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Decreased pulmonary blood flow alone does not cause cyanosis. It is when decreased pulmonary blood flow is associated with right to left shunting (ie Tetralogy of fallot) that it is associated with cyanosis.

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Q: Why does decreased pulmonary blood flow cause cyanosis?
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Can pale progress to cyanosis?

It would depend on the cause of the paleness. Cyanosis is a blue tint to the skin which happens as a result of a lack of oxygen. So, unless the pallor is caused by a condition with decreased oxygen levels, it will not progress to cyanosis.


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Typically oxygen deprivation, but it is common it conditions like hypothermia and hypovolemic shock, where blood is shunted away from the skin to preserve the vital organs. Another cause in neonates is a congenital heart defect known as tetrology of fallot, where venous blood is shunted back through the systemic circulation instead of the pulmonary circulation.


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Decreased blood supply in the muscle can cause anoxia then paralysis.


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The pulmonary arteries are responsible for carrying deoxygenated blood to the lungs so decreased flow would cause an increase in the amount of carbon dioxide in the blood, which in return can increase hydrogen ion concentration. This can produce acidosis of the blood.


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Typically oxygen deprivation, but it is common it conditions like hypothermia and hypovolemic shock, where blood is shunted away from the skin to preserve the vital organs. Another cause in neonates is a congenital heart defect known as tetrology of fallot, where venous blood is shunted back through the systemic circulation instead of the pulmonary circulation.


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