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Age Ageing. 2019 Jan 1;48(1):157-159. doi: 10.1093/ageing/afy150.

Patent foramen ovale causing breathlessness and platypnoea-orthodeoxia syndrome in an older patient.

Author information

1
The Shrewsbury and Telford NHS Trust, Princess Royal Hospital, Apley Castle, Telford, UK.

Abstract

An 82-year-old male presented with a week's history of shortness of breath on exertion, particularly when bending to tie his shoe laces. The breathlessness worsened on standing and was relieved by lying. His oxygen saturations were noted to fluctuate based on position dropping to 82% on standing. This was suggestive of platypnoea-orthodeoxia syndrome (POS), an uncommon but potentially reversible diagnosis. As the population ages we may be more likely to see patients with persisting patent foramen ovale decompensate and develop POS.

PMID:
30295693
DOI:
10.1093/ageing/afy150

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