Cor Pulmonale

Reviewed 06/2017
 


BASICS

DESCRIPTION

  • Enlargement and subsequent dysfunction and failure of the right ventricle (RV) in the presence of pulmonary hypertension secondary to abnormalities of the pulmonary system, including...

DIAGNOSIS

HISTORY

  • Dyspnea is the most common symptom, although nonspecific; may be present at rest, with exertion, or occur as paroxysmal nocturnal dyspnea

  • Other pulmonary symptoms: pleuritic chest pain...

TREATMENT

Reduce symptoms and improve quality of life and survival. Reduce disease burden via oxygenation, preservation of cardiac function, and attenuation of pulmonary hypertension. 

GENERAL MEASURES

  • ...

ONGOING CARE

DIET

Salt and fluid restriction 

PATIENT EDUCATION

  • Smoking cessation and avoidance of exposure to secondary smoke is strongly recommended.

  • Level of physical activity should be discussed with ...

REFERENCES

Galiè  N, Hoeper  MM, Humbert  M, et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of t...

SEE ALSO

Chronic Obstructive Pulmonary Disease and Emphysema; Congestive Heart Failure: Differential Diagnosis; Pulmonary Arterial Hypertension; Pulmonary Embolism 

CODES

ICD10

  • I27.81 Cor pulmonale (chronic)

  • I26.09 Other pulmonary embolism with acute cor pulmonale

ICD9

  • 416.9 Chronic pulmonary heart disease, unspecified

  • 415.0 Acute cor pulmonale

SNOMED

  • 83291003 Cor pulmo...

CLINICAL PEARLS

  • Treatment of cor pulmonale requires treatment of the underlying disease.

  • Continuous, long-term oxygen therapy improves life expectancy and quality of life in cor pulmonale.

  • Referral of p...

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