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Acute Cor Pulmonale

Rapid right ventricular load and failure due to sudden obstruction in the pulmonary vascular bed.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Göğüs Hastalıkları department. Book Appointment →

What is Acute Cor Pulmonale?

Acute cor pulmonale is a presentation that develops when the right ventricle encounters high afterload as a result of sudden disruption of pulmonary circulation. The most common cause is massive pulmonary embolism. ARDS and pneumothorax can also lead to a similar clinical picture.

The right ventricle cannot adapt to suddenly developed high pressure; dilation, increased wall tension, and loss of function develop rapidly. Left heart preload decreases and systemic circulatory collapse may occur.

Emergency diagnosis and treatment are essential. Echocardiography plays a critical role in rapid diagnosis. Emergency treatment of the underlying cause (thrombolysis, embolectomy, chest tube) is life-saving.

Symptoms

Sudden severe shortness of breath
Chest pain
Hypotension and shock
Syncope
Jugular venous distension
Right heart strain ECG findings
Cyanosis

Risk Factors

Massive pulmonary embolism
Postoperative immobilization
Deep vein thrombosis
Malignancy
Severe ARDS
Tension pneumothorax
Hypercoagulability

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Sudden shortness of breath and hypotension
  • Syncope with chest pain
  • Sudden deterioration in postoperative patient
  • Prominent jugular venous distension

Treatment Methods

01
Thrombolysis or embolectomy for pulmonary embolism
02
IV fluid (cautiously) and vasopressor
03
Oxygen and mechanical ventilation
04
Chest tube for pneumothorax
05
ARDS treatment
06
ECMO (in resistant cases)

Which Department to Visit?

You can visit our Göğüs Hastalıkları department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Göğüs Hastalıkları Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.