Cor Pulmonale & Recurrent Pneumonia & Tachycardia: Causes & Reasons

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Patient File

Sex unknown, Age unknown

Reported Symptoms

Cor Pulmonale, Recurrent Pneumonia, Tachycardia,

Negated

None

Unsure

None

Possible Causes

Chronic Obstructive Pulmonary Disease

The severity of COPD correlates with various arrhythmic manifestations such as atrial fibrillation, atrial flutter, and either sustained or nonsustained ventricular tachycardia [ncbi.nlm.nih.gov]

Complications Associated With COPD People with COPD/COLD are at a higher risk of developing recurrent respiratory infections such as pneumonia and are at increased risk for [healthhub.sg]

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. [dx.doi.org]

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Pulmonary Infarction

ECG showed sinus tachycardia. [casereports.bmj.com]

pulmonale, resulting in incapacitating dyspnea on exertion, and disability. [ncbi.nlm.nih.gov]

[…] pregnancy and older age Small infarcts usually have minimal symptoms; if bronchial circulation is inadequate (so reduced collateral circulation), then have shortness of breath, tachycardia [pathologyoutlines.com]

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Sickle Cell Anemia

Common symptoms include: Labored breathing Tachycardia (rapid heartbeat) Fever Changes in mental status (i.e. confusion) Tests for Diagnosing and Monitoring for Sickle Cell [upmc.com]

Clinical findings are wide and include 1,6 : bone pain bone infarction subperiosteal hemorrhage osteomyelitis pulmonary acute chest syndrome recurrent pneumonia (impaired [radiopaedia.org]

DMCA Pulmonary Hypertension and Cor Pulmonale during Severe Acute Chest Syndrome in Sickle Cell Disease by Mekontso Dessap, Rusel Leon, Anoosha Habibi, Ruben Nzouakou, Francxoise [citeseerx.ist.psu.edu]

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Extrinsic Allergic Alveolitis

She had a low-grade fever together with evidence of sinus tachycardia, tachypnoea and bibasilar fine crackles. [erj.ersjournals.com]

They can also present subacutely with recurrent pneumonia or chronically with exertional dyspnea, productive cough, and weight loss. [emedicine.medscape.com]

Compensation may be payable Complications: -progressive lung fibrosis -type 1 respiratory failure -pulmonary hypertension and cor pulmonale Prognosis: -the acute form generally [clumsylostmedicalstudent.wordpress.com]

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Congestive Heart Failure

ECG and telemetry revealed relatively slow supraventricular tachycardia, which did not trigger the alert, and catheter ablation successfully controlled the heart failure. [ncbi.nlm.nih.gov]

Similar symptoms may result from COPD (chronic obstructive pulmonary disease) or recurrent pneumonia or may be erroneously attributed to obesity or old age. [msdmanuals.com]

Heart Failure and Cor Pulmonale Sections: Heart Failure, Cor Pulmonale, Further Readings. Topics Discussed: heart diseases. [web.archive.org]

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Recurrent Pulmonary Embolism

[…] asymptomatic SOB pleuritic chest pain apprehension cough haemotypsis leg pain collapse massive PE acute cardiovascular collapse Examination pale, mottled skin tachypnoea tachycardia [lifeinthefastlane.com]

We describe an unusual presentation of mucoepidermoid carcinoma in a 19-year-old man with atypical pneumonia, deep vein thromboses and recurrent pulmonary embolism, which, [ncbi.nlm.nih.gov]

Greater attention is presently being directed toward the frequent occurrence of chronic embolization and its sequelae, chronic hypertension and cor pulmonale. 1 2 3 4 5 6 [nejm.org]

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Atelectasis

[…] affected alveoli or slowly manifesting atelectasis asymptomatic or minimal symptoms Large number of affected alveoli or rapid onset acute dyspnea, chest pain, tachypnea, tachycardia [amboss.com]

This diagnosis should be suspected in children with recurrent pneumonia. The prognosis is good after complete resection. [ncbi.nlm.nih.gov]

If the blood oxygen level is low, oxygen therapy may help prevent complications such as cor pulmonale (heart disease related to lung disease). [generalhealthtopics.com]

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Bronchial Asthma

The tachycardia, hypertension, and neurological symptoms improved. [ncbi.nlm.nih.gov]

Other nonspecific symptoms in infants or young children may be a history of recurrent bronchitis, bronchiolitis, or pneumonia; a persistent cough with colds; and/or recurrent [emedicine.medscape.com]

The end result may be sudden cardiovascular collapse, with systemic hypotension and tachycardia. [ncbi.nlm.nih.gov]

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Congenital Heart Disease

Acute success was lower for tachycardias involving the left atrium compared with right atrial tachycardias. [ncbi.nlm.nih.gov]

Congestive heart failure and recurrent pneumonia are likely complications if the flow through the ductus is substantial. [aafp.org]

pulmonale (caused by upper airway obstructions such as large tonsils) Acute rheumatic fever with carditis Acute severe hypertension (eg, with acute glomerulonephritis) Total [merckmanuals.com]

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Acute Cor Pulmonale

75 ARDS patients submitted to protective ventilation revealed the persistence of a 25% incidence of ACP, resulting in detrimental hemodynamic consequences associated with tachycardia [ncbi.nlm.nih.gov]

AIDS should be considered in children with recurrent pneumonia that is mostly associated with LIP rather than cystic fibrosis. [ncbi.nlm.nih.gov]

In most of the reported cases, a clinical picture of subacute cor pulmonale developed. [ncbi.nlm.nih.gov]

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Pulmonary Disorder

Other ECG changes that may be seen include: Right bundle branch block (usually due to RVH) Multifocal atrial tachycardia – a rapid, irregular atrial tachycardia with at least [lifeinthefastlane.com]

Complications can include: recurrent respiratory infections, such as pneumonia heart problems lung cancer high blood pressure in the lung arteries depression, due to the inability [medicalnewstoday.com]

[…] with cor pulmonale survive longer than five years. [sleepfoundation.org]

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Extrapulmonary Alveolar Hypoventilation

233 Supraventricular Tachycardia 242 Temporary Cardiac Pacing 253 Permanent Pacemakers and Antiarrhythmic Devices 261 Evaluation of the Low to Intermediate Risk Patient with [books.google.com]

Definition infants/kids: bronchiolitis/pneumonia; older kids and adults: URI, tracheobronchitis; immunocompromised/elderly: pneumonia; recurrent wheezing, reactive airway [flashcardmachine.com]

Mixed cardiac and pulmonary disorders are also common sources of dyspnea 6, 7 and include COPD with pulmonary hypertension and cor pulmonale, deconditioning, pulmonary emboli [aafp.org]

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Chronic Right-Sided Congestive Heart Failure

Electrocardiogram • Old MI or recent MI • Arrhythmia • Some forms of Cardiomyopathy are tachycardia related • LBBB may help in management 28. [slideshare.net]

Similar symptoms may result from COPD or recurrent pneumonia or may be erroneously attributed to obesity or old age. [merckmanuals.com]

Chronic cor pulmonale develops gradually. [nmihi.com]

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Pulmonary Fibrosis

The patient's refractory ventricular tachycardia was treated with intravenous procainamide owing to the patient's history of amiodarone-induced thyroiditis. [ncbi.nlm.nih.gov]

Pulmonary hypertension or cor pulmonale was the immediate cause of death in two patients. [erj.ersjournals.com]

Cardiac tamponade presents with dyspnea, tachycardia, elevated jugular venous pressure, and pulsus paradoxus.[15] The gold standard for diagnosis is ultrasound.[15] Anaphylaxis [en.wikipedia.org]

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Cystic Fibrosis

Monitoring improvement in both tachycardia and tachypnea Monitoring lung sounds Monitoring bowel movements and abdominal exam C. [cancertherapyadvisor.com]

Symptoms usually appear in childhood and include meconium ileus, poor growth despite good appetite, malabsorption and foul bulky stools, chronic bronchitis with cough, recurrent [icd9data.com]

Pneumothorax Cor pulmonale haemoptysis Liver: biliary liver cirrhosis Bones: Arthritis Osteoporosis 5 Diagnosis A screening in newborns is available, it is performed as a [flexikon.doccheck.com]

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Rheumatoid Arthritis

One week after admission, she developed fever, dyspnea, hypoxemia, tachycardia, and increased serum C-reactive protein level. [ncbi.nlm.nih.gov]

An echocardiogram should be performed annually to rule out cor pulmonale or right ventricular hypertrophy (response to low oxygen from insufficient ventilator management). [rarediseases.org]

After weaning from mechanical ventilation, she experienced tachycardia and hypertension. [pedinfect.com]

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Pulmonary Sarcoidosis

The composite primary endpoint consisted of admission for congestive heart failure, sustained ventricular tachycardia, appropriate implantable cardioverter defibrillator therapy [ncbi.nlm.nih.gov]

· Fungus ball formation in chronic sarcoid cavities (usually TB) · Focal pleural thickening · Bronchostenosis with lobar atelectasis · Pulmonary arterial hypertension · Cor [learningradiology.com]

Electrocardiography showed sinus tachycardia. Figure 1 Chest radiograph on admission. [thorax.bmj.com]

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Pulmonary Alveolar Proteinosis

On examination, she had dyspnea at rest, tachypnea, tachycardia, clubbing, bilateral pitting pedal edema and oxygen saturation was maintained only with non-invasive ventilator [lungindia.com]

In 14 patients suffering from idiopathic alveolar proteinosis, therapy-refractory surfactant deficiency, or recurrent pneumonia the SP-A genes have been sequenced. [edoc.hu-berlin.de]

Cor pulmonale. Prognosis In a third of patients, no appreciable disability develops and the disease remits spontaneously or fails to progress. [patient.info]

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Pulmonary Embolism

Neurological examination returned to base line status but sinus tachycardia and low saturation value on room air were continuing. [ncbi.nlm.nih.gov]

[…] spontaneous abortion ( 3),premature birth with toxemia or growth-restricted infant 1 Other Other risk factors‡ 1 *Serious lung disease includes pneumonia. [msdmanuals.com]

pulmonale in contrast to the well known cor pulmonale of chronic nature associated with progressive enlargement of the right side of the heart secondary to certain pulmonary [doi.org]

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Hypogammaglobulinemia

It may be appropriate for risk stratification on an outpatient basis with an electrophysiology study (EPS) to see if the patient has inducible ventricular tachycardia (VT) [litfl.com]

pneumonia, chronic sinusitis, and intestinal giardiasis were studied. [jci.org]

Recurrent or chronic upper and lower respiratory tract infections leading to bronchiectasis, chronic sinusitis or cor pulmonale are not common. [emedicine.medscape.com]

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Heart Disease

[…] present the case of a girl without heart disease admitted at our PICU due to an influenza A acute respiratory distress syndrome, who suffered a paroxysmal supraventricular tachycardia [ncbi.nlm.nih.gov]

Hypoventilation and cor pulmonale due to chronic upper airway obstruction. J Pediatr. 1965 ; 67 :198-203. Crossref Google Scholar 30 Alexander JK. [circ.ahajournals.org]

We present a case of a 46-year-old man with nonischemic cardiomyopathy and ventricular tachycardia who underwent an echocardiogram suggestive of cardiac Chagas disease. [ncbi.nlm.nih.gov]

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Pneumoconiosis

During anesthesia, a wide-QRS tachycardia occurred suddenly and a complex atrial tachyarrhythmia was later diagnosed. [ncbi.nlm.nih.gov]

A heart deficiency called cor pulmonale may develop in severe cases. Sufferers are particularly vulnerable to infectious lung diseases such as tuberculosis. [infoplease.com]

Intensely blackened scars 2 cm, multiple and containing dense collagen and pigment Center of lesion may be necrotic due to ischemia Associated with pulmonary hypertension and cor [pathologyoutlines.com]

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Chronic Bronchitis

Indications for a Chest Radiograph in an Adult Patient With Acute Bronchitis Dyspnea Difficult or labored Breathing Tachypnea 20 breaths per minute Tachycardia 100 beats per [contemporaryclinic.pharmacytimes.com]

The TIMP3 (-1296T C) was associated with recurrent pneumonia in the dominant model (P(adj) 0.0031, P(cor) 0.031, OR 1.91). [ncbi.nlm.nih.gov]

Cor pulmonale with right ventricular heart failure is a common result. In some patients secondary polycythemia results from chronic hypoxemia. [medical-dictionary.thefreedictionary.com]

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Acute Bronchitis

Pneumonia should be suspected in patients with tachypnea, tachycardia, dyspnea, or lung findings suggestive of pneumonia, and radiography is warranted. [ncbi.nlm.nih.gov]

(which causes pneumonia), Bordetella pertussis (which causes whooping cough) and Chlamydia; presence of underlying cardiorespiratory condition (haemoptysis, recurrent pneumonia [doi.org]

When the FEV1 falls below about 0.8 L, patients are at risk of hypoxemia, hypercapnia, and cor pulmonale. [msdmanuals.com]

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Cor Pulmonale

On admission the mare was in poor body condition, with severe inspiratory and expiratory dyspnoea associated with severe hypoxaemia and marked tachycardia. [onlinelibrary.wiley.com]

He was often hospitalized for recurrent pneumonia with chronic cough and recurrent wheezing since the first year of life. [scielo.br]

[…] lung diseases. [7] Cor Pulmonale Presentation The clinical manifestations of cor pulmonale may be nonspecific. [emedicine.medscape.com]

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Pulmonary Edema

In both procedures, patients developed severe hypertension and tachycardia, with subsequent oxygen desaturations with noted pulmonary edema. [ncbi.nlm.nih.gov]

METHODS: We present an example of recurrent neurogenic pulmonary edema in an adolescent boy with multiple sclerosis who was diagnosed with pneumonia at the time of initial [ncbi.nlm.nih.gov]

Your doctor may need to adjust your treatment plan to help prevent cor pulmonale. You can prevent cor pulmonale by taking care of your heart and lungs. [healthline.com]

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Lipid Pneumonia

Fever Dyspnea Chest discomfort Chemical pneumonitis caused by gastric contents causes acute dyspnea with cough that is sometimes productive of pink frothy sputum, tachypnea, tachycardia [merckmanuals.com]

"Recurrent lipoid pneumonia associated with oil pulling". The International Journal of Tuberculosis and Lung Disease. 18 (2): 251–2. doi : 10.5588/ijtld.13.0852. [en.wikipedia.org]

Further observations confirmed cyanosis, diffuse bi-basal crackles, type 2 respiratory failure, and early features of cor pulmonale. [occupationalasthma.com]

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Cardiac Dyskinesia

He had hypotension and tachycardia. The dystonic reaction completely resolved within a few minutes after diazepam. [italjmed.org]

Symptoms include: Lungs: Breathing problems in newborns, recurrent pneumonia, chronic cough and collapsed lung. [rbhh-specialistcare.co.uk]

Echocardiographic pattern of acute cor pulmonale. Chest 1997;111:209-17. Medline 9. McConnell MV, Solomon SD, Rayan ME, Come PC, Goldhaber SZ, Lee RT. [revespcardiol.org]

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Pulsus Alternans

There may initially be a tachycardia as a compensatory mechanism to try to keep the cardiac output constant. [en.wikipedia.org]

Pneumonia, recurrent... ‏ [books.google.com]

Electrocardiogram shows sinus tachycardia with S1Q3T3, a sign of acute cor pulmonale. M-mode tracing. [ncbi.nlm.nih.gov]

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Pneumonia

A 23-month-old girl visited the emergency department with high fever, cough, first wheezing episode, chest retraction and tachycardia. [ncbi.nlm.nih.gov]

And recurrent pneumonia can be a sign of a weakened immune system. [dailyherald.com]

Complications and case fatality  Respiratory complications: pneumonia, pulmonary edema  Cardiovascular complications: myocarditis, cor pulmonale.  Late complications: soft [slideshare.net]

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