Cor pulmonale: Difference between revisions
| Line 12: | Line 12: | ||
===Acute=== | ===Acute=== | ||
*RV dilation | *RV dilation | ||
===Signs and Symptoms=== | |||
*Cough | |||
*Dyspnea | |||
*Tachypnea | |||
*Hemoptysis | |||
*Syncope | |||
*Peripheral edema | |||
*Cyanosis | |||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 06:10, 9 September 2015
Background
- Remodeling of right ventricle in response to pulmonary pathology
- Often caused by COPD, pulmonary hypertension, PE, ARDS
Clinical Features
Pathophysiology
- Pulmonary vasoconstriction (hypoxia, acidemia)
- Destruction of pulmonary vasculature by emphysema, ILD
- Increased blood viscosity (sickle cell, polycythemia)
Chronic
- RVH
Acute
- RV dilation
Signs and Symptoms
- Cough
- Dyspnea
- Tachypnea
- Hemoptysis
- Syncope
- Peripheral edema
- Cyanosis