Transcript
Page 1: What Causes Cor Pulmonale? Chronic obstructive pulmonary disease (COPD) Obstructive sleep apnoea Central sleep apnea Mountain sickness Cystic fibrosis

What Causes Cor Pulmonale?• Chronic obstructive pulmonary disease (COPD) • Obstructive sleep apnoea • Central sleep apnea • Mountain sickness • Cystic fibrosis• Primary pulmonary hypertension • Pneumoconiosis • Kyphoscoliosis • Diffuse interstitial pulmonary fibrosis • Chronic thromboembolic pulmonary disease • Pulmonary vascular disease • Pulmonary hypertension

Page 2: What Causes Cor Pulmonale? Chronic obstructive pulmonary disease (COPD) Obstructive sleep apnoea Central sleep apnea Mountain sickness Cystic fibrosis
Page 3: What Causes Cor Pulmonale? Chronic obstructive pulmonary disease (COPD) Obstructive sleep apnoea Central sleep apnea Mountain sickness Cystic fibrosis

Valvular heart disease

• 10% of heart failure caused by valve disease.• Abnormality may be congenital or acquired.• Acquired abnormality affects mainly the

mitral and aortic valves.

Page 4: What Causes Cor Pulmonale? Chronic obstructive pulmonary disease (COPD) Obstructive sleep apnoea Central sleep apnea Mountain sickness Cystic fibrosis

Valvular stenosis (acquired)

• Relatively few causes of stenosis.– Postinflammatory (rheumatic) mitral or aortic

stenosis.– Calcific aortic stenosis (usually on congenitally

bicuspid valve).

Page 5: What Causes Cor Pulmonale? Chronic obstructive pulmonary disease (COPD) Obstructive sleep apnoea Central sleep apnea Mountain sickness Cystic fibrosis

Valvular incompetence/regurgitation

• Leaflet abnormality (rheumatic, infective endocarditis).

• Papillary muscle damage (ischaemia leading to mitral valve disease).

• Valve ring abnormalities (syphilitic aortitis, mitral ring dilatation with cardiac dilatation in congestive failure).

Page 6: What Causes Cor Pulmonale? Chronic obstructive pulmonary disease (COPD) Obstructive sleep apnoea Central sleep apnea Mountain sickness Cystic fibrosis

Mitral stenosis

• Rheumatic.• More common in

females.• Leads to pulmonary

hypertension, R ventricular hypertrophy.

Page 7: What Causes Cor Pulmonale? Chronic obstructive pulmonary disease (COPD) Obstructive sleep apnoea Central sleep apnea Mountain sickness Cystic fibrosis

Aortic stenosis

• L ventricular hypertrophy.

• Chest pain.• Sudden death.• May show

pathological calcification.


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