Pulmonary heart disease: Difference between revisions
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{{Infobox medical condition | |||
| name = Pulmonary heart disease | |||
| image = [[File:Heart_-_cor_pulmonale-_right_ventricular_hypertrophy_(4351912426).jpg]] | |||
| caption = Heart showing right ventricular hypertrophy | |||
| field = [[Cardiology]] | |||
| synonyms = Cor pulmonale | |||
| symptoms = [[Shortness of breath]], [[fatigue]], [[chest pain]], [[syncope]] | |||
| complications = [[Heart failure]], [[arrhythmias]] | |||
| onset = Gradual | |||
| duration = Long-term | |||
| causes = [[Chronic obstructive pulmonary disease]], [[pulmonary embolism]], [[interstitial lung disease]] | |||
| risks = [[Smoking]], [[obesity]], [[sedentary lifestyle]] | |||
| diagnosis = [[Echocardiogram]], [[chest X-ray]], [[pulmonary function test]] | |||
| differential = [[Left-sided heart failure]], [[pulmonary hypertension]] | |||
| treatment = [[Oxygen therapy]], [[diuretics]], [[vasodilators]] | |||
| medication = [[Calcium channel blockers]], [[endothelin receptor antagonists]] | |||
| prognosis = Variable, depends on underlying cause | |||
| frequency = Common in people with chronic lung disease | |||
| deaths = Significant contributor to mortality in chronic lung disease | |||
}} | |||
= Pulmonary Heart Disease (Cor Pulmonale) = | = Pulmonary Heart Disease (Cor Pulmonale) = | ||
== Introduction == | == Introduction == | ||
'''Pulmonary Heart Disease''', also known as '''Cor Pulmonale''', is a medical condition characterized by the enlargement and failure of the right ventricle of the heart. This condition is a response to increased vascular resistance or high blood pressure in the lungs (pulmonary hypertension). | '''Pulmonary Heart Disease''', also known as '''Cor Pulmonale''', is a medical condition characterized by the enlargement and failure of the right ventricle of the heart. This condition is a response to increased vascular resistance or high blood pressure in the lungs (pulmonary hypertension). | ||
== Pathophysiology == | == Pathophysiology == | ||
Cor Pulmonale develops as a result of pulmonary hypertension, which puts chronic pressure on the right ventricle, leading to its enlargement and eventually failure. Common causes of pulmonary hypertension include: | Cor Pulmonale develops as a result of pulmonary hypertension, which puts chronic pressure on the right ventricle, leading to its enlargement and eventually failure. Common causes of pulmonary hypertension include: | ||
* [[Chronic obstructive pulmonary disease (COPD)|Chronic obstructive pulmonary disease (COPD)]]. | * [[Chronic obstructive pulmonary disease (COPD)|Chronic obstructive pulmonary disease (COPD)]]. | ||
* Pulmonic stenosis (narrowing of the pulmonary valve). | * Pulmonic stenosis (narrowing of the pulmonary valve). | ||
* Chronic pulmonary embolism. | * Chronic pulmonary embolism. | ||
* Interstitial lung diseases. | * Interstitial lung diseases. | ||
== Symptoms == | == Symptoms == | ||
Symptoms of Cor Pulmonale may include: | Symptoms of Cor Pulmonale may include: | ||
* Shortness of breath (dyspnea). | * Shortness of breath (dyspnea). | ||
* Fatigue. | * Fatigue. | ||
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* Chest discomfort or pain. | * Chest discomfort or pain. | ||
* Palpitations. | * Palpitations. | ||
[[File:Pulmonary infarction, right lung 1.jpg|left|thumb|Chest X-ray showing Cor Pulmonale.]] | |||
[[File:Pulmonary infarction, right lung 1.jpg|thumb|Chest X-ray showing Cor Pulmonale.]] | |||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of Cor Pulmonale involves: | Diagnosis of Cor Pulmonale involves: | ||
* Clinical examination. | * Clinical examination. | ||
* Imaging studies like chest X-ray and echocardiogram. | * Imaging studies like chest X-ray and echocardiogram. | ||
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* Blood tests to measure B-type natriuretic peptide (BNP) levels. | * Blood tests to measure B-type natriuretic peptide (BNP) levels. | ||
* Pulmonary function tests. | * Pulmonary function tests. | ||
<youtube> | <youtube> | ||
title='''{{PAGENAME}}''' | title='''{{PAGENAME}}''' | ||
movie_url=http://www.youtube.com/v/fvMEoc7Voa0 | movie_url=http://www.youtube.com/v/fvMEoc7Voa0 | ||
&rel=1 | &rel=1 | ||
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height=600 | height=600 | ||
</youtube> | </youtube> | ||
== Treatment == | == Treatment == | ||
Treatment of Cor Pulmonale focuses on managing the underlying pulmonary condition and may include: | Treatment of Cor Pulmonale focuses on managing the underlying pulmonary condition and may include: | ||
* Oxygen therapy. | * Oxygen therapy. | ||
* Diuretics to reduce fluid overload. | * Diuretics to reduce fluid overload. | ||
| Line 51: | Line 61: | ||
* Bronchodilators and corticosteroids for COPD. | * Bronchodilators and corticosteroids for COPD. | ||
* Anticoagulants in cases with pulmonary embolism. | * Anticoagulants in cases with pulmonary embolism. | ||
== Prognosis == | == Prognosis == | ||
The prognosis of Cor Pulmonale varies depending on the severity of pulmonary hypertension and the effectiveness of managing the underlying condition. | The prognosis of Cor Pulmonale varies depending on the severity of pulmonary hypertension and the effectiveness of managing the underlying condition. | ||
== Prevention and Management == | == Prevention and Management == | ||
Preventive measures include: | Preventive measures include: | ||
* Smoking cessation. | * Smoking cessation. | ||
* Regular exercise. | * Regular exercise. | ||
* Timely management of lung diseases. | * Timely management of lung diseases. | ||
* Vaccination against respiratory infections. | * Vaccination against respiratory infections. | ||
== See Also == | == See Also == | ||
* [[Cardiology]] | * [[Cardiology]] | ||
* [[Pulmonology]] | * [[Pulmonology]] | ||
* [[Heart failure]] | * [[Heart failure]] | ||
== References == | == References == | ||
<references> | <references> | ||
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* {{cite web |url=https://www.mayoclinic.org/diseases-conditions/pulmonary-hypertension/symptoms-causes/syc-20350697 |title=Pulmonary Hypertension |publisher=Mayo Clinic}} | * {{cite web |url=https://www.mayoclinic.org/diseases-conditions/pulmonary-hypertension/symptoms-causes/syc-20350697 |title=Pulmonary Hypertension |publisher=Mayo Clinic}} | ||
</references> | </references> | ||
== External Links == | == External Links == | ||
* [https://www.heart.org/en/health-topics/heart-failure/what-is-heart-failure/cor-pulmonale American Heart Association - Cor Pulmonale] | * [https://www.heart.org/en/health-topics/heart-failure/what-is-heart-failure/cor-pulmonale American Heart Association - Cor Pulmonale] | ||
* [https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd American Lung Association - COPD] | * [https://www.lung.org/lung-health-diseases/lung-disease-lookup/copd American Lung Association - COPD] | ||
[[Category:Cardiovascular diseases]] | [[Category:Cardiovascular diseases]] | ||
[[Category:Respiratory diseases]] | [[Category:Respiratory diseases]] | ||
{{stub}} | {{stub}} | ||
Latest revision as of 15:41, 8 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Pulmonary heart disease | |
|---|---|
.jpg)
| |
| Synonyms | Cor pulmonale |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Shortness of breath, fatigue, chest pain, syncope |
| Complications | Heart failure, arrhythmias |
| Onset | Gradual |
| Duration | Long-term |
| Types | N/A |
| Causes | Chronic obstructive pulmonary disease, pulmonary embolism, interstitial lung disease |
| Risks | Smoking, obesity, sedentary lifestyle |
| Diagnosis | Echocardiogram, chest X-ray, pulmonary function test |
| Differential diagnosis | Left-sided heart failure, pulmonary hypertension |
| Prevention | N/A |
| Treatment | Oxygen therapy, diuretics, vasodilators |
| Medication | Calcium channel blockers, endothelin receptor antagonists |
| Prognosis | Variable, depends on underlying cause |
| Frequency | Common in people with chronic lung disease |
| Deaths | Significant contributor to mortality in chronic lung disease |
Pulmonary Heart Disease (Cor Pulmonale)[edit]
Introduction[edit]
Pulmonary Heart Disease, also known as Cor Pulmonale, is a medical condition characterized by the enlargement and failure of the right ventricle of the heart. This condition is a response to increased vascular resistance or high blood pressure in the lungs (pulmonary hypertension).
Pathophysiology[edit]
Cor Pulmonale develops as a result of pulmonary hypertension, which puts chronic pressure on the right ventricle, leading to its enlargement and eventually failure. Common causes of pulmonary hypertension include:
- Chronic obstructive pulmonary disease (COPD).
- Pulmonic stenosis (narrowing of the pulmonary valve).
- Chronic pulmonary embolism.
- Interstitial lung diseases.
Symptoms[edit]
Symptoms of Cor Pulmonale may include:
- Shortness of breath (dyspnea).
- Fatigue.
- Swelling of the legs and ankles (peripheral edema).
- Chest discomfort or pain.
- Palpitations.
Diagnosis[edit]
Diagnosis of Cor Pulmonale involves:
- Clinical examination.
- Imaging studies like chest X-ray and echocardiogram.
- Electrocardiogram (ECG) to assess heart function.
- Blood tests to measure B-type natriuretic peptide (BNP) levels.
- Pulmonary function tests.
Treatment[edit]
Treatment of Cor Pulmonale focuses on managing the underlying pulmonary condition and may include:
- Oxygen therapy.
- Diuretics to reduce fluid overload.
- Vasodilators for pulmonary hypertension.
- Bronchodilators and corticosteroids for COPD.
- Anticoagulants in cases with pulmonary embolism.
Prognosis[edit]
The prognosis of Cor Pulmonale varies depending on the severity of pulmonary hypertension and the effectiveness of managing the underlying condition.
Prevention and Management[edit]
Preventive measures include:
- Smoking cessation.
- Regular exercise.
- Timely management of lung diseases.
- Vaccination against respiratory infections.
See Also[edit]
References[edit]
<references>
- ,
Cor Pulmonale: Pathophysiology, Diagnosis, and Treatment, Journal of Cardiac Failure, 2018,
Pulmonary Hypertension(link). {{{website}}}. Mayo Clinic.
</references>
