Shortness of breath or dyspnea is a very common symptom observed in the general population. About 25% of patients seen by a care team in the ambulatory setting present with a complaint of shortness of breath. There certainly are a number of different causes of shortness of breath but the initial workup generally begins in the primary care setting. Once acute issues such as reactive airway disease (asthma), pneumonia, and bronchitis have been effectively ruled out, the prim