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Postural nausea due to platypnea orthodeoxia
  1. Victoria Bradley1,
  2. Nikant Sabharwal2,
  3. Elizabeth MacGregor3 and
  4. Charles Bond3
  1. 1 Sobell House, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  2. 2 Cardiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  3. 3 Katharine House Hospice, Adderbury, UK
  1. Correspondence to Dr Victoria Bradley, Sobell House, Oxford University Hospitals NHS Foundation Trust, Oxford OX3 9DU, UK; victoria.bradley{at}


Platypnea orthodeoxia is an uncommon condition but given its associations with severe lung disease and advancing age, it might be seen in the palliative care population. Presentation is classical in the association of symptoms with postural change. It should be considered when patients present with breathlessness or desaturation given the minimally invasive tests of echocardiography, and the potential for procedural resolution of the defect and thus symptoms. Further, there has not previously been reported a case presenting with nausea (rather than dyspnoea) secondary to platypnea orthodeoxia syndrome. This unusual presentation is a reminder that there is a broad range of potential subjective experiences of the same physiological events. Careful history and examination are vital in elucidating the underlying cause.

  • Fibrotic Lung Disease
  • Nausea
  • Palliative Care
  • Platypnea Orthodeoxia

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  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Provenance and peer review Not commissioned; internally peer reviewed.