They include chronic coughing, wheezing, weakness, fatigue, and shortness of breath. Edema (abnormal buildup of fluid), weakness, and discomfort in the upper chest may be evident in cor pulmonale
85% of patients diagnosed with cor pulmonale have COPD
The prognosis of Cor pulmonale can vary depending on the underlying cause and severity of the condition. If the underlying respiratory condition is well managed, the prognosis can be good. However, if left untreated, Cor pulmonale can lead to complications such as right-sided heart failure and worsening of respiratory symptoms.
Cor pulmonale is best prevented by prevention of COPD and other irreversible diseases that lead to heart failure
A large pulmonary thromboembolism (blood clot) may lead to acute cor pulmonale
Treatment of cor pulmonale is aimed at increasing a patient's exercise tolerance and improving oxygen levels of the arterial blood
Cor pulmonale
Cor Pulmonale
Tests used to support a diagnosis of cor pulmonale may include arterial blood gas analysis, pulmonary function tests, x-rays, MRIs, and hematocrit
Cor Pulmonale is increased strain on the right side of the heart due to lung diseases that increase the pressure of the blood flowing through the lungs. The right ventricle tries to push blood through the diseased and usually scarred lung via vessels called pulmonary arteries, but has trouble doing this because of the scarring, resulting in increased pressure in the artery and therefore the right ventricle. The right ventricle compensates by getting bigger, and ultimately stops working so well.
Cor pulmonale, which is right-sided heart failure due to lung disease, is more commonly associated with chronic bronchitis than emphysema. This is because chronic bronchitis leads to more significant hypoxia and increased pulmonary vascular resistance, which contributes to the development of cor pulmonale. While emphysema can also lead to cor pulmonale, the effects are generally less pronounced compared to chronic bronchitis. Overall, chronic bronchitis presents a greater risk for the development of this condition.
This condition can lead to heart failure
right-sided heart failure, when the right ventricle is hypertrophied or dilated which is secondary to pulmonary hypertension (usu. d/t pulmonary embolism in acute cor pulmonale, but d/t COPD in chronic cor pulmonale)