Cor Pulmonale

Question 1

what is it

Answer 1

right heart failure due to chronic pulmonary hypertension

Question 2

causes

Answer 2

chronic lung disease, pulmonary vascular disorders, neuromuscular and skeletal disorders

Question 3

symptoms

Answer 3

dyspnoea, fatigue, syncope

Question 4

signs

Answer 4

hepatomegaly, cyanosis, pansystolic murmur, loud P2, RV heave, oedema, early diastole, incr JVP, tachycardia

Question 5

investigations

Answer 5

FBC- secondary polycythaemia, hypoxia, CXR, ECG

Question 6

what does the CXR show

Answer 6

enlarged right atrium and ventricles, prominent pulmonary arteries

Question 7

what does the ECG show

Answer 7

p pulmonale, RAD, RVD

Question 8

management

Answer 8

treat cause, treat resp failure- 24% at first if O2 55, heart lung transplant

Question 9

prognosis

Answer 9

50% die within 5y

Question 10

lung causes

Answer 10

COPD, bronchiectasis, lung resection, severe chronic asthma, pulmonary fibrosis

Question 11

pulmonary vascular disease causes

Answer 11

PE, pulm vasculitis, ARDS, sickle cell, parasite

Question 12

thoracic cage abnormalities causes

Answer 12

kyphosis, scoliosis, thoracoplasty

Question 13

NMD causes

Answer 13

MG, MND, poliomyelitis

Question 14

hypoventilation causes

Answer 14

enlarged adenoids in children, sleep apnoea