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7 cor pulmonale

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Cor Pulmonale (Pulmonary Heart Disease) Guo Yubiao, M.D & Ph.D Pulmonary & Critical Care Medicine The first Affiliated Hospital of Sun-Yat Set University
 
Presentation Outline ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object],[object Object]
Definition of Chronic Cor Pulmonale ,[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object],[object Object],[object Object]
Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Functional factors of increase of vascular resistance ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Anatomical factors of increase of vascular resistance ,[object Object],[object Object],[object Object],[object Object],[object Object]
Increased blood volume and hyperviscosity ,[object Object],[object Object],[object Object],[object Object]
Cardiac disorders and heart failure ,[object Object],[object Object],[object Object]
Damages to other vital organs ,[object Object],[object Object]
Pulmonary diseases Hypoxia, hypercapnia/acidosis Pulmonary Destruction of capillary bed Blood volume ↑ vasoconstrition Blood viscosity ↑ Pulmonary hypertension Right heart workload ↑ Right ventricular hypertrophy Right heart failure Impaired Toxic effect from bacteria Cardiac myocardial function on myocardium arrythmia Myocardial hypoxia Recurrent Electrolytic and Accumulation of lactate pneumonia acid-base disturbance
Clinical manifestations ,[object Object],[object Object]
Compensatory stage of the respiratory and cardiac function ,[object Object],[object Object]
Compensatory stage of the respiratory and cardiac function ,[object Object],[object Object]
De-compensatory stage of the respiratory and cardiac function ,[object Object],[object Object],[object Object],[object Object]
Right heart failure ,[object Object],[object Object]
signs
Chest radiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Electrocardiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Electrocardiography of Chronic Cor Pulmonale
Echocardiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Arterial blood gas analysis ,[object Object],[object Object],[object Object],[object Object]
Serum assessment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Others ,[object Object],[object Object],[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object]
Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Therapy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Control of infection ,[object Object],[object Object],[object Object],[object Object],[object Object]
Oxygen therapy ,[object Object],[object Object]
Control of heart failure ,[object Object],[object Object],[object Object],[object Object],[object Object]
Diuretics ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vasodilators ,[object Object],[object Object]
Positive inotropic agents-digitalis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Stage of non-exacerbation ,[object Object],[object Object],[object Object],[object Object],[object Object]
Complications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object],[object Object]
Prevention ,[object Object],[object Object],[object Object],[object Object]
[object Object]

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7 cor pulmonale

  • 1. Cor Pulmonale (Pulmonary Heart Disease) Guo Yubiao, M.D & Ph.D Pulmonary & Critical Care Medicine The first Affiliated Hospital of Sun-Yat Set University
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  • 15. Pulmonary diseases Hypoxia, hypercapnia/acidosis Pulmonary Destruction of capillary bed Blood volume ↑ vasoconstrition Blood viscosity ↑ Pulmonary hypertension Right heart workload ↑ Right ventricular hypertrophy Right heart failure Impaired Toxic effect from bacteria Cardiac myocardial function on myocardium arrythmia Myocardial hypoxia Recurrent Electrolytic and Accumulation of lactate pneumonia acid-base disturbance
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