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Cor Pulmonale

Marissa A. Lombardo, MD and Parag Goyal, MD, MSc Reviewed 06/2019
 


BASICS

DESCRIPTION

  • The term “cor pulmonale” derives from the Latin cor (heart) and pulmonale (lungs). Hence, cor pulmonale is a cardiac complication of primary pulmonary disease.

  • Acute or chronic pulmon...

DIAGNOSIS

HISTORY

  • Dyspnea is the most common symptom. Although nonspecific, dyspnea may be present at rest, with exertion, or manifests as paroxysmal nocturnal dyspnea.

  • Other pulmonary symptoms: pleurit...

TREATMENT

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

GENERAL MEASURES

  • Treat underly...

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

1
Seeger W, Adir Y, Barberà JA, et al. Pulmonary hypertension in chronic lung diseases. J Am Coll Cardiol.  2013;62(Suppl 25):D109–D116. [View Abstract on OvidMedline]
2
Simonneau G, Gatz...

SEE ALSO

  • Chronic Obstructive Pulmonary Disease and Emphysema; Pulmonary Arterial Hypertension; Pulmonary Embolism

  • Algorithm: Congestive Heart Failure: Differential Diagnosis

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. Therefore, accurate diagnosis of primary pulmonary disease is critical to clinical management and treatment the...

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