A Hole with a Heart Around- Platypnea-Orthodeoxia Syndrome
Martinelli E
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Martinelli E: Geriatrician - Complex Geriatric Unit Maria Vittoria Hospital Turin, Italy
Biomedical Journal of Scientific & Technical Research, 2023, vol. 53, issue 3, 44805-44809
Abstract:
Platypnea-Orthodeoxia Syndrome [POS] is dyspnea and hypoxemia in the upright position that improves in the supine position. Cardiac POS is predominantly caused by congenital interatrial communications [CIC] paired with changes in the thoracic anatomy, allowing orthostatic right to left cardiac shunting. High suspicion, especially with hypoxemia without significant pulmonary disease, that does not easily correct with supplemental oxygen, should lead the clinician to obtain echocardiographic imaging, documenting right to left shunting, typically through a patent foramen ovale [PFO]. Transcatheter closure of the CIC is highly successful in relieving symptoms of dyspnea and resolving hypoxemia in the majority of patients.
Keywords: Journals on Medical Drug and Therapeutics; Journals on Emergency Medicine; Physical Medicine and Rehabilitation; Journals on Infectious Diseases Addiction Science and Clinical Pathology; Open Access Clinical and Medical Journal; Journals on Biomedical Science; List of Open Access Medical Journal; Journals on Biomedical Engineering; Open Access Medical Journal; Biomedical Science Articles; Journal of Scientific and Technical Research (search for similar items in EconPapers)
Date: 2023
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Persistent link: https://EconPapers.repec.org/RePEc:abf:journl:v:53:y:2023:i:3:p:44805-44809
DOI: 10.26717/BJSTR.2023.53.008412
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