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- W2464753605 abstract "We present the case of a 85-year-old patient admitted with palpitations and dyspnea. When assuming a recumbent position, we noticed a significant improvement in dyspnea, as well as a rise in arterial oxygen saturation. This is a typical presentation of platypnea-orthodeoxia syndrome (POS). The diagnosis was confirmed by serial analyses of the arterial oxygen saturation in different positions. In our patient, POS was caused by a cardiac right–left shunt through a patent foramen ovale, facilitated by an atrial septal aneurysm, a dilated aortic root and a large Eustachian valve. A low-volume state, caused by diarrhea and worsened by administration of diuretics in the emergency room, triggered the POS to become clinically apparent. We also noticed a rise in arterial oxygen saturation when the patient was in a hypertensive state. This has never been described before and underlines the influence of hemodynamic changes on the right–left shunt that underlies POS." @default.
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- W2464753605 date "2016-06-27" @default.
- W2464753605 modified "2023-09-27" @default.
- W2464753605 title "Cardiac platypnea–orthodeoxia syndrome induced by a low-volume state" @default.
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- W2464753605 doi "https://doi.org/10.1080/17843286.2016.1196863" @default.
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