Cor pulmonale

Question 1

What are the causes? (x5)

Answer 1

1. Lung disease: severe/chronic asthma, COPD, bronchiectasis, pulmonary fibrosis, lung resection;
2. Pulmonary vascular disease: pulmonary emboli, pulmonary vasculitis, primary pulmonary hypertension, acute respiratory distress syndrome, sickle-cell disease, parasite infestation
3. Thoracic cage abnormality: kyphosis, scoliosis, thoracoplasty
4. Neuromuscular disease: myasthenia gravis, poliomyelitis, motor neurone disease
5. Hypoventilation: sleep apnoea, enlarged adenoids in children and cerebrovascular disease.