Tuesday, February 16, 2010

What is Trepopnea? Why do CCF pt prefer Rt lateral decubitus?

  • Trepopnea is dyspnoea in lateral decubitus/position
  • CCF pts prefer Rt Lateral decubitus -
  1. To avoid unfavourable autonomic modulation during sleep. In Rt lat decubitus, sympathetic nervous modulation is attenuated and parasympathetic is accentuated which helps to improve cardiac output.
  2. Rt sided pleural effusion more common in CCF pts 
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