Platypnoea–orthodeoxia syndrome as an uncommon cause of dyspnoea: a literature review

Platypnoea–orthodeoxia syndrome (POS) is an uncommon but challenging clinical condition characterised by positional dyspnoea (platypnoea) and arterial desaturation (orthodeoxia) in the upright position that improve in the supine position. Since its first description, many cases have been reported and many conditions have been associated with this syndrome. Herein, we review the clinical presentation, pathophysiology, diagnostic work‐up and management of patients with POS, aiming to increase the awareness of this often misdiagnosed condition.

[1]  E. Gutierrez,et al.  Multiple Vertebral Fractures , 2022 .

[2]  R. de Caterina,et al.  Antithrombotic Therapy in Patients Undergoing Transcatheter Interventions for Structural Heart Disease , 2021, Circulation.

[3]  J. Carroll,et al.  European position paper on the management of patients with patent foramen ovale. Part II - Decompression sickness, migraine, arterial deoxygenation syndromes and select high-risk clinical conditions. , 2021, European heart journal.

[4]  T. Churchill,et al.  Agitated Saline Contrast Echocardiography in the Identification of Intra- and Extracardiac Shunts: Connecting the Dots. , 2020, Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography.

[5]  Jonathan Roberts,et al.  Platypnea-Orthodeoxia Syndrome: Rare or under-diagnosed syndrome? 3 case reports and a literature review. , 2020, Cardiovascular revascularization medicine : including molecular interventions.

[6]  D. Izumi,et al.  Pulmonary Perfusion Scintigraphy - Non-Invasive Method to Confirm Platypnea-Orthodeoxia Syndrome Treatment Effectiveness. , 2019, Circulation journal : official journal of the Japanese Circulation Society.

[7]  R. Bauer,et al.  EANM guideline for ventilation/perfusion single-photon emission computed tomography (SPECT) for diagnosis of pulmonary embolism and beyond , 2019, European Journal of Nuclear Medicine and Molecular Imaging.

[8]  J. Rodés‐Cabau,et al.  Long-Term Follow-Up After Closure of Patent Foramen Ovale in Patients With Cryptogenic Embolism. , 2019, Journal of the American College of Cardiology.

[9]  B. Meier,et al.  European position paper on the management of patients with patent foramen ovale. General approach and left circulation thromboembolism. , 2019, EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology.

[10]  H. Yasunaga,et al.  Surgery versus percutaneous transcatheter embolization for pulmonary arteriovenous malformation: Analysis of a national inpatient database in Japan , 2017, The Journal of thoracic and cardiovascular surgery.

[11]  R. De Vecchis,et al.  Platypnea–orthodeoxia syndrome , 2017, Herz.

[12]  Matt Morgan,et al.  Patent foramen ovale , 2014, Radiopaedia.org.

[13]  L. Sperling,et al.  Cardiac Platypnea‐Orthodeoxia Syndrome: An Often Unrecognized Malady , 2014, Clinical cardiology.

[14]  V. Haase Regulation of erythropoiesis by hypoxia-inducible factors. , 2013, Blood reviews.

[15]  Shih-Tsung Cheng,et al.  Shortness of breath while sitting up: hepatopulmonary syndrome , 2011, Canadian Medical Association Journal.

[16]  P. Leeson,et al.  Late emergence of platypnea orthodeoxia: Chiari network and atrial septal hypertrophy demonstrated with transoesophageal echocardiography. , 2008, European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology.

[17]  P. Psaltis,et al.  Cardiac magnetic resonance and "augmented" right-to-left intracardiac shunting through a patent foramen ovale. , 2008, The Journal of invasive cardiology.

[18]  S. Ho,et al.  A mystery featuring right-to-left shunting despite normal intracardiac pressure. , 2005, Chest.

[19]  E. Donal,et al.  Hypoxaemia associated with an enlarged aortic root: a new syndrome? , 2005, Heart.

[20]  A. Rossignol,et al.  Transcatheter Closure of Patent Foramen Ovale in Patients with Platypnea-Orthodeoxia: Results of a Multicentric French Registry , 2005, CardioVascular and Interventional Radiology.

[21]  Wen-Chung Yu,et al.  Platypnea-orthodeoxia syndrome occurring after a blunt chest trauma with acute tricuspid regurgitation. , 2004, The American journal of medicine.

[22]  M. Cherian,et al.  Pulmonary arteriovenous malformations. , 2001, Clinical radiology.

[23]  L. Garbe,et al.  Pulmonary arteriovenous malformations: lung transplantation as a therapeutic option. , 1999, The European respiratory journal.

[24]  T. Cheng,et al.  Platypnea‐orthodeoxia syndrome: Etiology, differential diagnosis, and management , 1999, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions.

[25]  J. Bittl Patent foramen ovale and platypnea-orthodeoxia syndrome. , 1996, Circulation.

[26]  S. Mitchell,et al.  Pulmonary arteriovenous malformations: techniques and long-term outcome of embolotherapy. , 1988, Radiology.