Presentation
A male patient, 42 years old, presented with a large mass in the right atrium, being scheduled for removal of the tumor. [ncbi.nlm.nih.gov]
It is not provided to maintain an airway or to treat breathing and sleep disorders, as provided by the present jaw thrust device of the present invention. [patentswarm.com]
Only bronchiectasis was still present. He was kept on antiretroviral regimen, SMZ/TMP, and chloroquine. He showed good adherence. [scielo.br]
Entire Body System
- Hypoxemia
A 57-year-old man with deep vein thrombosis in his left calf developed acute progressive dyspnea with hypoxemia, cyanosis and the clinical picture of acute cor pulmonale, while he was on full heparinization. [ncbi.nlm.nih.gov]
The potential mechanisms include thromboembolic burden to the pulmonary vasculature, hypoxemia, acidosis, the pathologic progression of ARDS, and chronic nonphysiologic flow to the right heart. [insights.ovid.com]
Hypoxemia and hypercapnia are frequently encountered in chronic obstructive pulmonary disease (COPD) patients with acute attack. [openaccess.inonu.edu.tr]
While this resulted in temporary improvement in hypoxemia, the patient worsened the next day and the patient was placed on veno-venous extra-corporeal membrane oxygenator therapy (ECMO). [swjpcc.com]
- Falling
During this time a moderate fall in cardiac output and a mild fall in systemic arterial pressure were observed. [amjmed.com]
Cardiac output falls and shock may follow, often precipitously. Echocardiography is exceedingly useful in recognizing this problem. [cancertherapyadvisor.com]
Forcing the mandible forward pushes the tongue forward and prevents it from occluding the entrance of the trachea by falling back into the pharyngeal air passage. [patentswarm.com]
Sjogg has visited the kindergarten twice now (if wish I could have been there also, it's not possible to not fall in love with Sjogg). Again it was sports, dancing and singing hand in hand. No wonder the sportsbug gets to you. [diipkunstiinimene.blogspot.com]
- Sepsis
[No authors listed] (1992) American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference: definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. [springermedizin.de]
Indirect, or extra pulmonary, injury to the lung can happen in the form of sepsis, shock, bacterial pneumonia, multiple traumas or aspiration pneumonia, with sepsis-related ARDS having the greatest overall severity, poorest recovery and highest mortality [medictests.com]
The presence of sepsis and the use of vasopressors will both affect venous tone. [annalsofintensivecare.springeropen.com]
Hemodynamic instability in sepsis. Bedside assessment by Doppler echocardiography. Am J Respir Crit Care Med 2003; 168:1270–6. PubMed CrossRef Google Scholar 12. Testa AG. Delle Malattie del Cuore. Milano, 1831. Google Scholar 13. McGinn S, White P. [link.springer.com]
Key management points Acute right heart syndromes may not be readily evident; rather, they may cause shock that overlaps with the presentation of left ventricular failure, cardiac tamponade, or sepsis. [cancertherapyadvisor.com]
- Weight Loss
Fatigue Failure to thrive/weight loss Dizziness Syncope Dyspnea on exertion Exercise intolerance Chest pain (secondary to RV ischemia) Palpitations Hemoptysis Hemoptysis is a life-threate... [5minuteconsult.com]
Constitutional signs or symptoms include anorexia, weight loss, growth failure and fatigue. Extra-articular manifestations include ocular, cardiac, pulmonary and hematopoietic involvement. [cps.ca]
- Epilepsy
Scleroderma: State Of The Art Management via www.slideshare.net Intra-abdominal Hypertension And Abdominal Compartment via www.ackdjournal.org Consensus Updates In Pah Classification, Screening And via slideplayer.com Lesson: Antiepileptic Drugs For Epilepsy [redpastele.blogspot.com]
Respiratoric
- Pneumonia
DIAGNOSTICS OUTCOME: Acquired immunodeficiency syndrome (AIDS)-B3, lymphocytic interstitial pneumonia (LIP), and acute cor pulmonale. [scielo.br]
AIDS should be considered in children with recurrent pneumonia that is mostly associated with LIP rather than cystic fibrosis. [ncbi.nlm.nih.gov]
Hypercapnia, pneumonia, hypoxia, high plateau pressure, and positive end-expiratory pressure were associated with increased ACP incidence in patients with ARDS. [ejcdt.eg.net]
- Hemoptysis
Fatigue Failure to thrive/weight loss Dizziness Syncope Dyspnea on exertion Exercise intolerance Chest pain (secondary to RV ischemia) Palpitations Hemoptysis Hemoptysis is a life-threate... [5minuteconsult.com]
Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase in chest diameter, labored respiratory efforts with chest wall retractions, distended [quizlet.com]
Hemoptysis may occur because of rupture of a dilated or atherosclerotic pulmonary artery. Other conditions, such as tumors, bronchiectasis, and pulmonary infarction, should be excluded before attributing hemoptysis to pulmonary hypertension. [medictests.com]
Veni Andria Bilobectomy Surgery In Reccurent Hemoptysis Due To Lung Aspergiloma #P78 dr. Moh Ramadhani S, M. [konkerpdpi2019.com]
The diagnosis of PE can be difficult because of the nonspecific symptoms, which include cough, dyspnea, hemoptysis and pleuritic chest pain. Hereditary and acquired risk factors are associated with PE. [ncbi.nlm.nih.gov]
- Aspiration
Faskanita Lipoid Pneumonia Caused By Gramoxone Aspiration : A Case Report #P80 dr. [konkerpdpi2019.com]
In emergency situations, airway restriction and aspiration are both a concern. [patentswarm.com]
Direct injury can be from pneumonia or aspiration of gastric contents. [medictests.com]
Marik PE (2001) Aspiration pneumonitis and aspiration pneumonia. N Engl J Med 344:665–671 CrossRef PubMed 17. [springermedizin.de]
<ul><li>Control of arrhythmia:usually self-limited </li></ul><ul><li>Anticoagulatory therapy:heparin or low molecular weight heparin </li></ul><ul><li>Intensive patient care:monitoring, airway secretion aspiration </li></ul> 40. [slideshare.net]
- Tachypnea
Nonspecific: fatigue, tachypnea, exertional dyspnea, cough, anginal chest pain, hemoptysis, hoarseness What nonspecific signs may indicate underlying lung disease Increase in chest diameter, labored respiratory efforts with chest wall retractions, distended [quizlet.com]
ARDS Management Patients with ARDS usually present with tachypnea, labored breathing and poor gas exchange for 12 to 72 hours after an initial medical crisis. [medictests.com]
The patient had tachypnea (26 breaths/min) without pulmonary rales, bulging of the neck veins, hepatomegaly and a painful swelling of the left calf, with a positive Homans sign. Neurological examination was normal. [tmj.ro]
Symptoms Patients may report a combination of fatigue, tachypnea, exertional dyspnea, and cough. [emedicine.medscape.com]
Dyspnea and tachypnea are the most frequent clinical symptoms. [ncbi.nlm.nih.gov]
- Pleuritic Pain
pain, cough, or hemoptysis often suggest a small embolism near the pleura. [tmj.ro]
Gastrointestinal
- Failure to Thrive
Fred Ferri’s popular "5 books in 1" format provides quick guidance on menorrhagia, Failure to Thrive (FTT), Cogan’s syndrome, and much more. [books.google.com]
Fatigue Failure to thrive/weight loss Dizziness Syncope Dyspnea on exertion Exercise intolerance Chest pain (secondary to RV ischemia) Palpitations Hemoptysis Hemoptysis is a life-threate... [5minuteconsult.com]
[…] to thrive, cough, crackles on pulmonary auscultation, cyanosis, and digital hypocratism. [scielo.br]
Table 1 Risk assessment in patients with pulmonary arterial hypertension by the determinants of prognosis Lower risk Determinants of risk Higher risk No Clinical evidence of RV failure Yes No Progression of symptoms Yes No Syncope Yes Growth Failure to [jpccs.jp]
Cardiovascular
- Heart Disease
Heart Diseases, Pulmonary, Pulmonary Heart Disease, Pulmonary Heart Diseases, COR PULMONALE, Pulmonary heart disease, unspecified, cardiopulmonary disease, DISEASES PULM HEART, PULM HEART DISEASES, HEART DIS PULM, HEART DISEASES PULM, PULM HEART DIS [fpnotebook.com]
the chronic pulmonary heart disease ; co rpulmonale; chronic pulmonary heart disease s; Pneumocardial disease s; co r pulmonale; Co r pneumonale; chronic pulmonary heart diseaes ; Co r-pulmonale; Cardiopulmonary disease 收藏 肺 心病 Pulmonary heart disease [scidict.org]
[…] calcified coronary lesion I25.89 Other forms of chronic ischemic heart disease I25.9 Chronic ischemic heart disease, unspecified I26 Pulmonary embolism I26.0 Pulmonary embolism with acute cor pulmonale I26.01 Septic pulmonary embolism with acute cor [icd10data.com]
What is Pulmonary Heart Disease – Cor Pulmonale Statistics on Pulmonary Heart Disease – Cor Pulmonale Risk Factors for Pulmonary Heart Disease – Cor Pulmonale Progression of Pulmonary Heart Disease – Cor Pulmonale Symptoms of Pulmonary Heart Disease – [myvmc.com]
Pulmonary heart disease Pulmonary heart disease, or cor pulmonale, describes right-heart dysfunction due to pulmonary hypertension. [acphospitalist.org]
- Chest Pain
We emphasize the role played by a good quality chest X-ray early in the management of acute chest pain syndromes. However pulmonary embolism should be ruled out conclusively before redirecting attention to less malignant conditions. [ncbi.nlm.nih.gov]
Symptoms of PH include Shortness of breath during routine activity, such as climbing two flights of stairs Tiredness Chest pain A racing heartbeat Pain on the upper right side of the abdomen Decreased appetite As PH worsens, you may find it hard to do [icdlist.com]
pain prior to an unconscious collapse. [pmj.bmj.com]
Symptoms you may have are: Fainting spells during activity Chest discomfort, usually in the front of the chest Chest pain Swelling of the feet or ankles Symptoms of lung disorders, such as wheezing or coughing or phlegm production Bluish lips and fingers [medlineplus.gov]
Symptoms you may have are: Fainting spells during activity Chest discomfort, usually in the front of the chest Chest pain Swelling of the feet or ankles Symptoms of lung disorders, such as wheezing or coughing Bluish lips and fingers (cyanosis) Exams [ufhealth.org]
- Tachycardia
Don’t forget about tachycardia! Tachycardia is the most likely EKG finding in a patient with acute PE. This tachycardia is usually of the sinus variety, although some may present with atrial fibrillation or atrial flutter. [ditchdocem.com]
[…] a change in structure and function of the right ventricle of the heart as a result of a respiratory disorder. keuhkosydänsairaus noun Cardiac disorders Common: congestive heart failure/cardiac dysfunction, pericardial effusion, arrhythmia (including tachycardia [fi.glosbe.com]
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 3 distinct P wave morphologies (associated with increased mortality in patients [lifeinthefastlane.com]
CONCLUSION: Evaluation of right ventricular function by TEE in a group of 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]
Evaluation of right ventricular function by TEE in a group of 75 ARDS patients submitted to protective ventilation revealed the persistence of a 25% incidence of ACP, resulting in detrimental hemodynamic consequences associated with tachycardia. [insights.ovid.com]
- Increased Jugular Venous Pressure
CLINICAL ASSESSMENT OF COR PULMONALE: PLACE OF NON-INVASIVE METHODS The clinical signs of cor pulmonale are relatively insensitive6 and some of them (signs related to an increased jugular venous pressure) are often obscured by hyperinflation of the chest6 [ncbi.nlm.nih.gov]
Skin
- Ulcer
His past history included a duodenal ulcer while in military service in April, 1945. FULL TEXT [annals.org]
Vera Ismayana Tuberculous Osteomyelitis Presenting As Non Diabetik Foot Ulcer In Pulmonary Tuberculosis #P72 dr. Rachmi Merrina A Multi Drugs Resistant (MDR) Pulmonary Tuberculosis Patient With Massive Hemorrhagic Pleural Effusion #P77 dr. [konkerpdpi2019.com]
Leg ulcers, wounds, or peripheral arterial occlusive disease may preclude the use of intermittent pneumatic compression. The limitations of traditional anticoagulants have prompted the development of new agents. [tmj.ro]
Items requiring a prior approval must include the following: The client's diagnosis and a wound/ulcer assessment from a nurse or physician. [sac-isc.gc.ca]
Psychiatrical
- Aggressive Behavior
Behavior Narrative Originality essay format Candy and Smiles Popular custom essay writer site Paid essay writing service economics What is a subheading in an essay How to write a medical ethics essay Expository essay writing wissenschaftssprache beispiel [pfhiqd.me]
Neurologic
- Seizure
Neurological complications : a prolonged period of low blood oxygen levels can deprive the brain of oxygen, which may be irreversible and may present as coma, fits (seizures) and even brain death. [patient.info]
Theophylline has a narrow therapeutic index, and adverse effects include seizures, tachycardia, and other cardiac arrhythmias. Warfarin Anticoagulation with warfarin is recommended in patients at high risk for thromboembolism. [emedicine.medscape.com]
Workup
Presentation Outline <ul><li>Definition </li></ul><ul><li>Epidemiology/Classification </li></ul><ul><li>Clinical manifestations </li></ul><ul><ul><li>Symptoms </li></ul></ul><ul><ul><li>Signs </li></ul></ul><ul><li>Diagnostic workup & Differential Diagnosis [slideshare.net]
Electrocardiography and chest radiography should usually be incorporated into the diagnostic workup. The most frequent electrocardiographic abnormality is the inversion of T waves in the anterior leads, especially leads V1 to V4. [tmj.ro]
Clinical value of thin-collimation CT in the diagnostic workup of pulmonary embolism. AJR 2000; 175:407-411 [Abstract] [Google Scholar] 9. Ghaye B, Szapiro D, Mastora I, et al. [ajronline.org]
X-Ray
- Pericardial Effusion
OZEÚ môže na odporúčanie GT/VS a PBV podávať správy Rade pre všeobecné záležitosti a vonkajšie vzťahy en Cardiac disorders Common: congestive heart failure/cardiac dysfunction, pericardial effusion, arrhythmia (including tachycardia), palpitations Uncommon [sk.glosbe.com]
These additional reactions occurred at a frequency of< 1% unless otherwise noted: meningism, myocarditis, pericardial effusion, cardiomyopathy, autoimmune hepatitis, erythema nodosum, autoimmune pancreatitis, hyperpituitarism, hypoparathyroidism, infectious [tr-ex.me]
[…] cor pulmonale noun a change in structure and function of the right ventricle of the heart as a result of a respiratory disorder. keuhkosydänsairaus noun Cardiac disorders Common: congestive heart failure/cardiac dysfunction, pericardial effusion, arrhythmia [fi.glosbe.com]
Presence of pericardial effusion and the size of the right atrium are also two prognostic and potential follow-up factors in patients with pulmonary arterial hypertension. [wikiecho.org]
Echocardiographic predictors of a poor prognosis include an enlarged right atrium, the presence of a pericardial effusion, and a higher Doppler global right ventricular index. 20 21 22 Pulmonary Artery Catheterization In right ventricular failure associated [phaonlineuniv.org]
- Atelectasis
MICROSCOPY Early stages: • Features of Hyaline membrane disease: – Congestion, edema, hemorrhage – Hyaline membrane formation – Necrosis of bronchiolar mucosa – Atelectasis • Features of Early “reparative” lung changes: – Early metaplastic & reparative [slideshare.net]
Duggan M, McCaul CL, McNamara PJ, Engelberts D, Ackerley C, Kavanagh BP (2003) Atelectasis causes vascular leak and lethal right ventricular failure in uninjured rat lungs. Am J Respir Crit Care Med 167:1633–1640 CrossRef PubMed 26. [springermedizin.de]
The expected pathological consequences in the lung tissue, depending on the obstructed vessel, include alveolar dead space respiration, hyperventilation caused by hypoxemia, alveolar hypocapnia, bronchoconstriction, alveolar collapse, and atelectasis [ncbi.nlm.nih.gov]
Axis
- Right Axis Deviation
Right axis deviation, dominant R wave in V1 and deep S wave in V6 suggest right ventricular hypertrophy due to cor pulmonale. [lifeinthefastlane.com]
ECG dominant R wave in lead V1 10 defined as an R wave height > 7 mm or R/S > 1 accompanied by dominant S waves in lead V6 right axis deviation secondary repolarization abnormalities simultaneous involvement of the right precordium (V1-4) and inferior [radiopaedia.org]
Other ECG findings in PE include right bundle-branch block, right axis deviation, atrial fibrillation, and T-wave changes ( 2, 3 ). [ispub.com]
ECG evidence of RV hypertrophy (eg, right axis deviation, QR wave in lead V1, and dominant R wave in leads V1 to V3) correlates well with degree of pulmonary hypertension. [msdmanuals.com]
Serum
- Hypocapnia
Balanos GM, Talbot NP, Dorrington KL, Robbins PA (2003) Human pulmonary vascular response to 4 h of hypercapnia and hypocapnia measured using Doppler echocardiography. J Appl Physiol 94:1543–1551 CrossRef PubMed 32. [springermedizin.de]
Human pulmonary resistance vascular response to 4 h of hypercapnia and hypocapnia measured using Doppler echocardiography. J Appl Physiol. 2003;94:1543–51. 21. Mekontso Dessap A, Charron C, Devaquet J, Aboab J, Jardin F, Brochard L, et al. [ccforum.biomedcentral.com]
Findings of hypoxemia or hypocapnia may increase physician’s level of diagnostic suspicion, but these findings are not specific for pulmonary embolism. [tmj.ro]
The expected pathological consequences in the lung tissue, depending on the obstructed vessel, include alveolar dead space respiration, hyperventilation caused by hypoxemia, alveolar hypocapnia, bronchoconstriction, alveolar collapse, and atelectasis [ncbi.nlm.nih.gov]
QT, RR, ST Intervals
- ST Elevation
ST-segment abnormalities: 1 mm ST elevations in DI, DII and aVL. ( Fig. 1 ) The chest radiography showed: normal heart size (cardio-thoracic ratio = 0.48), focal oligemia at the level of the upper left lung lobe, upper and middle right lung lobe, enlarged [tmj.ro]
Blocks
- Incomplete Right Bundle Branch Block
New-onset right-bundle branch block or atrial fibrillation is uncommon. [tmj.ro]
T Wave
- T Wave Inversion
This precordial T wave inversion may extend from V1-V4, but in acute PE, V1 and V2 are typically inverted the deepest. This of course, makes perfect sense. [ditchdocem.com]
[…] limb leads (II, III, aVF) depressed ST segments with T wave inversion right atrial enlargement Etiology chronic obstructive pulmonary disease pulmonary manifestations of cystic fibrosis interstitial lung disease massive pulmonary emboli: for acute cor [radiopaedia.org]
The initial characterization of electrocardiographic abnormalities associated with pulmonary embolism was reported by McGinn and White in 1935, their description included the presence of a Q wave in lead III with late inversion of the T wave, and an S [ispub.com]
P Wave
- P Pulmonale
With development of cor pulmonale, the following additional changes are seen: Right atrial enlargement (P pulmonale) Right ventricular hypertrophy 3. [lifeinthefastlane.com]
Tall tented p-pulmonale may also be seen. 3) Echocardiography may show dilatation and also allows indirect measurement of pulmonary artery pressures. [myvmc.com]
FindingsX-Ray : Prominent pulmonary hilum pulmonary artery dilatation Rt MPA > 20 mmEKG : P- pulmonale, RAD, RVHEchocardiography : RVH, TR, Pulm. [vdocuments.mx]
[…] include the following:[1] Chest x-ray – right ventricular hypertrophy, right atrial dilatation, prominent pulmonary artery ECG – right ventricular hypertrophy, dysrhythmia, P pulmonale (characteristic peaked P wave) Thrombophilia screen- to detect chronic [en.wikipedia.org]
ECG changes in Cor Pulmonale include right axis deviation, R/S amplitude ratio in V1 greater than 1, R/S amplitude ratio in V6 less than 1 and P-Pulmonale pattern (Klinger et.al, 1991). [asrn.org]
Hypertrophy
- Right Ventricular Hypertrophy on ECG
Over time, this chronic elevation of pulmonary arterial pressures results in compensatory right atrial and right ventricular hypertrophy. Typical ECG Findings in COPD 1. [lifeinthefastlane.com]
Treatment
Abstract Ethanol is an effective ablative agent used for the treatment of certain solid organ tumors and vascular malformations (VMs). [osti.gov]
We experienced a patient with acute cor pulmonale during high positive-pressure ventilation for the treatment of severe acute respiratory distress syndrome. [ncbi.nlm.nih.gov]
Specific Treatment Drugs and dosages Refractory cases 5. [cancertherapyadvisor.com]
The median patient survival time following oxygen treatment was 9 days [ 3 ]. [kjim.org]
Prognosis
Prognosis Prognosis depends strongly on the underlying cause of the acute right heart syndrome. In pulmonary embolism, prognosis is quite good if the patient can be stabilized hemodynamically, but very poor (> 50% mortality) if not. [cancertherapyadvisor.com]
Treatment and prognosis Cor pulmonale generally carries a poor prognosis. Long-term oxygen therapy is often considered the main treatment option. [radiopaedia.org]
CLINICAL INVESTIGATIONS Acute cor pulmonale in acute respiratory distress syndrome submitted to protective ventilation: Incidence, clinical implications, and prognosis Vieillard-Baron, Antoine MD; Schmitt, Jean-Marie MD; Augarde, Roch MD; Fellahi, J. [journals.lww.com]
Prognosis of Pulmonary Heart Disease – Cor Pulmonale The prognosis of pulmonary heart disease depends on the underlying causes. [myvmc.com]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Our case represents one of the first reports of a rare etiology for acute cor pulmonale--hypersensitivity pneumonitis. [ncbi.nlm.nih.gov]
As a general rule, the treatment consists in rapidly reducing resistance to blood flow in the pulmonary circulation, obtained by a specific strategy according to etiology. [journals.lww.com]
The etiologies which can enhance right-sided afterload can be broadly categorized into two groups. [pathwaymedicine.org]
Epidemiology
Pocket Guidelines on Acute Pulmonary Embolism Published in 2014 Reference Acute PE Mobile App with interactive tools Published in 2014 Reference 40 Slides on Acute PE Table of contents: Full Text (ESC Clinical Practice Guidelines) Preamble Introduction Epidemiology [escardio.org]
Finally, transplantation of single/double lung in extreme cases of cor pulmonale is also an option.[1] Epidemiology[edit] The epidemiology of pulmonary heart disease (cor pulmonale) accounts for 7% of all heart disease in the U.S [15] According to Weitzenblum [en.wikipedia.org]
Genetics (46) Endocrinology, Metabolism (41) Cardiology, Angiology (41) Microbiology (41) Haematology (40) Oncology, Radiation Therapy (35) Nephrology (30) Obstetrics, Gynaecology (24) Dermatology (23) Immunology, Allergology (23) Otorhinolaryngology (23) Epidemiology [portal.mefanet.cz]
[…] and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 86-102, 1986 Sep; :719-736 Abstract Cor pulmonale is reviewed with regard to its occupational epidemiology [cdc.gov]
Epidemiology The incidence of acute cor pulmonale depends on the underlying cause. [cancertherapyadvisor.com]
Pathophysiology
Abstract The ventilatory strategy for ARDS has been regularly amended over the last 40 years as knowledge of the pathophysiology of ARDS has increased. [ncbi.nlm.nih.gov]
“Acute right ventricular failure — from pathophysiology to new treatments”. Intensive Care Med. vol. 30. 2004. pp. 185Thorough review of all aspects of acute cor pulmonale, with an emphasis on pathophysiology and diagnosis. [cancertherapyadvisor.com]
Springer Science & Business Media, ٠٥/٠٥/٢٠٠٨ - 444 من الصفحات This timely volume addresses the areas of pathophysiology and therapy of pulmonary hypertension, which have seen exciting developments over the past decade. [books.google.com]
"Acute Right Ventricular Failure in the Setting of Acute Pulmonary Embolism or Chronic Pulmonary Hypertension: A Detailed Review of the Pathophysiology, Diagnosis, and Management". [en.wikipedia.org]
Published in 2014 Reference Acute PE Mobile App with interactive tools Published in 2014 Reference 40 Slides on Acute PE Table of contents: Full Text (ESC Clinical Practice Guidelines) Preamble Introduction Epidemiology Predisposing factors Natural history Pathophysiology [escardio.org]
Prevention
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]
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]