Cor Pulmonale Flashcards
1
Q
Cor Pulmonale
A
Right sided heart failure/disease caused by chronic pulmonary arterial hypertension (lung disease)
2
Q
Why is fluid retained in Cor Pulmonale
A
Due to hypoxia
3
Q
What causes the right sided heart failure?
A
Right ventricular hypertrophy & dilatation.
4
Q
Symptoms
A
Dyspnoea, fatigue, syncope.
5
Q
Signs
A
Central cyanosis, tachycardia, dependent oedema, raised JVP with V waves, RV heave at left parasternal edge, Load P2, enlarged liver, pan-systolic murmur.
6
Q
Investigations
A
ABG, CXR, ECG
7
Q
ABG
A
Hypoxia without hypercapnia
8
Q
CXR
A
Enlarged RA and RV & prominent pulmonary arteries.
9
Q
ECG
A
RV deviation & RV hypertrophy
10
Q
Treatment
A
Treat underlying cause:
Heart failure => diuretics.
Pulmonary failure => 24% oxygen.
