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226 Possible Causes for Cor Pulmonale, Fatigue, Somnolence

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  • Obstructive Sleep Apnea

    Neither patient exhibited daytime somnolence, although both were subsequently found to have severe obstructive sleep apnea.[ncbi.nlm.nih.gov] However, the effect on fatigue as major complaint in chronic fatigue patients without excessive daytime sleepiness, is not fully understood nor explored.[ncbi.nlm.nih.gov] References: [14] [15] Complications Hypertension Hypoxia -induced cardiac arrhythmia Pulmonary hypertension and cor pulmonale Global respiratory insufficiency Cardiac infarction[amboss.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] Complications can include: Daytime fatigue.[mayoclinic.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]

  • Morbid Obesity

    This can be spectacularly effective in relieving right heart failure, day-time somnolence, and pulmonary hypertension.[academic.oup.com] Secondary endpoints were the individual components of the composite outcome and measures of perceived effectiveness, fatigue, and pain.[ncbi.nlm.nih.gov] Arterial oxygen tension is lower and chronic hypoxemia may lead to pulmonary hypertension and cor pulmonale.[openanesthesia.org]

  • Hypercapnia

    A 38-year-old patient with effort dyspnea, somnolence, cianosis and cor pulmonale is presented.[ncbi.nlm.nih.gov] […] the intensive care unit, despite treatment with maximal conventional bronchodilatative therapy, the clinical picture deteriorated with evident signs of respiratory muscle fatigue[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]

  • Central Sleep Apnea

    Patients with hypercapnic forms may experience daytime somnolence (sometimes called wake-time sleepiness), lethargy, and morning headache.[merckmanuals.com] The patient had a body mass index of 32.4kg/m2, and complained of fatigue, shortness of breath on exertion, excessive daytime sleepiness, and snoring.[ncbi.nlm.nih.gov] This can lead to cor pulmonale (right-sided heart failure). Call your provider if you have symptoms of this disorder.[nlm.nih.gov]

  • 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] N Engl J Med 1941; 225:845-855 MILITARY SYMPOSIUM FATIGUE IN AIRCRAFT PILOTS* Ross A. McFarland, PH.D.[nejm.org] Ayerza syndrome - sclerosis of the pulmonary arteries in chronic cor pulmonale.[medical-dictionary.thefreedictionary.com]

  • Asbestosis

    […] and subsequently cause fatigue.[robertsjackson.co.uk] 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] Patients with Cor pulmonale may have varying degrees of cyanosis, hepatojugular reflux, jugular venous distension and pedal edema.[symptoma.com]

  • Obesity Hypoventilation Syndrome

    […] that is diagnosed when all of the following criteria are satisfied: body-mass index 30 kg/m(2); apnea hypopnea index 30; PaCO2 45 mm Hg (in the daytime); and marked daytime somnolence[ncbi.nlm.nih.gov] The pathogenesis involves mechanical, endocrine, and functional disturbances, while excessive fatigue and sleepiness are the most common symptoms.[symptoma.com] A physical exam may reveal: Bluish color in the lips, fingers, toes, or skin ( cyanosis ) Reddish skin Signs of right-sided heart failure ( cor pulmonale ), such as swollen[nlm.nih.gov]

  • Infantile Apnea

    Other problems may include: Restless sleep Nightmares Sweating and bed-wetting (enuresis) During the daytime, sleep problems may manifest as Fatigue Headaches Inattention[columbiadoctors.org] B., 1968, Large tonsils and adenoids in small children with cor pulmonale, Br. Heart J. 30 :356. PubMed Google Scholar 17. Bland, J. W., Edwards, F.[link.springer.com] If they experience poor sleep quality, daytime fatigue or sleepiness, snoring, or breathing issues in sleep, they should talk with their health care provider.[epilepsy.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] Pulmonary rehabilitation relieves dyspnoea and fatigue, improves emotional function and enhances the sense of control that individuals have over their condition.[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]

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