Cor Pulmonale Flashcards

1
Q

Define pulmonary hypertension and cor pulmonale

A

Pulmonary HTN = increase pulmonary arterial pressure (either primary or secondary)
-Secondary causes usually lung disease

Cor pulmonale = right ventricular enlargement secondary to pulmonary HTN

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2
Q

What are the symptoms of cor pulmonale?

A
  • SOB
  • Fatigue
  • Weakness
  • Angina
  • Syncope
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3
Q

What are the signs of cor pulmonale?

A
  • Increased JVP
  • Peripheral oedema
  • Loud P2
  • Right sided 4th heart sound
  • RV heave
  • Tricuspid regurgitation
  • Pulsatile hepatomegaly
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4
Q

What are the investigations to diagnose secondary causes of PHTN?

A
CXR
Ventilation-perfusion scan
HRCT
Pulmonary function tests
Lung biopsy
FBC - polycythemia
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5
Q

What are the investigations confirming PHTN?

A

Imaging

  • ECG: right axis deviation /RV hypertrophy
  • Echocardiogram: RV and RA enlargement
  • Cardiac catheterisation
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6
Q

What is the management for cor pulmonale?

A

TREAT UNDERLYING CAUSE

-Right heart failure treatment = oxygen/diuretics

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