What are the clinical manifestations of cor pulmonale?

1. Primary respiratory symptoms: chronic bronchitis (cough, sputum) and emphysema (shortness of breath after activity) are the main causes of cor pulmonale;

2. Symptoms of respiratory failure: respiratory failure is mainly caused by severe hypoxia and carbon dioxide retention, which is a late manifestation of pulmonary insufficiency;

3. Symptoms of heart failure: mainly manifested as symptoms of right heart failure, early manifestations are cough, shortness of breath, palpitations, and mild edema of the ankles of the lower limbs;

4. Complications: Gastrointestinal mucosal erosion, necrosis and bleeding caused by hypoxia and carbon dioxide retention or due to long-term use of hormones, inducing ulcers, which can cause hematemesis, hematochezia, and pulmonary encephalopathy, which is often a sign of poor prognosis.

Analysis: The main symptoms of cor pulmonale are long-term recurrent cough and sputum production. In the cold season, the cough worsens, and the sputum increases, thickens or turns yellow.

Symptoms such as shortness of breath, shortness of breath, palpitations, pain in the precordial area, fatigue, and chest tightness may improve after resting when you move up stairs or walk briskly. The fingertips, lips and around the lips are bluish-purple. Increased heart rate and irregular heartbeat.

Guidance: It is generally believed that patients with chronic extensive pulmonary and thoracic diseases can be diagnosed with pulmonary arterial hypertension and right ventricular enlargement once they are found to have pulmonary hypertension and other heart diseases that cause right ventricular enlargement are excluded.

If the veins are distended, hepatic venous return (+) hepatic tenderness (+) edema of the lower extremities. The right lower pulmonary artery is dilated, with a ratio greater than the bronchi and a transverse diameter greater than 15 mm. And the pulmonary artery trunk is dilated, and the surrounding bronchioles are slender, and stubs can be seen.

b.Ultrasonography shows that the right ventricular outflow tract is greater than 30 mm, the right ventricular diameter is greater than 20 mm, and the ratio of left and right ventricles is less than 2. ECG may show right axis deviation and atrioventricular block, and right bundle branch block and hypovoltage manifestations suggest cor pulmonale.

Condition analysis: chest tightness, headache, head swelling, dyspnea and other symptoms can be considered for pulmonary heart disease, it is recommended to go to the hospital for further examination in time, patients have a history of chronic cough, sputum or asthma, and gradually appear fatigue and dyspnea. Physical examination reveals significant signs of emphysema, including in the case of a barrel chest.

Hello, the symptoms of cor pulmonale include chronic cough, sputum production, shortness of breath, palpitations after activity, dyspnea, fatigue and decreased work endurance, and obvious emphysema symptoms can be found in physical examination. Respiratory failure is predominantly manifested in the compensated phase of pulmonary and cardiac dysfunction. Positive is required**.

Be careful not to combine work and rest too much. **The principles are infection control, oxygen therapy, heart failure control, arrhythmias, etc.

Hello, you have been suffering from bronchitis for 20 years and are currently diagnosed with cor pulmonale. I just found that my heart was beating prematurely, and my current symptom is that my feet are swollen. At the same time, there are symptoms of sputum production and dyspnea, which are more consistent with the symptoms of cor pulmonale.

Hello, the symptoms of cor pulmonale are mostly manifested as cough and phlegm, dyspnea, and edema of the lower limbs. Chest x-ray shows specific findings. The main ** is to prevent colds.

For the ** that causes the cor pulmonale, carry out **, and at the same time** the heart failure caused by the cor pulmonale.

The main symptoms include cough, phlegm, palpitations after exertion, shortness of breath, cyanosis, and fatigue. Abdominal distension and anorexia, edema of the lower extremities. In severe cases, there may be obvious symptoms such as cyanosis, dyspnea, and even drowsiness, remorse, delirium, convulsions, coma and other manifestations of pulmonary encephalopathy.

First, it is manifested as symptoms of hypoxia such as cough, phlegm, and dyspnea.

Second, it is a symptom of right heart insufficiency, such as edema of the lower limbs, ascites or pleural effusion.

The main reason for the first cause of cor pulmonale is to actively choose sensitive intravenous antibiotics to control infection, that is, to use cardiotonic, diuretic, and vasodilator drugs to improve the function of the heart. Eating a low-salt diet, preventing colds, and avoiding strenuous exercise can improve heart function and reduce the onset of heart failure.

Hello! Cor pulmonale refers to heart disease caused by pulmonary hypertension. Also known as cor pulmonale.

The clinical manifestations of cor pulmonale are long-term cough and sputum production, chest tightness and shortness of breath, palpitations, and worsening with activity. For acute cor pulmonale, infection should be actively controlled.

Authoritative experts from Jinan Asthma Specialist Hospital reminded.

Daily care of patients with cor pulmonale.

1. Rational use of drugs: do not abuse antibiotics, and stop taking antibiotics after the condition improves and stabilizes. Antibiotics should not be taken for a long time to avoid drug resistance or infection with other bacteria.

2. Insist on exercise: patients should do some appropriate activities according to their personal conditions to improve the body's ability to resist diseases. For example, take an early morning walk, do tai chi, and do deep breathing exercises. It can enhance physical fitness and exercise cardiopulmonary function, but you should pay attention to your ability when exercising to avoid overwork.

3. Life care: Patients with pulmonary heart disease should pay attention to increasing or decreasing clothing with climate change, so as not to cause colds and aggravate their condition. You can eat cold drinks every morning to exercise your cold tolerance; Keep your room clean and quiet, free of smoke and dust.

In winter, you should pay attention to the temperature and humidity of the room, open the windows regularly for ventilation, and keep the air circulation fresh.

4. Enhance immunity: Placental globulin, transfer factors and other immune enhancers can be injected in an appropriate amount. It can also be used with traditional Chinese medicine to improve the body's immune function.

5. Psychological nursing: emotional changes can aggravate the condition. The elderly have poor self-reliance ability, and have been sick for many years, easy to have an inferiority complex, and when the family does not take care of them for a while, they often feel more disappointed and disappointed, so that they lose confidence in the patient, so they should do a good job in the psychological counseling of the patient, and guide the patient to treat themselves correctly and understand others.

In addition, according to personal preferences, you can participate in some cultural and recreational activities. Maintain a good mood and an optimistic mental state. Building confidence in overcoming diseases is conducive to the transformation of diseases into health aspects.