The Curious Clinicians

[Archive] - Bendopnea

May 18, 2023
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ANECDOTE

Discovery of Bendopnea

  • Hannah Abrams heard a patient describe shortness of breath only when tying shoes.
  • This prompted her to recall the term "bendopnea."
INSIGHT

Bendopnea Definition and Physiology

  • Bendopnea is formally defined as shortness of breath within 30 seconds of bending forward.
  • Initial studies suggest a link between bendopnea and increased pulmonary capillary wedge pressure (PCWP).
INSIGHT

Patient Characteristics

  • Bendopnea is most common in heart failure patients with a "cold and wet" profile (low cardiac index, high PCWP).
  • While bending increases pressure for everyone, those with pre-existing high PCWP experience bendopnea.
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