7 cor pulmonale

Cor Pulmonale (Pulmonary Heart Disease) Guo Yubiao, M.D & Ph.D Pulmonary & Critical Care Medicine The first Affiliated Hospital of Sun-Yat Set University

Presentation Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Classification ,[object Object],[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object]

Definition of Chronic Cor Pulmonale ,[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology ,[object Object],[object Object],[object Object],[object Object]

Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Functional factors of increase of vascular resistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anatomical factors of increase of vascular resistance ,[object Object],[object Object],[object Object],[object Object],[object Object]

Increased blood volume and hyperviscosity ,[object Object],[object Object],[object Object],[object Object]

Cardiac disorders and heart failure ,[object Object],[object Object],[object Object]

Damages to other vital organs ,[object Object],[object Object]

Pulmonary diseases Hypoxia, hypercapnia/acidosis Pulmonary Destruction of capillary bed Blood volume ↑ vasoconstrition Blood viscosity ↑ Pulmonary hypertension Right heart workload ↑ Right ventricular hypertrophy Right heart failure Impaired Toxic effect from bacteria Cardiac myocardial function on myocardium arrythmia Myocardial hypoxia Recurrent Electrolytic and Accumulation of lactate pneumonia acid-base disturbance

Clinical manifestations ,[object Object],[object Object]

Compensatory stage of the respiratory and cardiac function ,[object Object],[object Object]

De-compensatory stage of the respiratory and cardiac function ,[object Object],[object Object],[object Object],[object Object]

Right heart failure ,[object Object],[object Object]

Chest radiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Electrocardiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Electrocardiography of Chronic Cor Pulmonale

Echocardiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Arterial blood gas analysis ,[object Object],[object Object],[object Object],[object Object]

Serum assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]

Others ,[object Object],[object Object],[object Object],[object Object]

Diagnosis ,[object Object],[object Object],[object Object]

Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Control of infection ,[object Object],[object Object],[object Object],[object Object],[object Object]

Oxygen therapy ,[object Object],[object Object]

Control of heart failure ,[object Object],[object Object],[object Object],[object Object],[object Object]

Diuretics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Vasodilators ,[object Object],[object Object]

Positive inotropic agents-digitalis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object]

Stage of non-exacerbation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prognosis ,[object Object],[object Object],[object Object]

Prevention ,[object Object],[object Object],[object Object],[object Object]

7 cor pulmonale

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7 cor pulmonale