R. DREW MILLER, M.D.; DONALD W. MULDER, M.D.; WARD S. FOWLER, M.D.; ARTHUR M. OLSEN, M.D., F.A.C.P.
Dyspnea is a symptom usually referable to disorders of the heart or lungs. Despite this frequent association, it is generally known that abnormalities of other systems may lead to respiratory disability. The muscles of the thoracic wall and diaphragm, by their bellows action, form the respiratory pump. Proper function of this pump is a prerequisite of normal pulmonary ventilation. Disturbance of the muscles of respiration is frequently seen in patients with poliomyelitis.1, 2 The dramatic onset and clinical features of most cases of poliomyelitis usually allow for a prompt and correct diagnosis. In contrast, the more chronic neuromuscular disorders involving
MILLER RD, MULDER DW, FOWLER WS, OLSEN AM. EXERTIONAL DYSPNEA: A PRIMARY COMPLAINT IN UNUSUAL CASES OF PROGRESSIVE MUSCULAR ATROPHY AND AMYOTROPHIC LATERAL SCLEROSIS1. Ann Intern Med. ;46:119–125. doi: 10.7326/0003-4819-46-1-119
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Published: Ann Intern Med. 1957;46(1):119-125.
Neurology, Pulmonary/Critical Care.
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