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122 Possible Causes for Cor Pulmonale, Hypercapnia, Somnolence

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  • Sleep Apnea

    An arterial blood gas analysis showed hypercapnia. Polysomnography showed a respiratory disturbance index of 108 events/h, and all were central apnea events.[ncbi.nlm.nih.gov] 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] 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]

  • Obstructive Sleep Apnea

    Six months later, severe hypoxemia without hypercapnia was noted. Contrast transthoracic echocardiography showed right-to-left shunt through a patent foramen ovale.[ncbi.nlm.nih.gov] Neither patient exhibited daytime somnolence, although both were subsequently found to have severe obstructive sleep apnea.[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]

  • Hypercapnia

    Hypercapnia is defined as carbon dioxide levels more than 45mmHg.[symptoma.com] 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]

  • Central Sleep Apnea

    ; after therapy, hypoxic responsiveness was restored and the ventilatory response to hypercapnia doubled.[ncbi.nlm.nih.gov] Patients with hypercapnic forms may experience daytime somnolence (sometimes called wake-time sleepiness), lethargy, and morning headache.[merckmanuals.com] 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

    Blood tests reveal a hyperglobulia and a polyglobulia, an anoxemia and often a hypercapnia (see).[bigmed.info] […] 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]

  • Asbestosis

    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] Progression of asbestosis may lead to fine bilateral inspiratory crackles, finger clubbing and cor pulmonale.[patient.info]

  • Obesity Hypoventilation Syndrome

    Patients with any known causes of hypercapnia were not included.[ncbi.nlm.nih.gov] […] 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] 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]

  • Chronic Obstructive Pulmonary Disease

    Before mechanical ventilation, coma could be confirmed to be due to CO2 narcosis caused by exorbitant arterial hypercapnia (PCO2, 193 mm Hg).[ncbi.nlm.nih.gov] Patients with exacerbations accompanied by retention of carbon dioxide may be lethargic or somnolent, a very different appearance.[merckmanuals.com] 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]

  • Acute Respiratory Distress Syndrome

    Hypercapnia and hypoxemia persisted despite ventilator support even at traumatic levels.[ncbi.nlm.nih.gov] 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]

  • Asthma

    Hypercapnia is generally well tolerated as long as PaCO 2 does not exceed 90 mmHg and acute variations in PaCO 2 are avoided.[ncbi.nlm.nih.gov] 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] Death from asthma in mechanically ventilated patients appears to be further decreased after the application of the 'permissive hypercapnia technique'.[ncbi.nlm.nih.gov]

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