Learning Issue: Cor Pulmonale (pulmonary heart disease) · Definition: Denotes RV hypertrophy and eventually failure resulting from pulmonary disease and the attendant hypoxia or from pulmonary vascular disease (pulmonary hypertension). · Causes: Most commonly caused by COPD. Less commonly caused by pneumoconiosis, pulmonary fibrosis, kyphoscoliosis, idiopathic pulmonary hypertension, repeated episodes of subclincal or clinical pulmonary embolization, Pickwickian syndrome, schistomomiasis, and obliterative pulmonary capillary or lymphangtic from metastatic carcinoma. · Risk Factors or Predisposing Factors: COPD · Signs & Symptoms: Related to the pulmonary disorder and include chronic productive cough, exertional dyspnea, wheezing respirations, easy fatigability, and weakness. When the pulmonary disease causes RV failure, these symptoms may be intensified. Dependent edema and right upper quadrant pain may also appear. The signs of cor pulmonale include cyanosis,
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