Acute-on-chronic breathlessness: recognition and response

Lovell et al are to be commended for their description of the widespread effects of breathlessness within the construct 'total breathlessness'.(1) Despite the large body of evidence on the experience of people living with chronic breathlessness, clinicians still struggle with its recognition and assessment. Even when recognised, the symptom is undertreated (2) and is experienced by people over many years (3-5) and is associated with repeated unplanned presentations to health services.(6)

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