COR PULMONALE

Question 1

What is Cor pulmonale

Answer 1

Changes in Right Ventricular structure or function due to pulmonary Arterial hypertension

Question 2

Types of Cor pulmonale

Answer 2

ACUTE
CHRONIC

Question 3

Causes

Answer 3

COPD
Pulmonary embolism
Interstitial lung disease
Cystic fibrosis
Primary pulmonary hypertension

Question 4

Complications

Answer 4

Pulmonaryencephalopathy
Acid-base imbalance
Electrolyte imbalance
Arrhythmia: atrial fibrillation
Shock
Digestive tract hemorrhage
Disseminated intravascular coagulation (DIC)

Question 5

Differential diagnosis

Answer 5

1) Coronary Heart disease
2) Rheumatic Vulvar Heart Disease
3) Primary Cardiomyopathies

Question 6

Signs & Symptoms

Answer 6

Tachypnea
Dyspnea
Orthopnea
Paroxysmal Nocturnal Dyspnea
Elevated jugular venous pressures
Pulmonary hypertension
Right ventricular hypertrophy
Sometimes right ventricular failure
Hepatomegaly
lower-extremity edema
Cyanosis is a late finding
Abdominal pain & Ascites
Effort related syncope

Question 7

Treatment

Answer 7

1) Antimicrobials
2) Oxygen Therapy
Nasal
Mask
Noninvasive mechanical Ventilation
Mechanical Ventilation
3) Heart Failure Treatment
Diuretics
Inotropic agents (cardiac glycosides & Digitalis)
Vasodilators (Ca2+ blockers)
Anticoagulation (warfarin)
4) Complications Treatment