What causes cor pulmonale and how to treat it

Cor pulmonale is a relatively serious disease, and if the patient is diagnosed with cor pulmonale, it is necessary to undergo active ** to avoid further aggravation of the condition and respiratory failure, coma and life-threatening.

Patients with pulmonary heart disease should first quit smoking, avoid cold, moderate exercise to maintain lung function, if the patient usually has phlegm and cannot cough up, expectorant drugs can be used, such as ambroxol, eucalyptus, acetylcysteine and so on.

If the patient's lung function declines significantly and the asthma symptoms are severe, bronchodilators can be inhaled to relieve clinical symptoms.

If the patient has aggravation of cough, sputum production, and asthma symptoms, or is accompanied by cough with yellow sputum, fever and other symptoms, it is necessary to improve relevant examinations, evaluate pathogens, and take different anti-infection measures for different pathogens.

Cor pulmonale is mainly due to heart disease caused by pulmonary hypertension caused by broncho-pulmonary tissue or pulmonary artery vascular disease. It can be caused by climatic factors, such as a sudden drop in winter temperatures. There is also a part of it due to high-intensity work, which impairs the heart and lung function, which leads to cor pulmonale.

In some cases, such diseases are caused by poor health habits such as long-term smoking. Cor pulmonale seriously affects the non-discordant heart function of the person, and it should be timely**. Patients should quit smoking, and at the same time, they should strengthen the exercise of reviewing questions and enhance their physical fitness.

At the same time, supplemented with drugs**, you can choose Western medicine or traditional Chinese medicine. If the condition is severe, do not delay the condition and be hospitalized in time**. So these things change the disease.

There are many reasons why the root condition can come.

The basics** of cor pulmonale can be divided into the following three categories.

1. Diseases that cause obstruction of the lungs and tracheas.

The condition that causes obstruction of the pulmonary trachea is the most common form of cor pulmonale**. According to statistics, in China, more than 80% of cor pulmonale is developed from chronic bronchitis complicated by emphysema, followed by bronchial asthma, bronchiectasis and silicosis. The reason why these diseases can cause cor pulmonale is mainly due to the underlying lesions in the bronchioles, alveoli or lung parenchyma, which are preceded by obstruction of the trachea and damage to the lung parenchyma, secondary emphysema and fibrosis, and then involve the pulmonary blood vessels, which increases the resistance of the pulmonary circulation, pulmonary hypertension, and then leads to right ventricular hypertrophy.

For example, patients with chronic bronchitis have long-term cough and sputum production, bronchial mucosal edema becomes thickened, mucus secretion increases, and sputum is retained in the bronchi, making it blocked, and breathing will be affected, air inhalation is more than exhalation, and the alveoli are expanded and ruptured, forming emphysema. When emphysema occurs, the right ventricle encounters great resistance to transporting blood to the lungs, and the burden on the right ventricle increases, resulting in a gradual enlargement of the right ventricle. The pulmonary artery is under constant high pressure, and the burden on the right ventricle becomes heavier and heavier, and when its compensatory limit is exceeded, right heart failure occurs, resulting in cor pulmonale.

2. Diseases that affect thoracic movement.

Diseases that affect thoracic movement, such as pleural fibrosis, ankylosing spondylitis, severe spinal and thoracic deformities, etc., are often due to repeated lung infections, pulmonary tissue fibrosis, bronchial distortion, poor ventilation and expectoration, coupled with limited thoracic respiratory movement, can cause atelectasis, vascular occlusion and compensatory emphysema, increase pulmonary circulation resistance, pulmonary hypertension, and eventually lead to right ventricular hypertrophy.

3. Pulmonary vascular disease.

Pulmonary vascular diseases, such as widespread polyarteritis nodosa and pulmonary arteritis caused by other causes, can cause thickening of the vascular lining, narrowing of the lumen, and decreased vasodilation, resulting in increased resistance to the pulmonary circulation, resulting in cor pulmonale. In addition, pulmonary schistosomiasis and metastatic tumor cell embolism can also cause extensive pulmonary small vessel embolism, and then develop into cor pulmonale. In patients with this type of cor pulmonale, the impairment of lung function is usually not severe.

The ** of cor pulmonale is relatively complex, and the specific ** methods are as follows:

1. Oxygen inhalation: continuous low-flow oxygen inhalation, ventilator** and non-invasive ventilator-assisted ventilation can be considered for those who have the conditions;

2. Anti-infection**: Pulmonary heart disease is prone to infection, find out the pathogenic bacteria through bacterial culture, and give antibiotics in a targeted manner**;

3. Expectorant**: make the sputum thin and easy to cough up, reduce obstruction, and promote smooth breathing of patients;

4. Antiasma**: such as theophylline drugs, reduce asthma symptoms;

5. Anti-heart failure**: use inotropic drugs to prevent heart failure** to reduce the occurrence of heart failure, and those with severe conditions need to be in the intensive care unit**.

Cor pulmonale is the abbreviation of cor pulmonale, which is a disease that is caused by bronchial, pulmonary tissue, thoracic or pulmonary artery vascular lesions, resulting in increased pulmonary vascular resistance, producing pulmonary hypertension, and then changing the structure or function of the right ventricle. There are many causes of cor pulmonale, mainly including the following categories:

1. Bronchopulmonary disease, chronic obstructive pulmonary disease, which is the most common, accounting for about 85%, others have advanced asthma, bronchiectasis, severe tuberculosis, etc., thoracic movement disorders, severe kyphosis, rheumatoid arthritis, extensive thoracic adhesions, thoracoplasty and so on can cause cor pulmonale.

2. Pulmonary vascular diseases, extensive or reversible multiple pulmonary arteriolar embolism and pulmonary arteritis, pulmonary artery allergic granuloma, primary pulmonary hypertension, etc., and others such as sleep apnea syndrome, primary alveolar hypoventilation, neuromuscular diseases, etc., can cause pulmonary heart disease.

In addition to the diseases that actively cause cor pulmonale, the treatment of heart failure is very important, mainly the use of diuretics and vasodilators. The principle of diuretic application is to alternate the use of small amounts and short-term periods, mild edema can not be used, moderate edema can be taken orally, and strong diuretics should generally be avoided. In addition, vasodilators can also be applied, which can reduce cardiac pre- and postload, reduce cardiac oxygen consumption, and increase myocardial contractility.

The ideal drug for pulmonary hypertension should have the following characteristics:

1. Pulmonary vascular resistance is reduced by more than 20%.

2. Pulmonary motility pressure decreases or remains unchanged.

3. Cardiac output increases or does not change.

4. The systemic circulatory pressure remains unchanged or decreases slightly, which is caused by insufficient pressure, which does not affect or can improve tissue oxygenation.

In the case of cor pulmonale, cardiotonics are less effective than other heart diseases, so routine use is not recommended.

The main cause of cor pulmonale is an acute increase in pulmonary artery pressure or chronic bronchial disease.

Cor pulmonale is mainly caused by pulmonary vascular changes caused by pulmonary diseases, resulting in pulmonary hypertension, which in turn causes structural and functional changes in the heart. The main symptoms are pulmonary symptoms, as well as symptoms such as right heart failure. **The main thing is to be clear**, such as severe bronchitis, chronic lung tissue disease or cardiac insufficiency caused by thrombosis of large vessels, in this case, it is mainly through infection control, long-term oxygen inhalation, oxygen therapy, etc. to improve the condition of the lungs, so as to reduce the tissue duplication of the lungs, thereby improving pulmonary hypertension.

If the patient has severe symptoms of right heart failure, appropriate diuretics should be used to improve the symptoms of heart failure. Patients may have arrhythmias due to the increased load on the right ventricle, and antiarrhythmic drugs such as amiodarone can be used appropriately.

The cause of suffering from pulmonary heart disease is one's own physical fitness, the other is the environment, and the combination of lifestyle habits, which needs to be slowly regulated by traditional Chinese medicine. Cor pulmonale is divided into acute cor pulmonale and chronic cor pulmonale. It can lead to various respiratory diseases, such as chronic obstructive pulmonary disease, bronchial asthma, bronchiectasis, tuberculosis, pulmonary interstitial disease, etc.

Requires a doctor's request system**.

Cor pulmonale refers to the lesions of bronchi, lung tissue, thoracic cage or pulmonary blood vessels that lead to an increase in the resistance of pulmonary blood vessels, causing pulmonary hypertension and resulting in an increase in right heart afterload, enlargement of the right ventricle or accompanied by the patient's right heart dysfunction, pulmonary heart disease is divided into acute pulmonary heart disease and chronic pulmonary heart disease, the main cause of acute pulmonary heart disease is pulmonary embolism, so the best method for acute pulmonary heart disease is to cure the patient's pulmonary embolism, then the patient's pulmonary artery pressure will be lowered, The main cause of chronic pulmonary heart disease is chronic obstructive pulmonary disease, and the main cause of acute exacerbation in this type of patient is infection, so the best way for such patients is to control infection.

Control of respiratory failure in patients.

Control of heart failure, including the use of diuretic drugs and inotropic drugs, as well as vasodilators, etc., and for patients with chronic cor pulmonale, it is necessary to actively prevent complications such as pulmonary encephalopathy and electrolyte imbalance.

Cor pulmonale, also known as cor pulmonale, is mainly a heart disease caused by pulmonary hypertension caused by broncho-lung tissue or pulmonary artery vascular disease. The consequences of the development of cor pulmonale are severe, making care difficult. In addition to taking active ** in the event of infection, such as giving an adequate and effective anti-infection**, expectorant, antispasmodic and asthmatic, rational use of oxygen), and maintaining the patency of the respiratory tract, strengthening nursing is what the patient's family should pay attention to.

Because the elderly have severe pulmonary heart disease, large changes, and weak body resistance, timely detection of changes in the condition and timely treatment can win valuable time for rescue and positive complications, which is very important and cannot be ignored.

There are many reasons for suffering from pulmonary heart disease, one is one's own physical fitness, the other is caused by the environment, plus lifestyle habits and other comprehensive reasons, which need to be slowly regulated by traditional Chinese medicine. Cor pulmonale is divided into acute cor pulmonale and chronic cor pulmonale. It can lead to various respiratory diseases such as COPD, bronchial asthma, bronchiectasis, and many more.

In addition to hereditary causes, most of the causes of cor pulmonale are caused by the working environment and lifestyle habits. At present, there is no good medical treatment for cor pulmonale, and the best preventive measure is to keep exercising, strengthen the body, and often take some deep breaths to strengthen the lungs.

The causes of pulmonary heart disease, the first is smoking, smoking for a long time will lead to these diseases, and the second is that there is dust in the working environment, and inhalation of dust will cause pneumoconiosis, mainly these two reasons are relatively rare in other people.

Most of the pulmonary heart disease is caused by long-term hypoxia, when the heart has no oxygen, it is still working hard, and the myocardium is tired and has exceeded the load, and the myocardium will be weakened, and then there will be palpitation, edema of the lower limbs, and more circulatory failure may occur in severe cases, and there will be ascites, and even poor circulation of the hands and feet, and there will be blue lips. If the patient suddenly panics, which cannot be relieved at once, or even causes the sudden aggravation of breathlessness and wheezing to be particularly severe, it is necessary to consider the aggravation of pulmonary heart disease, and then send it to the hospital in time, because there is no way to deal with it by himself to alleviate the condition. During the transfer process, it is necessary to take oxygen appropriately, which is very helpful to increase the chance of treatment.

The main cause of suffering from pulmonary heart disease is genetics, the impact of the work environment, long-term physical labor overdraft, and serious dust work, please leave this job immediately, suffer from cardiopulmonary disease, you must know that rest, you listen to the doctor's plan according to your own physical condition, which can effectively prevent the seriousness of cardiopulmonary disease.

Lung infection, difficulty breathing, heart also have different symptoms, unable to engage in heavy physical work, need to rest and pay attention, it is best to have oxygen at home.

There are different stages of cor pulmonale, and the symptoms of different stages are also different, the specific conditions are as follows:1Compensatory period of pulmonary-cardiac function:

It mainly manifests as symptoms of underlying lung diseases, such as cough, sputum production, dyspnea, chest tightness after activity, palpitations, and swelling of both lower limbs and feet; 2. Pulmonary and cardiac decompensation: mainly symptoms of heart failure and respiratory failure; Symptoms of respiratory failure include difficulty breathing, tiredness, insomnia, dizziness, headache, mental confusion, and even coma, while symptoms of heart failure include chest tightness, palpitations, etc.

Analysis: According to your description, this condition may be cor pulmonale. The main symptoms of cor pulmonale are due to a decrease in the function of the right heart, manifested by edema of both lower extremities, chest tightness, shortness of breath, fatigue, loss of appetite, and abdominal distension.

The first two performances are the most important. **Mainly diuretic, maintaining normal water and electrolytes.

For the pulmonal, the symptoms are also different, and most of the cor pulmonale is developed because of chronic obstructive pulmonary disease.

In fact, it is mainly the primary disease, for chronic obstructive pulmonary disease, it is mainly to prevent infection, reduce asthma, if it is caused by pulmonary embolism, it is mainly active anticoagulation, thrombolysis, and heart failure.

Patients with cor pulmonale mainly have symptoms such as cough, phlegm in the throat, difficulty breathing, and cyanosis. At the same time, chest irritation and palpitations may occur. Patients with cor pulmonale.

Recommendation: Oral administration of drugs such as ambroxol hydrochloride**, with the aid of nebulized inhalation**.

Cor pulmonale is a heart disease caused by lung disease, which is a type of heart disease, which is generally caused by irregular heart beating, accompanied by asthma and other symptoms, and requires a professional heart hospital to do the system**.