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34 Possible Causes for Cor Pulmonale, P Pulmonale, 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] References: [14] [15] Complications Hypertension Hypoxia -induced cardiac arrhythmia Pulmonary hypertension and cor pulmonale Global respiratory insufficiency Cardiac infarction[amboss.com] A 55-year-old woman who presented to the sleep clinic with severe sleep apnea (OSA) (apnea-hypopnea index [AHI] 62) and excessive somnolence (Epworth Sleepiness Scale score[ncbi.nlm.nih.gov]

  • 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] 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] During last year, the patient was accusing excessive daytime somnolence, breath arrests during sleep, intense snoring, morning headaches, morning oral dryness, pin point chest[ncbi.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] 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]

  • Central Sleep Apnea

    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] Gastaut and his collaborators in their report on the abnormal breathing patterns observed in a subtype of so-called "Pickwickian patients," morbidly obese subjects with somnolence[medlink.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]

  • Chronic Obstructive Pulmonary Disease

    Patients with exacerbations accompanied by retention of carbon dioxide may be lethargic or somnolent, a very different appearance.[merckmanuals.com] […] in the limb leads or 10 mm in the precordial leads right ventricular hypertrophy right axis deviation dominant R wave in V1 with an amplitude 7mm often associated with "P[radiopaedia.org] 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]

  • 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] pulmonale Low voltage complexes LV hypertrophy or strain Prolonged QT/QTc Inferolateral T wave abnormalities Right axis deviation or RBBB P pulmonale Table 2 Common ECG abnormalities[academic.oup.com]

  • Cor Pulmonale

    De-compensatory stage of the respiratory and cardiac function Respiratory failure Symptoms : severe dyspnea,especially at night, headache, insomnia,inappetence, somnolence[slideshare.net] In ECG, P pulmonale was observed in 58 (99.66%) of cases. 48 (80%) were having right ventricular dilatation and right atrial dilation was observed in 30 (50%) of patients.[scopemed.org] […] lung diseases. [7] Cor Pulmonale Presentation The clinical manifestations of cor pulmonale may be nonspecific.[emedicine.medscape.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] Peaked P waves in the inferior leads 2.5 mm (P pulmonale) with a rightward P-wave axis (inverted in aVL) Clockwise rotation of the heart with a delayed R/S transition point[lifeinthefastlane.com] […] with cor pulmonale survive longer than five years.[sleepfoundation.org]

  • Hypercapnia

    A 38-year-old patient with effort dyspnea, somnolence, cianosis and cor pulmonale is presented.[ncbi.nlm.nih.gov] […] to 0.842, p 0.005), BMI (HR 0.922, 95% CI 0.883 to 0.963, p 2 (HR 1.026, 95% CI 1.011 to 1.042, p 0.001), Cor pulmonale (HR 2.164, 95% CI 1.557 to 3.006, p table 2 ).[bmjopen.bmj.com] 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]

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