Rias Ali, MD, FACC — Patient Education

Heart Failure

Nighttime Breathlessness (Orthopnea and PND)

Nighttime breathlessness has three common patterns. Orthopnea comes when you lie flat; PND wakes you gasping; look-alikes like sleep apnea have their own clues. The pattern points us to the cause.

This is a free, plain-language patient education guide written by Rias Ali, MD, FACC, a board-certified interventional cardiologist. Every guide is grounded in current peer-reviewed evidence and major society guidelines, organized in a way patients can actually use during a visit.

Download the Nighttime Breathlessness (Orthopnea and PND) guide

PDF · 240 KB · Updated August 2026

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Share or scan: go.riasalimd.com/orthopnea-guide

What's inside this guide

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