Is pulmonary heart disease serious?

Written by Li Tao
Pulmonology
Updated on September 23, 2024
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Cor pulmonale refers to the disease characterized by changes in the structure and function of the right ventricle due to increased pressure resistance in the pulmonary vessels, caused by abnormalities in the bronchopulmonary tissue, thoracic cage, pulmonary vessels, etc., ultimately leading to pulmonary arterial hypertension. Common symptoms of cor pulmonale observed clinically include coughing, production of phlegm, shortness of breath, chest tightness after activity, and difficulty breathing. Some individuals may experience respiratory failure and symptoms of heart failure. The severity of cor pulmonale depends firstly on the underlying causes of the disease. For instance, conditions like pulmonary embolism and pulmonary hypertension generally have a poorer and more serious prognosis. Secondly, extensive lung infections leading to a loss of cardiopulmonary compensation, resulting in respiratory failure and heart failure, typically indicate a more severe condition.

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Written by Li Tao
Pulmonology
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Manifestations of Cor Pulmonale

Cor pulmonale refers to a disease characterized by changes in heart structure and function due to increased pulmonary vascular resistance caused by pathological conditions of the bronchi, lungs, thoracic cage, or pulmonary vessels, leading to pulmonary arterial hypertension. This condition is collectively known as cor pulmonale. The clinical manifestations of cor pulmonale generally develop slowly. Clinically, in addition to pulmonary and pleural symptoms, there gradually appear signs of pulmonary cardiac failure and damage to other organs. Common symptoms include coughing, expectoration, palpitations, dyspnea, fatigue, decreased endurance to physical activity. In the decompensated stage, symptoms such as worsening dyspnea, headaches, insomnia, decreased appetite, and even some signs of right heart failure like palpitations, poor appetite, abdominal bloating, nausea, and swelling of the lower limbs may occur.

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Written by Zhang Yue Mei
Cardiology
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Can people with heart disease drink alcohol?

Patients with heart disease should avoid drinking alcohol, especially those with severe conditions such as heart failure and arrhythmias. Drinking can excite the sympathetic nervous system, increasing heart rate and triggering episodes of arrhythmia, and exacerbating heart failure. Heart disease patients typically require medication, and consuming alcohol during treatment can cause chemical changes in some medications, affecting their effectiveness. Both alcohol and medications need to be detoxified in the liver, so drinking while on medication can increase the liver's burden, potentially leading to long-term liver damage.

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Written by Zhang Yue Mei
Cardiology
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How to prevent heart disease

In clinical settings, heart diseases include congenital heart disease, coronary heart disease, rheumatic heart disease, pneumonic heart disease, cardiomyopathy, etc. Some diseases are preventable, such as the most common coronary heart disease. The occurrence of coronary heart disease is due to long-term lipid metabolism disorders and increased blood lipids, which cause arteriosclerosis and subsequent coronary atherosclerosis, leading to insufficient myocardial blood supply and myocardial damage. Preventing and treating hyperlipidemia and reducing arteriosclerosis can decrease the incidence of coronary heart disease.

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Written by Chen Tian Hua
Cardiology
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Can heart disease be inherited?

Whether heart disease is hereditary depends on the specific type of heart disease. Some heart conditions are hereditary diseases, such as hypertrophic cardiomyopathy, which is an autosomal dominant inherited disease and can be inherited. Some heart diseases are related to genetics, such as coronary heart disease and dilated cardiomyopathy. These genetically related diseases significantly increase the risk of their offspring developing these conditions, but it does not necessarily mean that they will develop the disease, as environmental factors also play a crucial role. Of course, some heart diseases are not genetic, such as most congenital heart diseases, heart valve diseases, infective endocarditis, and myocarditis, which are not related to genetics.

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Written by Zhang Yue Mei
Cardiology
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Rheumatic Heart Disease Concept

Rheumatic heart disease is a type of organic heart disease caused by a hypersensitivity reaction in the body due to infection by Streptococcus pyogenes. This leads to pathological changes in the heart valves, including the tricuspid and mitral valves, resulting in stenosis or insufficiency which affects hemodynamics. This condition is known as rheumatic heart disease. Patients with rheumatic heart disease should actively seek treatment under the guidance of a doctor in the early stages to control the occurrence of complications.