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	Cor pulmonale - Wikipedia, the free encyclopedia
		Cor pulmonale is a medical term used to describe a change in structure and function of the right ventricle of the heart as a result of a respiratory disorder.
		Cor pulmonale may lead to congestive heart failure (CHF), with worsening of respiration due to pulmonary edema, swelling of the legs due to peripheral edema and painful congestive hepatomegaly.
		CHF is a negative prognostic indicator in cor pulmonale.
	en.wikipedia.org /wiki/Cor_pulmonale (337 words)

	Cardiology Advisor 2005.2: Cor Pulmonale
		Cor pulmonale is enlargement of the heart's right pumping chamber (right ventricle) due to high blood pressure in the lungs.
		Cor pulmonale usually occurs late in the course of lung disease.
		Less commonly, cor pulmonale may be caused by small blood clots that repeatedly come from veins lower in the body and lodge in the lung blood vessels.
	www.fairview.org /healthlibrary/content/ca_corpulmo_car.htm (753 words)

	THE MERCK MANUAL, Sec. 16, Ch. 203, Heart Failure
		Cor pulmonale is directly caused by alterations in pulmonary circulation that lead to pulmonary arterial hypertension, thereby increasing the mechanical load on RV emptying (afterload).
		Cor pulmonale should be suspected in all patients with one of the underlying causes (see Etiology, above).
		In cor pulmonale due to disease of the pulmonary parenchyma, clinical manifestations of the primary disease frequently overshadow those of cor pulmonale.
	www.merck.com /mrkshared/mmanual/section16/chapter203/203c.jsp (1161 words)

	PCCU Volume 18, Lesson 20
		Cor pulmonale was defined in 1963 by the World Health Organization as "hypertrophy of the right ventricle resulting from diseases affecting the function and/or structure of the lungs, except when these pulmonary alterations are the result of diseases that primarily affect the left side of the heart, as in congenital heart disease."
		The diagnosis of cor pulmonale was established by ECG in 43 patients (78.18%) and by echocardiography in 57 patients (95%).
		Finally, cor pulmonale is associated with increased mortality and risk of hospital readmission, and influences the length of hospital stay during acute exacerbations of COPD.
	www.chestnet.org /education/online/pccu/vol18/lessons19_20/lesson20.php (3207 words)

	Home \| aHealthyme.com
		Cor pulmonale is an increase in bulk of the right ventricle of the heart, generally caused by chronic diseases or malfunction of the lungs.
		Cor pulmonale, or pulmonary heart disease, occurs in 25% of patients with chronic obstructive pulmonary disease (COPD).
		The prognosis for cor pulmonale is poor, particularly because it occurs late in the process of serious disease.
	www.ahealthyme.com /article/gale/100084394 (630 words)

	Pulmonary Hypertension: Merck Manual Home Edition
		Cor pulmonale and pulmonary hypertension are sometimes thought of as synonymous, but they are not.
		Pulmonary hypertension is the underlying cause of cor pulmonale.
		Cor pulmonale is a disorder in which the right ventricle of the heart becomes enlarged and thickened, eventually resulting in heart failure.
	www.merck.com /mmhe/sec04/ch054/ch054a.html (1747 words)

	Your lungs
		Cor pulmonale literally means “the heart of the lungs.” Its formal pathological definition is “right ventricular enlargement, hypertrophy, or dilation, secondary to lung disease.” To understand cor pulmonale, one must appreciate the physiology of the normal pulmonary circulatory system and its response to disease.
		Time and experience have shown that digitalis is not effective in the treatment of cor pulmonale when it is used without first controlling the patient's underlying hypoxemia and pulmonary hypertension.
		Digitalis is a poor inotropic agent in cor pulmonale, but it still has a role as a chronotropic drug since it helps control ventricular rates in patients with atrial fibrillation or flutter and a fast ventricular response.
	www.nlhep.org /books/TrtmntCOPD/18_treatment_complications_H5.html (1091 words)

	Cor Pulmonale - Patient UK
		The term "cor pulmonale" is a term which has varied in its definition over the years, but is generally accepted as describing a condition in which there is pulmonary arterial hypertension i.e.
		As many patients with cor pulmonale will have COPD as a result of cigarette smoking, assessment must be made of the safety aspects of supplying domicillary oxygen to patients prior to prescribing this form of therapy.
		Warfarin may be used in the treatment of acute cor pulmonale due to pulmonary embolic disease, or may also be used to prevent thromboembloic disease in patients with chronic cor pulmonale who may be at risk e.g.
	www.patient.co.uk /showdoc/40000652 (879 words)

	Occupational disease issues about Addendum To IDSP Report No. 10, Report To The Workers' Compensation Board On Cor ...
		Cor pulmonale is defined as hypertrophy of the right ventricle that results from diseases affecting the function and structure of the lung, except when these pulmonary alterations are the result of diseases that primarily affect the left side of the heart, or are from congenital heart disease (3).
		Cor pulmonale is difficult to diagnose on clinical grounds because signs and symptoms are late and non-specific (5).
		As Fishman notes, after age 50 cor pulmonale is the most common cardiac disorder except for coronary and hypertensive heart disease and most of these instances (of cor pulmonale) are secondary to obstructive disease of the airway and subsequent pulmonary hypertension that follows.
	www.canoshweb.org /odp/html/Rpt10a.htm (4642 words)

	eMedicine - Cor Pulmonale : Article by Nidal A Yunis, MD
		Although the prevalence of COPD in the United States is about 15 million, the exact prevalence of cor pulmonale is difficult to determine because it does not occur in all cases of COPD and the physical examination and routine tests are relatively insensitive for the detection of pulmonary hypertension.
		Electrocardiogram: ECG abnormalities in cor pulmonale reflect the presence of RVH or strain.
		In the management of cor pulmonale, the main indication for oral anticoagulants is in the setting of an underlying thromboembolic event or primary pulmonary arterial hypertension.
	www.emedicine.com /med/topic449.htm (3781 words)

	MEDSTUDENTS-PNEUMOLOGY
		Cor pulmonale can occur acutely as a result of a single large embolus or chronically from the cumulative effect of multiple small emboli.
		the presence of hypotension from acute cor pulmonale nearly always means that the right ventricule is dilated and overfilled and is working against an extremely high afterload and triscupid regurgitation, and any effort to increase flow is met with a dramatic rise in pulmonary arterial and right ventricular pressures.
		Clinically, acute cor pulmonale with hypotension looks a little like hypovolemic shock, but with respect to the Starling curve, it is just the opposite, and agressive fluid challenge often pushes a dilated right ventricule into complete collapse.
	www.medstudents.com.br /pneumo/pneumo1.htm (1599 words)

	Health Information (Site not responding. Last check: 2007-10-21)
		In addition to COPD, cor pulmonale may also be caused by lung diseases, such as cystic fibrosis, pulmonary embolism and, pneumoconiosis.
		Magnetic resonance imaging (MRI) is often the preferred method of diagnosis for cor pulmonale because it can clearly show and measure volume of the pulmonary arteries.
		Treatment of cor pulmonale is aimed at increasing a patient's exercise tolerance and improving oxygen levels of the arterial blood.
	ehealthconnection.com /regions/Lorain/health_information/00043880.asp (675 words)

	MedlinePlus Medical Encyclopedia: Cor pulmonale
		Surgery may be used to reverse heart defects that cause cor pulmonale.
		Progressive pulmonary hypertension and cor pulmonale may lead to severe fluid retention, life-threatening shortness of breath, shock, and death.
		Careful evaluation of childhood heart murmurs may prevent cor pulmonale caused by certain heart defects.
	www.nlm.nih.gov /medlineplus/ency/article/000129.htm (538 words)

	Cor pulmonale
		Cor pulmonale is failure of the right side of the heart caused by prolonged high blood pressure in the pulmonary artery and right ventricle of the heart.
		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.
		When this right ventricle fails or is unable to properly pump against these abnormally high pressures, this is called cor pulmonale.
	www.umm.edu /ency/article/000129.htm (289 words)

	Cor pulmonale: a variation on a theme -- 77 (912): 669 -- Postgraduate Medical Journal
		When cor pulmonale complicates pulmonary thromboembolism it is typically characterised by type 1 respiratory failure, as in
		of cor pulmonale attributable to pulmonary metastatic disease,
		Microscopic tumour embolism causing subacute cor pulmonale: a difficult antemortem diagnosis.
	pmj.bmjjournals.com /cgi/content/full/77/912/669e (639 words)

	Information about cor pulmonale
		Cor pulmonale is also called right-sided heart failure.
		When the right ventricle of the heart fails or is unable to properly pump against these abnormally high pressures, this is called cor pulmonale.
		Cor pulmonale may lead to severe fluid retention, life-threatening shortness of breath, shock, and in severe cases, death.
	www.mamashealth.com /heart/cor.asp (237 words)

	Report to the Workers' Compensation Board on Cor Pulmonale July 1992
		Panel minutes of that meeting note that "these cases provide evidence linking a death diagnosis of cor pulmonale (or other heart conditions such as chronic myocarditis or myocardial failure) with pulmonary fibrosis." The Panel was unable to determine from the Board if these cases resulted in the awarding of survivors' benefits.
		It includes cor pulmonale as an example of a specific causal relationship in which heart disease occurs secondarily to occupational lung disease.
		Cor pulmonale is a common finding and can be a contributory cause of death among patients suffering from severe pulmonary disease, especially if chronic hypoxemia (low arterial oxygen) is present.
	www.canoshweb.org /odp/html/JUL1992.htm (2642 words)

	Echo-Doppler Demonstration of Acute Cor Pulmonale at the Bedside in the Medical Intensive Care Unit -- Vieillard-Baron ...
		(B) Acute cor pulmonale complicating massive pulmonary embolism, with a typical septal dyskinesia, the interventricular septum moving toward the center of the left ventricular cavity at the onset of diastole, as indicated by arrows.
		On Day 3, acute cor pulmonale was present, with an increased and premature peak velocity of pulmonary artery flow (more than 1 m/second) and equalization of E and A peak velocity on mitral flow, indicating impaired LV relaxation.
		The occurrence of acute cor pulmonale as a complication of acute
	ajrccm.atsjournals.org /cgi/content/full/166/10/1310 (4647 words)

	CHRONIC COR PULMONALE -- Weitzenblum 89 (2): 225 -- Heart
		Cor pulmonale is a common type of heart disease, as a result
		syndrome") is a relatively frequent cause of cor pulmonale.
		Pathophysiology of cor pulmonale in chronic obstructive pulmonary disease.
	heart.bmjjournals.com /cgi/content/full/89/2/225 (3575 words)

	Cor Pulmonale
		Pulmonary hypertension is usually caused by lung disease (most commonly chronic bronchitis or emphysema).
		Any disease that causes chronically low blood levels of oxygen may lead to pulmonary hypertension and cor pulmonale.
		Cor pulmonale is usually chronic (long-term), but it may be acute and reversible.
	www.e-radiography.net /radpath/c/cor_pulmonale.htm (140 words)

	Introduction: Cor pulmonale - WrongDiagnosis.com
		Cor pulmonale information: Enlarged heart due to respiratory difficulty.
		Researching symptoms of Cor pulmonale: Further information about the symptoms of Cor pulmonale is available including a list of symptoms of Cor pulmonale, or alternatively return to research other symptoms in the symptom center.
		Causes of Cor pulmonale: Research more detailed information about the causes of Cor pulmonale, other possibly hidden causes of Cor pulmonale, or other general information about Cor pulmonale.
	www.wrongdiagnosis.com /c/cor_pulmonale/intro.htm (149 words)

	Cor pulmonale (Site not responding. Last check: 2007-10-21)
		Cor pulmonale is enlargement of the right side of the heart, which pumps blood to the lungs.
		This enlargement occurs when the heart has to work harder to pump blood through damaged lungs, such as when a person's lungs are damaged because of chronic obstructive pulmonary disease (COPD).
		People with cor pulmonale are short of breath because they get too little oxygen into their blood.
	www.meritcare.com /hwdb/showtopic.aspx?module_abbrev=HWKB4&pd_hwid=stc123749-sec&topic_name=Cor (109 words)

	Cor pulmonale
		Chronically low blood levels of oxygen may lead to pulmonary hypertension (high blood pressure in the lungs), and possibly to cor pulmonale.
		Cor pulmonale is also called right-sided heart failure, and is characterized by enlargement of the right ventricle.
		Treatment targets the underlying illness and may include supplemental oxygen, a low-salt diet or calcium channel blockers.
	www.mercydesmoines.org /ADAM/Encyclopedia/imagepages/18131.asp (186 words)

	Postgraduate Medicine: How to manage secondary pulmonary hypertension
		Its failure is a major predictor of poor outcome in cor pulmonale that results from lung disease or chronic hypoxia; in rheumatic mitral valve disease; and in ischemic cardiomyopathy that occurs after valvular and coronary bypass surgery.
		When COPD is complicated by cor pulmonale, about 50% of patients die within 7 years, whereas patients without cor pulmonale survive an average of 13.5 years (2).
		In cor pulmonale, vasodilating drugs offer no demonstrated long-term symptomatic improvement or survival advantage and may have adverse effects.
	www.postgradmed.com /issues/1999/02_99/ricciardi.htm (2954 words)

	Symptoms of Cor pulmonale - WrongDiagnosis.com
		This signs and symptom information for Cor pulmonale has been gathered from various sources, may not be fully accurate, and may not be the full list of Cor pulmonale signs or Cor pulmonale symptoms.
		Furthermore, signs and symptoms of Cor pulmonale may vary on an individual basis for each patient.
		Note that Cor pulmonale symptoms usually refers to various symptoms known to a patient, but the phrase Cor pulmonale signs may refer to those signs only noticable by a doctor:
	www.wrongdiagnosis.com /c/cor_pulmonale/symptoms.htm (253 words)

	Serum Soluble Fas in Patients with Schistosomal Cor pulmonale - Karger Publishers
		Objectives: The aim of this study was to assess serum levels of soluble Fas (sFas), an inhibitor of apoptosis, in patients with schistosomal cor pulmonale as compared to patients with cor pulmonale due to chronic obstructive pulmonary disease (COPD) and normal subjects.
		Methods: Serum sFas was assessed in 15 men with schistosomal cor pulmonale (age 32 ± 10 years), 15 men with chronic cor pulmonale secondary to COPD and 20 healthy men, matched for age.
		Conclusions: Serum sFas levels are elevated in patients with schistosomal cor pulmonale and they are related to the severity of pulmonary hypertension.
	content.karger.com /ProdukteDB/produkte.asp?Aktion=ShowAbstract&ProduktNr=224278&Ausgabe=229812&ArtikelNr=75201 (339 words)

	COR PULMONALE IN SYSTEMIC LUPUS ERYTHEMATOSUS: A CASE REPORT AND REVIEW OF THE LITERATURE: 15(3)
		We report here a case of SLE who presented with severe pulmonary hypertension and cor pulmonale without any evidence of parenchymal lung disease.
		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.
		Yeo PPB, Sinniah R. Lupus cor pulmonale with electron microscope and immunofluorescent antibody studies.
	www.kfshrc.edu.sa /annals/153/93262.html (1123 words)

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