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68 Possible Causes for Cor Pulmonale, Dyspnea at Rest, Somnolence

  • Morbid Obesity

    This can be spectacularly effective in relieving right heart failure, day-time somnolence, and pulmonary hypertension.[academic.oup.com] Arterial oxygen tension is lower and chronic hypoxemia may lead to pulmonary hypertension and cor pulmonale.[openanesthesia.org] An apnoeic episode is defined as 10 s or more of total cessation of airflow, despite continuous respiratory effort against a closed airway; snoring; day-time somnolence, associated[academic.oup.com]

  • Ayerza Syndrome

    […] also Disorder, psychosomatic) 306.9 disorder 300.81 Somatoform disorder 300.82 atypical 300.82 severe 300.81 undifferentiated 300.82 Somnambulism 307.46 hysterical 300.13 Somnolence[theodora.com] Ayerza syndrome - sclerosis of the pulmonary arteries in chronic cor pulmonale.[medical-dictionary.thefreedictionary.com] Pulmonale: Introduction to Cor Pulmonale, Etiology … Mar 03, 2016 · Cor pulmonale is estimated to account for 6-7% of all types of adult heart disease in the United States[couponknow.com]

  • Sleep Apnea

    In epilepsy patients with risk factors (eg, obesity) or markers (eg, habitual snoring, daytime somnolence) for sleep apnea, a careful sleep history should be elicited and[ncbi.nlm.nih.gov] After treatment, neck circumference, level of daytime sleepiness, resting and post-exercise heart rate and blood pressure response, dyspnea and leg fatigue decreased; and[esciencecentral.org] Vol 8, No 3 (Autumn 2009) Introduction Cor pulmonale has a well-described association with chronic respiratory diseases such as chronic obstructive pulmonary disease (COPD[phaonlineuniv.org]

  • Hypercapnia

    A 38-year-old patient with effort dyspnea, somnolence, cianosis and cor pulmonale is presented.[ncbi.nlm.nih.gov] These include Altered mental status (agitation, somnolence) Peripheral or central cyanosis or decreased oxygen saturation on pulse oximetry Manifestations of a "stress response[mcgill.ca] pulmonale was shorter compared to that of patients with normocapnia with Cor pulmonale (4.8 vs 6.0 years).[bmjopen.bmj.com]

  • Asbestosis

    As the disease progresses, dyspnea occurs at rest and there may be clubbing, cyanosis, and signs of right-sided heart failure.[bcmj.org] The patient is suffering from dyspnea, severe hypoxemia and cor pulmonale. The patient is put on waiting lists for heart lung transplantation.[ncbi.nlm.nih.gov] Determine degree of dyspnea - whether it is at rest, exercise or during sleep Any prior treatment for heart failure as some patients may have developed right heart failure[symptoma.com]

  • Chronic Obstructive Pulmonary Disease

    Patients with exacerbations accompanied by retention of carbon dioxide may be lethargic or somnolent, a very different appearance.[merckmanuals.com] The diagnosis of chronic obstructive pulmonary disease (COPD) should be suspected in patients with risk factors (primarily a history of smoking) who report dyspnea at rest[ncbi.nlm.nih.gov] Edema in cor pulmonale. Lancet 1975 ; ii: 1289 – 1290. Google Scholar 27 Richens JM Howard P. Oedema in cor pulmonale. Clin Sci 1982 ; 62: 255 – 259.[doi.org]

  • Asthma

    With advanced hypercarbia, bradypnea, somnolence, and profuse diaphoresis may be present; almost no breath sounds may be heard; and the patient is willing to lie recumbent[emedicine.medscape.com] Noninvasive ventilation mainly works by improving alveolar ventilation, resting fatigued ventilatory muscles, relieving dyspnea, and improving gas exchange, while it avoids[ncbi.nlm.nih.gov] Table 2 Clinical and functional assessment of severe asthma exacerbations Variable Severe exacerbation Imminent respiratory arrest Symptoms Dyspnea At rest Speech Single words[ncbi.nlm.nih.gov]

  • Hypoxia

    Subjective symptoms may include fatigue, lassitude (state of exhaustion), somnolence (drowsiness, sleepiness), dizziness, headache, breathlessness, and euphoria.[mountainflying.com] The patient described his dyspnea as exertional progressing over 1 week to rest dyspnea. He was prescribed antiretroviral therapy but was noncompliant.[ncbi.nlm.nih.gov] Chronic alveolar hypoxia is the main factor leading to development of cor pulmonale--right ventricular hypertrophy with or without overt right ventricular failure--in patients[ncbi.nlm.nih.gov]

  • Acute Respiratory Distress Syndrome

    […] on exertion followed by dyspnea at rest Hypoxia; PaO 2 /FIO 2 300 mm Hg Often sepsis and MODS ( JAMA 2016;315:788 ) Respiratory dysfunction and physical disability may persist[pathologyoutlines.com] Acute cor pulmonale is common in severe ARDS. ARDS itself and some treatments could worsen acute cor pulmonale.[ncbi.nlm.nih.gov] […] respiratory failure [ 12 ], the development of acute cor pulmonale in ARDS has been considered a poor prognostic factor.[jintensivecare.biomedcentral.com]

  • Pulmonary Disorder

    […] common symptoms include anxiety, arm and shoulder pain, tenderness in the calf of the leg, erythema nodosum, swelling of the face, headache, hoarseness, joint pain, and somnolence[texaspulmonary.com] OHS is characterized by hypersomnolence, dyspnea, and resting hypoxemia, leading to PH in severe cases.[ahajournals.org] […] with cor pulmonale survive longer than five years.[sleepfoundation.org]

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