Question 25 · LEK · Heart failure
Orthopnoea in a patient with left ventricular insufficiency typically starts:
- A. late after lying down, it awakes the patient, and subsides after ≥ 30 minutes of verticalization.
- B. late after lying down, but it does not awake the patient, and subsides after ≥ 30 minutes of verticalization.
- C. right after lying down and it subsides promptly after standing up or sitting.
- D. 1-2 minutes after lying down and it subsides a few minutes after standing up or sitting.
- E. 15 minutes after lying down and subsides after ≥ 30 minutes of sitting.
Hint
Distinguish orthopnoea from paroxysmal nocturnal dyspnoea by how soon breathlessness starts after lying down and how quickly it settles on sitting up.
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