presenting to acute care settings with dyspnea: a systematic review. Clin Biochem 41(4–5):250–259PubMed
68.
Zurück zum Zitat Zanobetti M, Scorpiniti M, Gigli C et al (2017) Point-of-Care ultrasonography for evaluation of acute dyspnea in the ED. Chest 151(6):1295–1301PubMed Zanobetti M, Scorpiniti M, Gigli C et al (2017) Point-of-Care ultrasonography for evaluation of acute dyspnea in the ED. Chest 151(6):1295–1301PubMed
69.
Zurück zum Zitat Zoorob RJ, Campbell JS (2003) Acute dyspnea in the office. Am Fam Physician 68:1803–1810PubMed Zoorob RJ, Campbell JS (2003) Acute dyspnea in the office. Am Fam Physician 68:1803–1810PubMed
Metadaten
Titel
Dyspnoe
Eine Herausforderung in der internistisch-hausärztlichen Praxis
verfasst von
Dr. med. Georg Fröhlich
Kai Schorn
Heike Fröhlich
Publikationsdatum
30.12.2019
Verlag
Springer Medizin
Schlagwörter
Dyspnoe
Pflege
Dyspnoe
Erschienen in
Die Innere Medizin / Ausgabe 1/2020
Print ISSN: 2731-7080
Elektronische ISSN: 2731-7099
DOI
https://doi.org/10.1007/s00108-019-00720-z

Weitere Artikel der Ausgabe 1/2020

Die Innere Medizin 1/2020 Zur Ausgabe

Schwerpunkt: Hausärztliche Medizin – Teil I

Medizin zwischen Soma und Psyche

Mitteilungen des BDI

Mitteilungen des BDI

Mitteilungen der DGIM

Mitteilungen der DGIM

Passend zum Thema

ANZEIGE

COPD und nicht-invasive Behandlungsmethoden

Content Hub

Nicht-medikamentöse Behandlungsmethoden wie die nicht-invasive Beatmung (NIV) können die Leistungsfähigkeit und Lebensqualität von COPD-Patienten erheblich verbessern und das Sterberisiko senken. Die NIV-Therapie zur Behandlung von fortgeschrittener COPD hat Eingang in die neuen S2k-Leitlinien zur COPD-Therapie gefunden.

ResMed Germany Inc.
ANZEIGE

Geringere Therapieabbruchquoten durch digitale Therapiebegleitung

Ärzte profitieren von digitaler Therapiebegleitung ihrer NIV-Patienten durch einen verlässlichen Partner, weil diese sich besser versorgt fühlen und die Therapie weniger häufig abbrechen. Das entlastet das Gesundheitssystem und schwer Erkrankte gewinnen Lebensqualität.

ANZEIGE

Auch für ältere Patienten empfiehlt sich nicht-invasive Langzeitbeatmung

Nicht-invasive Beatmung ist für Menschen mit chronisch hyperkapnisch respiratorischer Insuffizienz eine bewährte Therapie. Eine Schweizer Studie untersuchte die Auswirkungen der Beatmung auf über 75-Jährige und belegt nun deren Wirksamkeit.