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37 Possible Causes for Cor Pulmonale, Right Axis Deviation, Somnolence

  • 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]

  • 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]

  • Morbid Obesity

    deviation or RBBB P pulmonale Low voltage complexes LV hypertrophy or strain Prolonged QT/QTc Inferolateral T wave abnormalities Right axis deviation or RBBB P pulmonale[academic.oup.com] Arterial oxygen tension is lower and chronic hypoxemia may lead to pulmonary hypertension and cor pulmonale.[openanesthesia.org] This can be spectacularly effective in relieving right heart failure, day-time somnolence, and pulmonary hypertension.[academic.oup.com]

  • Chronic Obstructive Pulmonary Disease

    […] ventricular hypertrophy right axis deviation dominant R wave in V1 with an amplitude 7mm often associated with "P pulmonale" ( right atrial enlargement ) multifocal atrial[radiopaedia.org] 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]

  • Asthma

    Electrocardiographic signs of right heart strain such as right axis deviation, clockwise rotation, and evidence of right ventricular hypertrophy may be observed in acute,[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]

  • 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] Right axis deviation and low voltage may be noted in patients with pulmonary emphysema.[health.am] […] lung diseases. [7] Cor Pulmonale Presentation The clinical manifestations of cor pulmonale may be nonspecific.[emedicine.medscape.com]

  • Acute Respiratory Distress Syndrome

    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] Acute cor pulmonale in ARDS: rationale for protecting the right ventricle. Chest 147, 259–265 (2015). 202. Young, D. et al.[doi.org]

  • Hypercapnia

    A 38-year-old patient with effort dyspnea, somnolence, cianosis and cor pulmonale is presented.[ncbi.nlm.nih.gov] […] descending pulmonary artery or right ventricle (RV) enlargement, and ECG demonstrating P-pulmonale, right axis deviation or RV hypertrophy. 12 Echocardiography (Vivid Eq,[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]

  • Acute Cor Pulmonale

    Other ECG findings in PE include right bundle-branch block, right axis deviation, atrial fibrillation, and T-wave changes ( 2, 3 ).[ispub.com] […] chronic upper airway obstruction have been reported in Down Syndrome infants with features of Sleep Apnea like noisy breathing with Retraction, Cyanosis, Daytime lethargy and Somnolence[asrn.org] In most of the reported cases, a clinical picture of subacute cor pulmonale developed.[ncbi.nlm.nih.gov]

  • Obesity Hypoventilation Syndrome

    Signs of right ventricular hypertrophy on electrocardiogram including right-axis deviation and right bundle-branch block suggest pulmonary hypertension.[anesthesiology.pubs.asahq.org] […] 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]

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