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Resp. Illness > Cor Pulmonale > Flashcards

Cor Pulmonale Flashcards

1
Q

What is Cor Pulmonale?

A

Chronic Pulmonary Hypertension

  • > Right Heart Hypertrophy
  • > Right Heart Failure
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2
Q

What are the causes of Cor Pulmonale?

A

Resp: COPD - Bronchiectasis - PUlmonary Fibrosis - Severe Asthma - ARDS - OSA
Vascular : PE - Pulm. Vasculitis - Primary Pulm. Hypertension
Chest Wall Deformity: Kyphosis - Scoliosis
Neuromuscular:

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3
Q

What are the symptoms of Cor Pulmonale?

A

Dyspnoea
Fatigue
Syncope
Peripheral Oedema

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4
Q

What are the signs of Cor Pulmonale?

A 
Cyanosis
Tachycardia
Raised JVP
RV Heave
Loud P2
Pansystolic Murmur (tricuspid Regurgitation)
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5
Q

What are the investigations for Cor Pulmonale?

A

FBC - Hb and raised haemotocrit (secondary polycythaemia)
ABG - Type 1 or 2 resp. failure
CXR - Right heart hypertrophy and prominent pulm. arteries
ECG - RV strain pattern

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6
Q

What is RV Strain pattern?

A

ST depression and T wave inversion in leads v1-3 and II,III, aVF

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Resp. Illness (31 decks)

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