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The authors are to be complimented on involving a patient in the creation of this article.
As a patient who underwent bypass grafting 30 years ago, by sternotomy, I draw attention to a point made, in passing, by the authors.
"Shortness of breath—Dyspnoea can indicate underlying respiratory pathology in conjunction with other signs of infection suggesting pneumonia."
While the article's focus is on pain, I raise the unwelcome complication of dyspnoea, which has troubled me progressively over the decades. The distortion of the costo-sternal and costo-vertebral joints, in the process of sternotomy and retraction, damaged those joints. In healing, they have scarred, limiting chest expansion, further impeded by the vertebral spondylosis associated with ageing.
Relief can be obtained by diaphragmatic breathing. This suggestion might help other patients troubled by dyspnoea, especially on exertion.
No competing interests
12 April 2019
Peter C Arnold
PO Box 280, Edgecliff, New South Wales 2027, Australia