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Cor Pulmonale, Pediatric

Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Cor pulmonale refers to right ventricular (RV) failure secondary to a pulmonary process that results in a loss of functional capillary vascular bed and in increased pulmonary artery ...

DIAGNOSIS

HISTORY

  • Fatigue

  • Failure to thrive/weight loss

  • Dizziness

  • Syncope

  • Dyspnea on exertion

  • Exercise intolerance

  • Chest pain (secondary to RV ischemia)

  • Palpitations

  • Hemoptysis

ALERT
  • Hemoptysis is a life-threate...

TREATMENT

GENERAL MEASURES

  • The primary goal is reduction of the abnormally elevated pulmonary artery pressure and the RV workload.

  • If at all possible, address the primary pulmonary etiology (i.e., tonsi...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Home oxygen saturation monitoring may be indicated when night oxygen is necessary to keep saturations >90%. 

PROGNOSIS

  • Patients with reversible...

ADDITIONAL READING

  • Abman SH, Hansmann G, Archer SL, et al; for American Heart Association Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation, Council on Clinical Cardiology, Co...

CODES

ICD9

  • 416.9 Chronic pulmonary heart disease, unspecified

  • 415 Acute cor pulmonale

ICD10

  • I27.81 Cor pulmonale (chronic)

  • I26.09 Other pulmonary embolism with acute cor pulmonale

SNOMED

  • 83291003 Cor pulmona...

FAQ

  • Q: Is cardiac catheterization indicated in all patients with cor pulmonale?

  • A: Yes. Although a great deal of information can be learned from echocardiogram and other diagnostic tests, direct pulmon...

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