Manifestations of Cor Pulmonale

Written by Li Tao
Pulmonology
Updated on September 21, 2024
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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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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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What is heart disease?

Heart disease is caused by various factors that invade the heart, resulting in the loss of its normal physiological functions. Common causes of heart disease include rheumatic heart disease, congenital heart disease, viral myocarditis, coronary artery disease, and pulmonary heart disease. These diseases are considered organic heart diseases, caused by various reasons that lead to pathological changes in the heart's muscles, valves, etc., losing the heart's normal ability to pump blood and supply the body with blood.

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Written by Li Tao
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How is cor pulmonale treated?

Cor pulmonale refers to the disease characterized by increased pulmonary vascular resistance due to pathological changes in the bronchi, lung tissue, thorax, or pulmonary vessels, leading to pulmonary arterial pressure and subsequently causing changes in the structure and function of the right ventricle. When cor pulmonale occurs, treatment is generally divided into the acute exacerbation phase where active control of infections, clearing of the airways, improvement of respiratory function, correction of hypoxia and carbon dioxide retention, control of respiratory failure and acute heart failure, and management of complications are emphasized. During the chronic remission phase, the goal is to enhance the patient's immune function, eliminate triggering factors, reduce or avoid the occurrence of acute exacerbations, and partially or fully restore cardiopulmonary function.

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What foods should people with heart disease eat?

Patients with heart disease should adopt a diet that is low in fat, salt, and oil in their daily lives, and they should try to eat more fruits and vegetables that are high in vitamins, trace elements, and dietary fiber. They can frequently eat foods such as sea cucumber, eggs, milk, beef tendon, lean meat, rabbit meat, belt fish, yellow croaker, shrimp, and others that contain a good amount of high-quality protein needed by the human body, and have lower cholesterol. Continuous consumption over time can enhance the body's immunity and disease resistance.

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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.