Bendopnea

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In medicine, bendopnea (from English bend , bend, stoop, and pnea , breathing) is an uncomfortably difficult breathing activity (so-called shortness of breath) that occurs when the upper body is bent forward - for example to lace up one's shoes. It can be a symptom of heart failure , among other things . In patients with pre-existing cardiac insufficiency, bendopnea can be a sign that the cardiac insufficiency has worsened and that the patient's previous medication should be adjusted accordingly.

The symptom was newly introduced in 2014 by US researchers who measured the pressure in the heart and the ejection volumes in a patient with systolic heart failure in different positions. In patients with bendopnea, a significantly higher pressure in the right atrium (so-called right atrial pressure) and in the pulmonary vessels (so-called pulmonary capillary closure pressure) was recorded.

In contrast to shortness of breath during exertion ( dyspnea ) and shortness of breath when lying down ( orthopnea ) - two long-known (albeit not particularly specific) signs of heart failure - bendopnea seems to indicate greater stress on the heart.

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