Cardiovascular Medicine Book

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Cor Pulmonale

Aka: Cor Pulmonale
  1. Pathophysiology
    1. Right ventricular enlargement from primary lung disease
    2. Results in Right Ventricular Hypertrophy
    3. Eventually leads to right ventricular failure
  2. Causes
    1. See Respiratory Causes of Pulmonary Hypertension
  3. Symptoms
    1. Retrosternal Chest Pain
    2. Cough
    3. Dyspnea
    4. Fatigue
    5. Sputum production
  4. Signs
    1. Tachycardia
    2. Cyanosis
    3. Finger Clubbing
    4. Accentuated right ventricle precordial thrust
      1. Along left sternal border
    5. Accentuated and Split pulmonic heart sound (P2)
    6. Right sided S4 Heart Sound
    7. Right Sided Heart Failure signs
      1. Kussmaul's Sign
        1. Distention of jugular neck veins on inspiration
      2. Pulsus Paradoxus
        1. Exaggerated fall in Blood Pressure on inspiration
      3. Jugular Vein Distention
      4. Hepatomegaly with Ascites
      5. Pedal edema
  5. Differential Diagnosis (Non-pulmonary disease)
    1. Mitral Stenosis
    2. Left to right cardiac shunts
  6. Labs
    1. Complete Blood Count
      1. Erythrocytosis
    2. Electrocardiogram
      1. Right Ventricular Hypertrophy
    3. Pulmonary Function Tests
    4. Arterial Blood Gas
  7. Radiology
    1. Chest XRay
      1. Enlarged pulmonary artery
      2. Dilated right ventricle
      3. Primary Pulmonary Hypertension signs
        1. Tapering of pulmonary artery branches
    2. Echocardiogram
      1. Right Ventricular Hypertrophy
    3. VQ Scan (Radionuclide Lung Scan)
      1. Evaluate suspected recurrent Pulmonary Embolism
  8. Management
    1. Pulmonary therapies
      1. Bronchodilators
      2. Oxygen
      3. Antibiotics when indicated
    2. Right Ventricular Failure
      1. Low sodium diet
      2. Diuretics
      3. Digoxin (Use with caution)
      4. Chronic Anticoagulation on Coumadin
    3. Arrhythmias: Treat Supraventricular Tachyarrhythmias
      1. Digoxin
      2. Quinidine
      3. Verapamil
      4. Avoid Beta-Blockers
  9. References
    1. Palevsky (1990) JAMA 263:2347-53

Cor pulmonale (C0034072)

Definition (CSP) heart disease due to pulmonary hypertension secondary to disease of the lungs, or its blood vessels, with hypertrophy of the right ventricle.
Definition (MSH) Hypertrophy and dilation of the RIGHT VENTRICLE of the heart that is caused by PULMONARY HYPERTENSION. This condition is often associated with pulmonary parenchymal or vascular diseases, such as CHRONIC OBSTRUCTIVE PULMONARY DISEASE and PULMONARY EMBOLISM.
Concepts Disease or Syndrome (T047)
MSH D011660
ICD10 I27.9, I27.81
SnomedCT 155323004, 194879006, 286952009, 83291003, 274096000, 155329000, 266294009
English Cor Pulmonale, Disease, Pulmonary Heart, Diseases, Pulmonary Heart, Heart Disease, Pulmonary, Heart Diseases, Pulmonary, Pulmonary Heart Disease, Pulmonary Heart Diseases, COR PULMONALE, DISEASE HEART PULMONARY, HEART DISEASE PULMONARY, PULMONARY HEART DISEASE, Pulmonary heart disease, unspecified, cardiopulmonary disease, Cardiopulmonary disease or syndrome, Cardiopulmonary Diseases and Syndromes, DISEASES PULM HEART, PULM HEART DISEASES, HEART DIS PULM, HEART DISEASES PULM, PULM HEART DIS, DIS PULM HEART, Pulmonary heart disease NOS, cor pulmonale (diagnosis), cor pulmonale, Pulmonary circulation diseases (& [heart]) (disorder), Cor pulmonale NOS, Disease heart pulmonary, Heart disease pulmonary, CARDIOPULMONARY DISEASE, Pulmonary heart disease NOS (disorder), Pulmonary Heart Disease [Disease/Finding], pulmonary heart diseases, Disease;heart;pulmonary, cardiopulmonary diseases, disease heart pulmonary, heart pulmonary disease, Pulmonary heart disease, Cor pulmonale (disorder), Pulmonary heart disease (disorder), cor; pulmonale, disease (or disorder); cardiopulmonary, disease (or disorder); heart, pulmonary, disease (or disorder); pulmonary, heart disease, pulmonale; cor, Heart disease - pulmonary, Pulmonary circulation diseases (& [heart]), Cor pulmonale, pulmonary heart disease
French COEUR PULMONAIRE, Coeur pulmonaire SAI, Syndrome de coeur pulmonaire, Coeur pulmonaire chronique, Coeur pulmonaire
Portuguese COR PULMONALE, Doença cardiopulmonar, Coração pulmonar NE, Doenca pulmonar cardiaca, Coração pulmonar, Cor Pulmonale, Doença Cardiopulmonar
Spanish COR PULMONALE, Cor pulmonale NEOM, Enfermedad del corazón pulmonar, Cardiopatía pulmonar, Pulmonary circulation diseases, Pulmonary heart disease, Pulmonary heart disease NOS, Pulmonary circulation diseases (& [heart]), Heart disease - pulmonary, Enfermedad pulmonar cardiaca, cardiopatía pulmonar, cor pulmonale (trastorno), cor pulmonale, corazón pulmonar, enfermedad cardiopulmonar (trastorno), enfermedad cardiopulmonar, SAI (trastorno), enfermedad cardiopulmonar, SAI, enfermedad cardiopulmonar, Cor pulmonale, Cor Pulmonale, Enfermedad Cardiopulmonar
Dutch hart- en longziekte, cor pulmonale NAO, aandoening; cardiopulmonaal, aandoening; hart, pulmonaal, aandoening; pulmonaal, hartziekte, cor; pulmonale, pulmonale; cor, Pulmonale hartziekte, niet gespecificeerd, cor pulmonale, Cor pulmonale, Hartziekte, pulmonale, Pulmonale hartziekte
German Emphysemherz, Cor pulmonale NNB, COR PULMONALE, Cor pulmonale/Rechtsherzbelastung, Pulmonale Herzkrankheit, nicht naeher bezeichnet, Cor pulmonale, Pulmonale Herzkrankheit
Italian Cuore polmonare NAS, Cardiopatia polmonare, Cuore polmonare cronico, Cuore polmonare
Japanese 肺性心ＮＯＳ, ﾊｲｾｲｼﾝｼｯｶﾝ, ﾊｲｾｲｼﾝNOS, ﾊｲｾｲｼﾝ, 肺心症, 肺性心, 肺性心疾患
Swedish Lung-hjärtsjukdom, COR PULMONALE/HOGERKAMMARSVIKT
Czech cor pulmonale, srdce plicní, Cor pulmonale, Cor pulmonale NOS
Finnish Keuhkosydänsairaus, KEUHKOPERAINEN SYDANTAUTI
Russian KARDIO-PUL'MONAL'NYI SINDROM, LEGOCHNOE SERDTSE, КАРДИО-ПУЛЬМОНАЛЬНЫЙ СИНДРОМ, ЛЕГОЧНОЕ СЕРДЦЕ
Norwegian PULMONAL HJERTESYKDOM
Danish Pulmonal hjertesygdom
Hungarian cor pulmonale, Pulmonalis szívbetegség, Cor pulmonale k.m.n., Cardiopulmonalis betegség, Cor pulmonale
Korean 상세불명의 폐성 심장병
Croatian PLUĆNA BOLEST SRCA
Basque BIHOTZ BIRIKAZKO KRONIKOA
Hebrew maxalat lev reatit
Polish Zespół płucno-sercowy, Serce płucne
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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