1. MEDLINEplus Medical Encyclopedia: Cor Pulmonale A definition, causes, and risk factors for cor pulmonale.Category Health Conditions and Diseases cor pulmonale......cor pulmonale. When this right ventricle fails or is unable to properly pumpagainst these abnormally high pressures, this is called cor pulmonale. http://www.nlm.nih.gov/medlineplus/ency/article/000129.htm

Skip navigation Medical Encyclopedia Other encyclopedia topics: A-Ag Ah-Ap Aq-Az B-Bk ... Z Cor pulmonale Contents of this page: Illustrations Alternative names Definition Causes, incidence, and risk factors ... Prevention Illustrations Sarcoid, stage IV - chest X-ray Acute vs. chronic conditions Cor pulmonale Respiratory system Alternative names Return to top Right-sided heart failure Definition Return to top Failure of the right side of the heart caused by prolonged high blood pressure in the pulmonary artery and right ventricle of the heart. Causes, incidence, and risk factors Return to top Normally, the left side of the heart produces a higher level of blood pressure in order to pump blood to the body; the right side pumps blood through the lungs under much lower pressure. Any condition that leads to prolonged high blood pressure in the arteries or veins of the lungs (called pulmonary hypertension) will be poorly tolerated by the right ventricle of the heart. When this right ventricle fails or is unable to properly pump against these abnormally high pressures, this is called cor pulmonale. Almost any chronic lung disease or condition causing prolonged low blood oxygen can lead to cor pulmonale. A few of these causes include:

2. COR PULMONALE IN SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT AND REVIEW OF THE L Reports a case of SLE who presented with severe pulmonary hypertension and cor pulmonale without any Category Health Conditions and Diseases cor pulmonale......May 1995. cor pulmonale IN SYSTEMIC LUPUS ERYTHEMATOSUS A CASE REPORTAND REVIEW OF THE LITERATURE. M. Jawaid Akhtar, MRCP(UK), FRCP http://www.kfshrc.edu.sa/annals/153/93262.html

May 1995 COR PULMONALE IN SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT AND REVIEW OF THE LITERATURE M. Jawaid Akhtar, MRCP(UK), FRCP(Ire); Sulaiman Al-Majed, FRCP(C) From the Divisions of Cardiology (Dr. Akhtar) and Chest (Dr. Al-Majed), Department of Medicine, King Khalid University Hospital, Riyadh. Address reprint requests and correspondence to Dr. Akhtar: Division of Cardiology, Department of Medicine (38), College of Medicine, King Saud University, P.O. Box 2925, Riyadh 11461, Saudi Arabia. Accepted for publication 10 August 1994. Pulmonary hypertension is rare in patients with systemic lupus erythematosus (SLE) although pulmonary involvement occurs in about 50%. Pulmonary hypertension without obvious pulmonary infiltration is even rarer, the mechanism of which is unclear. We report here a case of SLE who presented with severe pulmonary hypertension and cor pulmonale without any evidence of parenchymal lung disease. Case Report The patient was a 19-year-old Saudi female who was admitted to King Khalid University Hospital, Riyadh with a two-year history of dyspnea, easy fatigability, palpitations, anorexia, loss of weight, dry cough and episodic attacks of fever every three to four months with night sweats for the last two years. Five days prior to admission she developed pain in various large and small joints with swelling in interphalangeal and right wrist joints and described features of Raynaud's phenomenon. Chest roentgenogram showed cardiomegaly with prominent pulmonary conus. No lung infiltrate was noticed. High resolution computed tomography (CT) scan was not done. Ultrasound of the abdomen revealed an enlarged liver with mild ascites. Pulmonary function test revealed a restrictive pattern with decreased diffusion lung capacity. Ventilation/perfusion scan of the lungs did not reveal any evidence of pulmonary embolism. Cross-sectional echocardiography and Doppler studies revealed significant enlargement of the right atrium and right ventricle with dilated pulmonary artery and moderate degree of pericardial effusion. Moderate tricuspid incompetence was also detected.

3. EMedicine - Cor Pulmonale : Article By Nidal A Yunis, MD Overview of the disease along with clinical information, treatments, and medications.Category Health Conditions and Diseases cor pulmonale......cor pulmonale cor pulmonale is defined as an alteration in the structure and functionof the right ventricle caused by a primary disorder of the respiratory http://www.emedicine.com/med/topic449.htm

(advertisement) Home Specialties CME PDA ... Patient Education Articles Images CME Patient Education Advanced Search Link to this site Back to: eMedicine Specialties Medicine, Ob/Gyn, Psychiatry, and Surgery Cardiology Cor Pulmonale Last Updated: December 18, 2001 Rate this Article Email to a Colleague Synonyms and related keywords: right heart failure, right ventricular failure AUTHOR INFORMATION Section 1 of 10 Author Information Introduction Clinical Differentials ... Bibliography Author: Nidal A Yunis, MD , Cardiovascular Medicine Fellow, St. Elizabeth's Medical Center of Boston, Clinical Assistant Professor, Department of Medicine, Brown University Coauthor(s): Robert S Crausman, MD, MMS , Associate Professor of Medicine, Brown University School of Medicine; Chief, Division of Geriatrics, Program Director, Department of Medicine, Memorial Hospital of Rhode Island Nidal A Yunis, MD, is a member of the following medical societies: American Medical Association Editor(s): Gregory J Dehmer, MD Francisco Talavera, PharmD, PhD

4. COR PULMONALE Detailed description including the symptoms, diagnoses, treatment, and treatment of underlying etiology. cor pulmonale. WHAT IS cor pulmonale. cor pulmonale is defined as a complication of disorders that slow or block blood http://www.cyber-nurse.com/veetac/horrorcorpul.htm

COR PULMONALE WHAT IS COR PULMONALE Cor Pulmonale is defined as a complication of disorders that slow or block blood flow in the lungs, resulting from raised blood pressure in the lungs. A deadly form of Congestive Heart Failure, it creates enlargement or hypertrophy of the right ventricle in response to increased right ventricular afterload. Cor Pulmonale presents as right heart failure, which is defined by a sustained increase in right ventricular pressures combined with an inability to balance the cardiac output in response to exercise or other stimuli. Both sexes and all ages are effected by this devistating illness, but it is most common in men over 40. SYMPTOMS There are generally no symptoms in the early stages. The most common presenting complaints of patients with cor pulmonale are: dyspnea on exertion fatigue Syncope and near syncope chest pain palpitations leg edema Distended neck veins Bluish skin Enlarged liver and swollen abdomen DIAGNOSIS Physical findings may be subtle early. Jugular venous pressures are always increased. Cardiac palpation may reveal a right ventricular heave. P2 is increased and moves closer to A2 as the pulmonary pressures increase. Eventually S2 may be fixed and paradoxically split. Increased right atrial pressures may lead to dependent edema, hepatojugular reflux, and ascites. Lateral CXR Showing Cor Pulmonale The chest x-ray may reveal right ventricular hypertrophy, manifest as filling of the retrocardiac space on the lateral film, and increased PA size.

5. THE MERCK MANUAL, Sec. 16, Ch. 203, Heart Failure Acute cor pulmonale usually results from massive pulmonary embolization but often occurs as acute reversible http://www.merck.com/pubs/mmanual/section16/chapter203/203c.htm

This Publication Is Searchable The Merck Manual of Diagnosis and Therapy Section 16. Cardiovascular Disorders Chapter 203. Heart Failure Topics [General] Cardiomyopathy Cor Pulmonale Cor Pulmonale Right ventricular enlargement secondary to a lung disorder that produces pulmonary artery hypertension (eg, intrinsic pulmonary disease, abnormal chest bellows, depressed ventilatory drive). Cor pulmonale does not refer to right ventricular (RV) enlargement secondary to left ventricular (LV) failure, congenital heart disease, or acquired valvular heart disease. It is usually chronic but may be acute and reversible. Etiology Acute cor pulmonale usually results from massive pulmonary embolization but often occurs as acute reversible exacerbations of chronic cor pulmonale in patients with COPD, usually during acute respiratory infection. Chronic cor pulmonale is usually caused by COPD (chronic bronchitis, emphysema) and less often by extensive loss of lung tissue from surgery or trauma, chronic unresolved pulmonary emboli, primary pulmonary hypertension (see below ), pulmonary veno-occlusive disease, scleroderma, diseases leading to diffuse interstitial fibrosis, kyphoscoliosis, obesity with alveolar hypoventilation, neuromuscular diseases involving respiratory muscles, and idiopathic alveolar hypoventilation.

6. MDAdvice.com - Health Library - Symptoms, Illness & Surgery You have symptoms of cor pulmonale. The following occurs during treatment Temperature of 101F (38.3C) or higher. http://www.mdadvice.com/library/symp/illness98.html

HOME HEALTH LIBRARY AREAS ... ABOUT US COR PULMONALE MDAdvice.com Home Health Library Illnesses/Conditions General Information DEFINITION Congestive heart failure resulting from raised blood pressure in the lungs. This is a complication of disorders that slow or block blood flow in the lungs. BODY PARTS INVOLVED Lungs; heart; blood vessels. SEX OR AGE MOST AFFECTED Both sexes and all ages, but most common in men over 40. Early stages: No symptoms (usually). Later stages: Weakness and fatigue. Shortness of breath with exertion. Frequent fainting. Swelling of the ankles and feet caused by fluid retention. Distended neck veins. Bluish skin. Chest pain. Enlarged liver and swollen abdomen. and obstruct lung blood vessels. Primary diseases of the heart, including rheumatic heart disease and congenital heart disease. RISK INCREASES WITH Prolonged bed rest for any illness. This increases the chance of blood-clot formation. Smoking. Living at high altitudes. Occupational exposure to lung damaging materials. HOW TO PREVENT Don't smoke.

7. Pulmonary Hypertension And Cor Pulmonale Articles presented at the Sunrise Seminar held Feb. 1998. http://www.int-med.uiowa.edu/TrainingPrograms/pulmonary/fellowship/Sunrise Semin

8. Virtual Hospital: Adult Pulmonary Core Curriculum: COPD With Pulmonary Hypertens A discussion about treatments including betaagonist inhalers, anticholinergic inhalers, theophylline, corticosteroids and other therapies. http://www.vh.org/Providers/TeachingFiles/PulmonaryCoreCurric/COPD/Treatment.htm

For Providers Adult Pulmonary Core Curriculum: COPD with Pulmonary Hypertension and Cor Pulmonale Treatment of COPD Written by: Michael W. Peterson, M.D. Joel N. Kline, M.D. Charles Dayton, B.S., R. Ph. Elizabeth Beltz, Pharm. D., R. Ph. Peer Review Status: Externally Reviewed by the Department of Internal Medicine Virtual Hospital Editorial Board Pharmacological COPD treatment should be individualized to maximize benefit and minimize side effects of the medications. The American Thoracic Society recently suggested defining the severity of COPD based on spirometry and designing treatment based on disease severity (1). Regardless of severity, the therapeutic goal is bronchodilation, reducing inflammation, and facilitating expectoration. In patients with mild disease, this can be attained using intermittent inhaled beta agonist drugs. A trial of steroids may also be considered with monitoring for objective response as outlined below. Additional treatment decisions should be based on symptoms and response to treatment. A description of the drug classes available follows. Short and long-acting beta-agonist inhalers: These metered dose inhaled beta-agonist bronchodilators are the mainstay of treatment for COPD. However, the most appropriate dosing and dosing intervals have not been extensively studied. Most patients use the short acting inhalers at two puffs four daily, either scheduled or as needed. New, long-acting formulations might be useful when administered at bedtime to patients who report nocturnal symptoms. It is important to remember that the response to bronchodilators on spirometry does not identify all patients who will benefit from these agents. Clinical response should guide the use of the medication. Patients must use the metered dose inhalers appropriately to benefit, and instructions on the proper use of aerosol inhalers is mandatory for maximal effect. The National Asthma Education Program has published guidelines to aid health care professionals in

9. COR PULMONALE IN SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT AND REVIEW OF THE L cor pulmonale IN SYSTEMIC LUPUS ERYTHEMATOSUS A CASE REPORT AND REVIEW OF THELITERATURE. M. Jawaid Akhtar, MRCP(UK), FRCP(Ire); Sulaiman AlMajed, FRCP(C). http://www.kfshrc.edu.sa/annals/153/93262ab.html

May 1995 COR PULMONALE IN SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT AND REVIEW OF THE LITERATURE M. Jawaid Akhtar, MRCP(UK), FRCP(Ire); Sulaiman Al-Majed, FRCP(C) Pulmonary hypertension is rare in patients with systemic lupus erythematosus (SLE) although pulmonary involvement occurs in about 50%. Pulmonary hypertension without obvious pulmonary infiltration is even rarer, the mechanism of which is unclear. We report here a case of SLE who presented with severe pulmonary hypertension and cor pulmonale without any evidence of parenchymal lung disease.

10. Cor Pulmonale With Emphysema cor pulmonale With Emphysema from Ventricular Electrocardiography J. Willis Hurst,MD. Introduction. Am J Cardiol 16503, 1965.). cor pulmonale With Emphysema. http://www.medscape.com/viewarticle/404385

11. KRONÝK KOR PULMONALE - Dr. Cem Heper deer ise sa ventrikül hipertrofisi vardr. (cor pulmonale veya 60 ya üzerindekilerde V13'de r dalgalar http://www.kardiyo.net/kitap/kronikkorpulmonale.shtml

KARDÝYO ÝNDEX: Bir Konu Seçiniz... KARDÝYOVASKÜLER SÝSTEMÝN GELÝÞÝMÝ FETAL KARDÝYOLOJÝ ÇOCUK KARDÝYOLOJÝSÝ ERÝÞKÝN KARDÝYOLOJÝSÝ HÝPERTANSÝYON (YÜKSEK ARTERYEL KAN BASINCI) DÝSLÝPÝDEMÝLER ATEROSKLEROZ ÝSKEMÝK KALP HASTALIÐI (ÝKH) ANGÝNA PEKTORÝS KARARSIZ ANGÝNA MÝYOKART ÝNFARKTÜSÜ MÝYOKARD ENFARKTÜSÜ SONRASI REHABÝLÝTASYON ARÝTMÝLER KALP YETMEZLÝÐÝ KALP YETMEZLÝÐÝ ÝLAÇLARI KARDÝYO-PULMONER RESSÜSÝTASYON (KPR) SENKOP ve HÝPOTANSÝYON ÞOK KORONER ARTER BY-PASS GREFTLEME (KABG) AMELÝYATLARI REVASKULARÝZASYON SONRASI HASTA TAKÝBÝ TROMBOZÝS VE TROMBOEMBOLÝLER (KRONÝK OKLÜZÝF) PERÝFERÝK ARTER HASTALIÐI ENDOKART HASTALIKLARI KONJENÝTAL KALP HASTALIKLARI PERÝKARDÝTLER KARDÝYOMÝYOPATÝLER MÝYOKARDÝTLER GEBELÝK VE KARDÝYOVASKÜLER SÝSTEM KALP VE BÖBREK HASTALIÐI ÝNME (STROKE) EREKTÝL FONKSÝYON VE DÝSFONKSÝYONUN BÝYOLOJÝSÝ CÝNSEL ÝLÝÞKÝ VE KARDÝYOVASKÜLER SÝSTEM KRONÝK KOR PULMONALE KALP HASTALIKLARI VE SÝGARAYI BIRAKMA YÖNTEMLERÝ Kardiyo Arama KRONÝK KOR PULMONALE Dr.Cem Heper Tanýmý Akciðer yapý ve fonksiyonlarýnýn ileri derecede bozulmasýna baðlý olarak pulmoner dolaþýmýn bozulmasý, sað ventrikülde hipertrofi, dilatasyon ve/veya yetmezlik oluþmasýna kronik kor pulmonale denir. Epidemiyolojisi Kronik kor pulmonale organik kalp hastalýklarýnýn yaklaþýk %5-10'unu oluþturmaktadýr. Bu olgularýn yaklaþýk %20-30'unun kalp yetmezliði bulgularý ile baþvurduðu bildirilmiþtir. En sýk eriþkin sigara tiryakilerinde ve erkeklerde görülmektedir. Ancak kadýn sigara içicilerdeki artýþa paralel olarak kadýnlarda ki insidansýnda da hýzlý bir artýþ görüldüðü bildirilmektedir. Sadece ABD'de yýlda yaklaþýk 70.000 kronik kor pulmonale nedenli ölüm olayý bildirilmiþtir.

12. Cor Pulmonale With Emphysema cor pulmonale With Emphysema from Ventricular Electrocardiography. PulmonaryEmboli. Acute cor pulmonale Due to Acute Pulmonary Embolism http://www.medscape.com/viewarticle/404385_2

13. HEART AND LUNG DISEASE A brief article on cor pulmonale and its causes, diagnosis and treatment. http://cpmcnet.columbia.edu/texts/guide/hmg20_0005.html

Respiratory Diseases and Lung Health HEART AND LUNG DISEASE COR PULMONALE DEFINITION Cor pulmonale is failure of the right side of the heart due to lung dysfunction caused by emphysema, silicosis, or other severe lung disease. CAUSE The heart and the lungs are close in anatomical position and function. Reserves of blood in the lungs, and the lungs' ability to move that blood through the circulatory system and assist the heart's functions during violent exertion, tie the heart and lungs together as an integrated system. Normally, the pressure on the right side of the heart is much lower than the left, since the pressure required to push blood through the lungs is much less than that required to pump blood to the rest of the body. The lungs not only keep the blood well oxygenated, they also produce and inactivate substances that control circulation. When the lungs fail and the blood is not well oxygenated, the blood vessels in the lung constrict. Initially this may be protective, since it will divert blood from poorly ventilated or diseased portions of lung to healthy portions. However, if too many pulmonary blood vessels constrict, it puts excessive load on the right side of the heart, the part responsible for pumping blood into the lungs. As the pressure required to pump the blood through the constricted blood vessels increases, the heart muscle becomes overdeveloped to compensate. Eventually, the load on the heart becomes too great, causing failure of the right side of the heart.

14. Pulmonary Hypertension And Cor Pulmonale: Sunrise Seminar: Pulmonary, Critical C Pulmonary Hypertension and cor pulmonale. September 26, 2001 Stephen McGowanMD. Eur. Respir. J. 11 11531166, 1998. Achandro. K. cor pulmonale and COPD. http://www.int-med.uiowa.edu/TrainingPrograms/Pulmonary/SunriseSeminars/PulmHTN.

Internal Medicine home Appointments Blue Sheet This Week's Next Week's Clinical services and referrals Clinical trials ... Virtual Hospital® - UI Health Care's digital library Send comments and questions to Lori Strommer Pace University of Iowa Department of Internal Medicine: Pulmonary, Critial Care, and Occupational Medicine Fellowship Program: Sunrise Seminar Pulmonary Hypertension and Cor Pulmonale September 26, 2001 Stephen McGowan M.D. During our meeting we will focus on publications that have appeared since this topic was last reviewed in 1998, as well as some "classic" articles. There have been some very interesting developments in our understanding of the pathogenesis of pulmonary hypertension, which we will try to cover from the perspective of human disease. I have listed some questions that I thought would be worth considering, but you do not need to feel bound by these and should feel free to add to or replace these with issues that you think would enlighten the group. A. Pathology

15. MEDLINEplus Enciclopedia Médica: Cor Pulmonale Translate this page cor pulmonale. La falla o incapacidad de éste para bombear contra estaspresiones inusualmente elevadas se denomina cor pulmonale. http://www.nlm.nih.gov/medlineplus/spanish/ency/article/000129.htm

Omita y vaya al Contenido Otros enciclopedia temas: A-Ag Ah-Ap Aq-Az B-Bk ... Z Cor pulmonale Contenido: Definición Causas, incidencia y factores de riesgo Síntomas Signos y exámenes ... Sistema respiratorio Definición Volver al comienzo Es la insuficiencia del lado derecho del corazón causada por una presión arterial alta prolongada en la arteria pulmonar y en el ventrículo derecho del corazón. Causas, incidencia y factores de riesgo Volver al comienzo Normalmente, el lado izquierdo del corazón produce un nivel mayor de presión sanguínea con el fin de bombear sangre al cuerpo; el lado derecho bombea a través de los pulmones bajo una presión mucho más baja. Cualquier condición que lleve a un aumento prolongado de la presión en las arterias o venas de los pulmones (denominada hipertensión pulmonar) no será bien tolerada por el ventrículo cardíaco derecho. La falla o incapacidad de éste para bombear contra estas presiones inusualmente elevadas se denomina cor pulmonale. Casi cualquier enfermedad o condición pulmonar crónica que produzca disminución prolongada del oxígeno sanguíneo puede llevar a cor pulmonale. Algunas de estas causas son: Enfermedad pulmonar obstructiva crónica EPOC Apnea perturbadora del sueño Apnea central del sueño ... Enfermedad pulmonar por cifoscoliosis Fibrosis intersticial pulmonar difusa Enfermedad pulmonar tromboembolítica crónica Enfermedad pulmonar vascular, hipertensión pulmonar

16. Cholesterol Education Resources cor pulmonale, Book, Home Page, Pulmonology Index. PathophysiologyRight http://www.fpnotebook.com/CV141.htm

Home About Links Index ... Editor's Choice Paid Advertisement (click above). Please see the privacy statement Cardiovascular Medicine Hyperlipidemia Prevention ... Low Fat Diet Assorted Pages Hypercholesterolemia Hypertriglyceridemia AntiHyperlipidemic Cholesterol Education Resources ... HMG-CoA Reductase Inhibitor Cholesterol Education Resources Book Home Page Cardiovascular Medicine Dental Dermatology Emergency Medicine Endocrinology Gastroenterology General Medicine Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Cardiovascular Medicine Index Arrhythmia Coronary Artery Disease Congestive Heart Failure EKG Examination Ophthalmology Hypertension Infectious Disease Laboratory General Hyperlipidemia Pulmonology Myocardium Neurology Neonatology Obstetrics Pediatrics Pericardium Pharmacology Prevention Procedure Radiology Sports Medicine Surgery Symptom Evaluation Valvular Disease Vessel Page Hyperlipidemia Index Approach Approach Triglyceride Management Prevent Diet Resources See Also Hyperlipidemia Low Fat Diet Resources NIH National Cholesterol Education Program http://www.nhlbi.nih.gov/chd/

17. Cor Pulmonale Book Cardiovascular Medicine Notebook. Chapter Pulmonology. Topiccor pulmonale. Pathophysiology Right ventricular enlargement from http://www.fpnotebook.com/sample/CV127.htm

Book: Cardiovascular Medicine Notebook Chapter: Pulmonology Topic: Cor Pulmonale Pathophysiology Right ventricular enlargement from primary lung disease Results in Right Ventricular Hypertrophy Eventually leads to right ventricular failure Causes See Respiratory Causes of Pulmonary Hypertension Symptoms Retrosternal Chest Pain Cough Dyspnea Fatigue Sputum production Signs Tachycardia Cyanosis Finger Clubbing Accentuated right ventricle precordial thrust Along left sternal border Accentuated and Split pulmonic heart sound (P2) Right sided S4 Heart Sound Right Sided Heart Failure signs Kussmaul's Sign Distention of jugular neck veins on inspiration Pulsus Paradoxus Exaggerated fall in Blood Pressure on inspiration Jugular Vein Distention Hepatomegaly with Ascites Pedal edema Differential Diagnosis (Non-pulmonary disease) Mitral Stenosis Left to right cardiac shunts Labs Complete Blood Count Erythrocytosis Electrocardiogram Right Ventricular Hypertrophy Pulmonary Function Test s Arterial Blood Gas Radiology Chest XRay Enlarged pulmonary artery Dilated right ventricle Primary Pulmonary Hypertension signs Tapering of pulmonary artery branches Echocardiogram Right Ventricular Hypertrophy VQ Scan (Radionuclide Lung Scan) Evaluate suspected recurrent Pulmonary Embolism Management Pulmonary therapies Bronchodilator s Oxygen Antibiotics when indicated Right Ventricular Failure Low sodium diet Diuretics Digoxin (Use with caution) Chronic Anticoagulation on Coumadin Arrhythmias: Treat Supraventricular Tachyarrhythmias Digoxin Quinidine Verapamil Avoid Beta-Blocker s

18. Virtual Hospital: Adult Pulmonary Core Curriculum: COPD With Pulmonary Hypertens Adult Pulmonary Core Curriculum. COPD with Pulmonary Hypertension andcor pulmonale. University of Iowa Faculty Written by Michael http://www.vh.org/adult/provider/internalmedicine/PulmonaryCoreCurric/COPD/COPD.

For Providers Adult Pulmonary Core Curriculum COPD with Pulmonary Hypertension and Cor Pulmonale University of Iowa Faculty: Written by: Michael W. Peterson,* M.D. Associate Professor of Medicine Department of Medicine College of Medicine Joel N. Kline, M.D. Assistant Professor of Medicine Department of Medicine College of Medicine Charles Dayton, B.S., R. Ph. Clinical Pharmacy Specialist Department of Pharmaceutical Care Adjunct Instructor College of Pharmacy Elizabeth Beltz, Pharm. D., R. Ph. Clinical Pharmacy Specialist Department of Pharmaceutical Care Adjunct Assistant Professor College of Pharmacy Physician CME and Pharmacy CEUs Sponsored by: The Department of Internal Medicine University of Iowa Roy J. and Lucille A. Carver College of Medicine * Currently Professor, Department of Internal Medicine, University of CaliforniaFresno Peer Review Status: Externally Reviewed by the Department of Internal Medicine Virtual Hospital Editorial Board Creation Date: March 1996 Last Revision Date: June 1999 Part I. Case Presentation

19. Virtual Hospital: Adult Pulmonary Core Curriculum: COPD With Pulmonary Hypertens Adult Pulmonary Core Curriculum COPD with Pulmonary Hypertension and CorPulmonale. IV. Diagnosis of Pulmonary Hypertension and cor pulmonale. http://www.vh.org/adult/provider/internalmedicine/PulmonaryCoreCurric/COPD/PulmH

For Providers Adult Pulmonary Core Curriculum: COPD with Pulmonary Hypertension and Cor Pulmonale IV. Diagnosis of Pulmonary Hypertension and Cor Pulmonale Written by: Michael W. Peterson, M.D. Joel N. Kline, M.D. Charles Dayton, B.S., R. Ph. Elizabeth Beltz, Pharm. D., R. Ph. Peer Review Status: Externally Reviewed by the Department of Internal Medicine Virtual Hospital Editorial Board Other than the development of bronchogenic carcinoma, pulmonary hypertension and cor pulmonale may be the most serious consequences of COPD. Pulmonary hypertension is suspected on clinical grounds based on a loud P2, paradoxical splitting of S2, and prominent pulmonary arteries on CXR. Paradoxical splitting is due to the fact that during systole the pressure in the pulmonary artery increases until the pulmonic valve closes before the aortic valve. At that point, the splitting decreases on inspiration as the pulmonic valve closure is delayed. Without treatment, pulmonary hypertension can progress to cor pulmonale: right heart failure associated with pulmonary disease and pulmonary vascular disease in the absence of congenital heart disease or left sided heart disease.

20. Dr. Koop Discusses the causes and risks of cor pulmonale. http://www.drkoop.com/conditions/ency/article/000129.htm

Search Dr. Koop Web MEDLINE Special Offers Top Features Menopause Diabetes Center Joint Pain Mini-Check Up Allergy Center ... Allergy Quiz Resources Subscribe to our Free Newsletter Privacy Policy Advertisement The URL you requested is no longer available. Please use the search below to find topics and/or articles in drkoop.com. Top Centers Cancer Center Read the lastest news on Cancer, Chemotherapy and Anemia. HIV Center Read the lastest news on HIV, AIDS and sexually transmitted diseases. Allergy Sufferers Free Pollen Count and other useful tools. Read the latest news and search our encyclopedia. Arthritis Center Read the latest news, take a joint pain check up and find out what your RA personality is. The drkoop.com URL and web site is not associated with C. Everett Koop, M.D., former Surgeon General of the United States.

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