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
- Pain
A patient presented with chest pain and clinical features of acute right heart failure. Initial work up revealed the presence of severe PAH. Acute pulmonary embolism is the commonest and most life-threatening cause for acute cor pulmonale. [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]
[…] purpose of this report is to present an interesting case of acute cor pulmonale and to draw attention to the confusion in the diagnosis of this condition. 1 CASE REPORT A 22 year old white bricklayer was admitted with chief complaint of severe sharp pain [annals.org]
Management Frontiers in Medicine Epidemics Zika Virus Ebola Virus View all topics Health Policy Epidemics Pain Management Ebola Virus Multimedia Multimedia Selected Multimedia View all multimedia Audio Clinical Practice Audio Interviews Interactive Medical [nejm.org]
- Collapse
This article reviews the contemporary role of ethanol in tumor and VM treatment and discusses the physiological mechanisms of acute pulmonary hypertension and cardiovascular collapse. [osti.gov]
Royal Adelaide Hospital, Adelaide, SA 5000, Australia; adam.nelson{at}adelaide.edu.au Statistics from Altmetric.com A 51-year-old immobilised man, while recovering at stroke rehabilitation, complained of sudden onset chest pain prior to an unconscious collapse [pmj.bmj.com]
GROSS • Early stages: – Firm, heavy lungs – Dark red (congested) • Late stages: – Firm, tan lungs – Pleural nodularity “cobblestoning” • Alternation between collapsed and hyperinflated “compensatory emphysema” areas 6. [slideshare.net]
Increased RV pressures in conjunction with a low cardiac output may cause coronary ischemia, further impairing cardiac output and potentially causing complete cardiovascular collapse. [unboundmedicine.com]
CPAP increases pressure in the lower airways on exhalation, which opens collapsed alveoli, improves oxygen exchange and pushes fluid in the lungs back into pulmonary circulation. [ems1.com]
- Weakness
These may include chronic coughing, wheezing, weakness, fatigue, and shortness of breath. Edema (abnormal buildup of fluid), weakness, and discomfort in the upper chest may be evident in cor pulmonale. [encyclopedia.com]
A person with cor pulmonale has a chronic cough, experiences difficulty in breathing after exertion, wheezes, and is weak and easily fatigued. [britannica.com]
There may also be features of the underlying cause - for example, chest pain in heart disease, weakness of limbs in neurological disorders, wheeze in asthma. [patient.info]
Scleroderma Mixed connective tissue disease Systemic lupus erythematosus Rheumatoid arthritis Polymyositis Eosinophilic granulomatosis Radiation Malignant infiltration Diseases affecting thoracic cage movement Kyphoscoliosis Thoracoplasty Neuromuscular weakness [clinicalgate.com]
- Fever
A five-year-old male, infected by human immunodeficiency virus (HIV), was admitted at the division of infectious diseases of this hospital with cough, tachydyspnea, fever, and breathing difficulty. [ncbi.nlm.nih.gov]
CASE PRESENTATION: A five-year-old male, infected by human immunodeficiency virus (HIV), was admitted at the division of infectious diseases of this hospital with cough, tachydyspnea, fever, and breathing difficulty. [scielo.br]
Haug Browse recently published Learning/CME Learning/CME View all learning/CME CME Case 3-2019: A 70-Year-Old Woman with Fever, Headache, and Progressive Encephalopathy Caplacizumab Treatment for Acquired Thrombotic Thrombocytopenic Purpura Randomized [nejm.org]
- Chest Discomfort
Patient was sent to our hospital for a urological evaluation, to get to our institution patient drove approximately four hours, upon arrival to our city patient became acutely short of breath, tachycardic with chest discomfort and light-headedness Emergency [ispub.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]
As you collect the patient's history listen for complaints of chest discomfort suggestive of ischemia and a productive cough of frothy white or pink sputum, Crackles from pneumonia are localized to the area affected by infection, and are usually unilateral [ems1.com]
The symptoms include shortness of breath, wheezing, coughing, swelling of the feet or ankles, exercise intolerance, chest discomfort, cyanosis, distension of the neck veins indicating high right-heart pressures, abnormal fluid collection in the abdomen [asrn.org]
Respiratoric
- Dyspnea
Furthermore, she rapidly developed progressive dyspnea and hypoxia. [kjim.org]
We describe the case of an 84-year-old man with a history of transitional cell carcinoma (TCC) of the urinary bladder who had acute cor pulmonale and died within a few hours after the onset of dyspnea. [ncbi.nlm.nih.gov]
(cyanosis) Pulmonary hypertension and cor pulmonale can lead to severe fluid retention which, in turn, can cause life-threatening dyspnea, shock, and even death. [verywellhealth.com]
While PH and cor pulmonale are often asymptomatic in early stages, symptoms like dyspnea on exertion, fatigue, cyanosis, and syncope appear in later stages. In decompensated cor pulmonale, the risk of arrhythmias and death is high. [amboss.com]
Gastrointestinal
- Vomiting
[…] pacientov, ktorí dostávali len INVANZ, boli najčastejšie hlásené laboratórne abnormality a ich incidencia počas liečby a # dní po ukončení liečby: zvýšenie ALT (#, # %), AST (#, # %), alkalickej fosfatázy (#, # %) a počtu trombocytov (#, # % en nausea vomiting [sk.glosbe.com]
These devices can stimulate the gag reflex, making a person nauseated or vomit, and further are best utilized by an individual keeping his or her mouth closed and teeth clenched on/in the device for proper position thereof. [patentswarm.com]
This point is usually marked by the development of hypotension or other dose-limiting side effects such as headache, nausea/vomiting, diarrhea, myalgias, arthralgias, and trismus. [phaonlineuniv.org]
- Nausea
[…] sk U pacientov, ktorí dostávali len INVANZ, boli najčastejšie hlásené laboratórne abnormality a ich incidencia počas liečby a # dní po ukončení liečby: zvýšenie ALT (#, # %), AST (#, # %), alkalickej fosfatázy (#, # %) a počtu trombocytov (#, # % en nausea [sk.glosbe.com]
Right heart failure <ul><li>Symptoms: predominant short of breath,palpitation, inappetence,nausea </li></ul><ul><li>Signs: cyanosis,tachycardia,arrhythmia,subxiphoid systolic murmur or even diastolic murmur. [slideshare.net]
This point is usually marked by the development of hypotension or other dose-limiting side effects such as headache, nausea/vomiting, diarrhea, myalgias, arthralgias, and trismus. [phaonlineuniv.org]
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]
- Thrombosis
The great bulk of the literature has dealt with venous thrombosis of the secondary or complicating type, that is, venous thrombosis complicating surgery or delivery or occurring in the course of infectious disease or non-infectious systemic disease, particularly [annals.org]
Dural venous sinus thrombosis is associated with multiple risk factors, including systemic hypercoagulability. To the best of our knowledge, this is the first report of the co-occurrence of dural venous thrombosis and PTTM. [kjim.org]
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]
HAMBURGERSAPHIR WWO: Pulmonary embolism complicating and simulating coronary thrombosis, Med. Clin. N. Am., 1932, xvi, 383-403. Google Scholar 9. AVERBUCK SH: The differentiation of acute coronary artery thrombosis from pulmonary embolization, Am. [acpjournals.org]
[…] and lower (70-80%) for isolated deep vein thrombosis of the calf. [tmj.ro]
- 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]
Neurologic
- Reduced Consciousness
Confusion and reduced consciousness - this can occur when either the blood oxygen levels are low or when the carbon dioxide level increases. [patient.info]
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]
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]
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]
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]