Dyspnea: neurobiological and clinical aspects
https://doi.org/10.18093/0869-0189-2021-31-6-695-700
Abstract
The aim. The presented material reflects the results of studies by Russian specialists conducted under the auspices of the Russian Respiratory Society over the past 15 years. The article also includes the main provisions set out in the III Guidelines for dyspnea. A significant part of the manual is devoted to the recent achievements in studying neurophysiological processes in the brain structures during the development of dyspnea. These achievements were driven by image-diagnosis methods. An important aspect of this series of works for the clinical practice was identifying dyspnea domains and developing the instruments to assess severity.
Results. Analysis of the data on dyspnea from the clinical practice showed a highly heterogenic clinical picture, which must be taken into account in the management of individual patients. A diagnostic algorithm for long-term follow-up of patients with dyspnea syndrome is also discussed. The attention of doctors is drawn to the features of dyspnea during COVID-19; the disproportion between the sensory perception of respiratory discomfort and the degree of oxygen desaturation is emphasized.
Conclusion. It was concluded that in the Russian-speaking environment of patients, doctors should actively use a verbal characteristic of dyspnea - the “language of dyspnea”.
About the Author
Alexander G. Chuchalin
Pirogov Russian National Research Medical University (Pirogov Medical University), Healthcare Ministry of Russia
Russian Federation
Competing Interests:
Russian Federation
Doctor of Medicine, Professor, Academician of Russian Academy of Sciences, Head of Department of Hospital Internal Medicine, Pediatric Faculty, Pirogov Medical University; Chairman of the Executive Board of Russian Respiratory Society
Ul. Ostrovityanova 1, Moscow, 117997; tel.: (499) 780-08-50
Competing Interests:
no
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Review
For citations:
Chuchalin A.G. Dyspnea: neurobiological and clinical aspects. PULMONOLOGIYA. 2021;31(6):695-700. (In Russ.) https://doi.org/10.18093/0869-0189-2021-31-6-695-700
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