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Is It the Heart or the Lungs?

Karlman Wasserman, MD, PhD

JAMA. 1982;248(16):2039-2043.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

DYSPNEA is a sensation, a symptom, a complaint on the part of the patient of not being able to breathe enough or having to breathe too much, or, simply, an abnormal, uncomfortable feeling during breathing. Exertional dyspnea is the most common symptom of patients with pulmonary and cardiovascular diseases and the diseases of the pulmonary circulation. Since dyspnea during exercise precedes dyspnea at rest, exercise testing can expose cardiovascular and lung disease at an earlier stage if the patient is examined during exercise.

Our understanding of the factors that cause dyspnea with exercise has greatly improved since measurement of gas exchange and ventilation during exercise has been made reliable and easy by the development of new transducers and minicomputers. Not only has insight been gained into the mechanisms of dyspnea, but we have learned how to use exercise tests to distinguish between its various clinical causes. This review describes the . . . [Full Text PDF of this Article]

Author Affiliations
From the Division of Respiratory Physiology and Medicine, Department of Medicine, Harbor-UCLA Medical Center, Torrance.

Footnotes
This article is one of a series sponsored by the American Heart Association.

Reprint requests to the Division of Respiratory Physiology and Medicine, Department of Medicine, Harbor-UCLA Medical Center, 1000 W Carson St, Torrance, CA 90509 (Dr Wasserman).

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