• Mr B. (61yrs, 68kg, 1,74m) is a patient with moderate COPD. He reports dyspnoea during activities of daily living. The 5 most disturbing activities causing dyspnoea are hoovering, taking a shower, walking on an incline, playing with his grand children and walking up a stair.
  • In this scenario, dyspnoea is not a sign of a 'medical emergency', rather a treatable symptom
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What else would you like to know?

How would you treat this patient?

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• The patient improved symptoms and exercise tolerance. He continues training in a fitness center.
• Mr B contacts you 2 years later. Despite the fact that he continues his exercise training, he reports increasing dyspnoea. Cardiovascular assessment did not reveal abnormalities.
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Respiratory muscle force