17. Cor Pulmonale Flashcards

1
Q

What is cor pulmonale?

A

Right heart failure caused by chronic pulmonary arterial hypertension.

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2
Q

What causes cor pulmonale?

A

Chronic lung disease
Pulmonary vascular disorders
Neuromuscular
Skeletal disorders

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3
Q

What are the symptoms of cor pulmonale

A

dyspnoea, fatigue, syncope

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4
Q

What are the sings of cor pulmonale

A
Cyanosis
Tachycardia
Raised JVP
RV heave
Pancystolic murmur
hepatomegaly
oedema
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5
Q

What tests should be done on someone who has cor pulmonale?

A

Hb and heamatocrit (FBC- polcytheamia)
ABG
CXR
ECG

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6
Q

What is the management of cor pulmonale?

A
Treat the underlying cause
treat respiratory failure- 24% oxygen in acute situations
LTOT for COPD
Give furosemide for cardiac failure
Venesection if heamatocrit >55%
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7
Q

What diseases cause heart failure?

A

Lung diseases- COPD,bronchecstasis, severe chronic asthma

Pulmonary vascular disease- pulmonary emboli, vasculitis, ARDS

Neuromuscular disease- MND, myasthenia gravis

Skeletal abnormalites

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