Skip to main content
. 2019 Oct;11(Suppl 17):S2117–S2128. doi: 10.21037/jtd.2019.10.53

Table 1. The differential diagnosis of chronic dyspnoea.

System Diagnoses
Cardiac Congestive cardiac failure (HFrEF, HFpEF)
Ischaemic heart disease
Arrhythmia
Valvular and structural heart disease
Pericardial effusion/constrictive pericarditis
Respiratory Chronic obstructive pulmonary disease
Asthma
Interstitial lung disease
Bronchiectasis
Pleural effusion
Pulmonary malignancy
Pulmonary hypertension
Haematological Anaemia
Neuromuscular Myopathies
Motor neurone disease
Myasthenia gravis
Diaphragm paresis/paralysis
Chest wall deformity
Gastrointestinal Gastro-oesophageal reflux disease
Hiatus hernia
Chronic aspiration
Metabolic Metabolic acidosis
Renal failure
Thyroid disease
Liver cirrhosis
Psychological Anxiety disorders
Somatoform disorders
Other Physical deconditioning
Obesity
Pregnancy
Upper airway obstruction (compressive tumour, vocal cord dysfunction or paralysis)

HFrEF, heart failure with reduced ejection fraction; HFpEF, heart failure with preserved ejection fraction. Sources: (1,2,8).