Cor Pulmonale Flashcards

1
Q

What is cor pulmonale?

A

Right sided heart failure secondary to chronic pulmonary arterial hypertension

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2
Q

Signs and symptoms of cor pulmonale

A

SOB, fatigue, Syncope

Cyanosis, Raised JVP, hepatomegaly, peripheral oedema, chest veins.

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3
Q

Investigations of cor pulmonale?

A

FBC: may show 2* polycythaemia.

ABG: hypoxia +/- hypercapnia

CXR: dilated right atrium / ventricles.

ECG: right axis deviation, right ventricular hypertrophy

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4
Q

Management of cor pulmonale?

A

Treat underlying cause.
Treat resp failure: Long term oxygen therapy
Treat cardiac failure: diuretics

Venesection if haematologist > 55%

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