Caption: Figure 4: The patient 30 (case 32), a 59-year-old man, was complicated by pneumoconiosis, cor pulmonale
, uarthritis, hypertension, and respiratory failure, had the GPB in the right lung (thick arrow) (a).
Caille et al., "Prevalence and prognostic value of acute cor pulmonale
and patent foramen ovale in ventilated patients with early acute respiratory distress syndrome: A multicenter study," Intensive Care Medicine, vol.
(26) The Centers for Medicare and Medicaid Services (CMS) (27) and American Association for Respiratory Care (AARC)(23) guidelines specifically mention the use of supplemental oxygen in patients with heart failure stating, "Long-term supplemental oxygen therapy is indicated for hypoxemia (Pa[O.sub.2] [less than or equal to] 55 mm Hg or Sa[O.sub.2] [less than or equal to] 88% in subjects breathing room air, OR Pa[O.sub.2] of 56-59 mm Hg or Sa[O.sub.2]/Sp[O.sub.2] [less than or equal to] 89% in association with specific clinical conditions such as cor pulmonale
, heart failure, or erythrocythemia with a hematocrit > 56) at rest, during sleep, during ambulation, or during exercise."
In the present study, BHD has been extended to other vascular and relative disorders, including chronic cor pulmonale
at acute onset period, vascular complications of diabetes mellitus such as diabetic nephropathy and diabetic peripheral neuropathy and primary nephrotic syndrome, characterized by an increase in permeability of the capillary walls of the glomerulus.
Haemodynamic and endocrine effects of type 1 angiotensin II receptor blockade in patients with hypoxaemic cor pulmonale
. Cardiovasc Res 1997; 33: 201-8.
A Cor pulmonale
is actually high blood pressure in the lungs due to damage caused by smoking.
The main causes of death in COPD patients include respiratory acidosis (CO2 retention) and coma, right sided heart failure (cor pulmonale
) and massive collapse of the lungs secondary to pneumothorax (Kumar 2005).
The first patient, with a serum albumin level of 16 g/l, had pulmonary tuberculosis (TB) with cor pulmonale
and a haemoglobin concentration of 8 g/dl.
C-type natriuretic peptide levels in cor pulmonale
and in congestive heart failure.
However, left ventricular dysfunction, pulmonary embolism, and cor pulmonale
must be ruled out.
In contrast, in a later series of 30 rural Mexican women with pulmonary hypertension and cor pulmonale
, all of the women had dyspnea and nearly all had a productive cough.
Surgery is required only when there are signs of failure to thrive, obstructive sleep apnea, cor pulmonale
, severe reflux, or apnea while awake or when the disease does not spontaneously resolve as anticipated.