Cor Pulmonale Flashcards

1
Q

Cor Pulmonale: Define

A

Cor Pulmonale is RHF caused by chronic pulmonary aterial hypertension

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2
Q

Cor Pulmonale: Aetiology:

A

Chronic lund disease: COPD, Bronchiectasis

Pulmonary Vascular Disorders

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3
Q

Cor Pulmonale: Prognosis

A

50% die within 5 years

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4
Q

Cor Pulmonale: Symptoms

A

Breathlessness
Syncope
Fatigue

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5
Q

Cor Pulmonale: Signs

A
Raised JVP 
RV Heave
Hepatomegaly 
Oedema 
Loud P2 - Pansystolic Murmur
Cyanosis
Tachycardia
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6
Q

Cor Pulmonale: Investigations

A

Bloods: FBC, Hb, Haemocrit, ABGs
CXR: Enlarged RA & RV, prominent pulmonary arteries
ECG: P pulmonale, Right axis deviation, RV hypertrophy

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7
Q

Cor Pulmonale: Treatment

A

Treat underlying cause - COPD
Treat respiratory failure
Treat cardiac failure
Consider Venesection (if haematocric > 55%)
Consider Heart-Lung transplant in young patients.

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