Shortness of Breath & VP Cheney (cont.)

Muscle & Nerve Diseases

Numerous diseases of muscles and the nervous system can lead to shortness of breath by weakening the body's capacity for opening the lungs up for respiration. Examples of muscle diseases include muscular dystrophy, polymyositis, and dermatomyositis. Examples of nervous system diseases that can cause shortness of breath include Lou Gehrig's disease (ALS) and multiple sclerosis.

Heart Disease

Many conditions that affect the heart and its capacity to move blood through the lungs can lead to shortness of breath. These conditions include a heart attack (that Mr. Cheney feared), congestive heart failure, and heart valve disease.

Lung Vessel Disease

The blood vessels that transport blood to and from the lungs and permit the vital exchange of carbon dioxide for oxygen can be compromised by disease and lead to shortness of breath. Examples of conditions that affect these blood vessels include pulmonary embolism (a clot in the lungs), pulmonary hypertension (high blood pressure in the pulmonary artery), and pulmonary vasculitis (inflammation of pulmonary vessels).

Lung Disease

Lung diseases that can cause shortness of breath include infections such as pneumonia and bronchitis, lung cancer and cancer that has spread to the lung, chemical and radiation toxicity to the lung (including radiation therapy), occupational toxicities (such as from silicon in mines), sarcoidosis, hemosiderosis, tuberculosis, fungus infections such histoplasmosis and coccidiomycosis (valley fever), allergic reactions (hypersensitivity pneumonitis) drug toxicity, and connective tissue diseases such as rheumatoid arthritis and lupus.

Obstruction To Airflow

Obstruction to airflow can occur in the nose or mouth, the trachea (windpipe in our throats), bronchial tubes, or the tiny airways in the lungs. The obstruction to airflow can be acute (sudden), intermittent, or chronic.

Sudden blockage of airways is a medical emergency and can be caused by inhaling objects, food particles or fluids. It can also be caused by swelling of the glottis (breathing flap) in the back of the throat from an allergic reaction.

Intermittent obstruction of the airflow can come from conditions that irritate or swell the bronchial airways, such as asthma, chronic bronchitis, or bronchiectasis.

Chronic shortness of breath is characteristic of emphysema and COPD (chronic obstructive pulmonary disease). The shortness of breath may be even at rest and be progressive.

Other Causes

Acidosis such as from aspirin poisoning, diabetes that is out of control, and kidney failure are among the many other causes of shortness of breath. So, of course is low oxygen as at high altitudes or running out of air while diving.

Mr. Cheney

"The vice president likely has a viral upper-respiratory infection," said his cardiologist. A URI like a bad cold can also do the trick. It can make for trouble breathing, especially at night, as we all know.

Related MedicineNet Links

  • Heart of Dick Cheney - Another Angioplasty (Doctor's View)
  • Mr. Cheney's Chest Pain - And Heart Attack (Doctor's View)

Last Editorial Review: 11/15/2004

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