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==Overview==
==Overview==
There are acute and chronic causes of [[right heart failure]].  Acute right heart failure is associated with right ventricular dilation. Chronic right heart failure is often associated with [[right ventricular hypertrophy]].
There are acute and chronic causes of right heart failure.  Acute right heart failure is associated with right ventricular dilation. Chronic right heart failure is often associated with [[right ventricular hypertrophy]].
 
==Causes==
==Causes of Right Heart Failure Based upon Chronicity==
===Common Causes===
===Acute Causes of Right Heart Failure (Common Examples)===
====Acute Causes of Right Heart Failure====
* [[Right ventricular infarction|Acute MI involving the right ventricle]]
* [[Right ventricular infarction|Acute MI involving the right ventricle]]
* [[Pulmonary embolism|Massive pulmonary embolization]]
* [[Pulmonary embolism|Massive pulmonary embolization]]
* Exacerbation of chronic [[cor pulmonale]]
* Exacerbation of chronic [[cor pulmonale]]


===Chronic Causes of Right Heart Failure (Common Examples)===
====Chronic Causes of Right Heart Failure====
* [[Chronic obstructive pulmonary disease|COPD]]
* [[Chronic obstructive pulmonary disease|COPD]]
* [[Congenital heart disease]]
* [[Congenital heart disease]]
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* [[Sleep apnea]]
* [[Sleep apnea]]


==Differential Diagnosis of Underlying Causes of Right Heart Failure==
===Causes by Organ System===
 
In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
 
* [[Right ventricular infarction|Acute MI involving the right ventricle]]
* [[Adenopathy]]
* [[Adult Respiratory Distress Syndrome]] ([[ARDS]])
* [[Alpha-1 Antitrypsin Deficiency]]
* Alveolar [[hypoxia]] in chronic [[high altitude]] exposure
* [[Amyotrophic Lateral Sclerosis]] ([[ALS]])
* Bilateral [[Diaphragmatic dysfunction|diaphragmatic paralysis]]
* [[Bronchiectasis]]
* Bronchopulmonary dysplasia following neonatal respiratory distress syndrome ([[RDS]])
* Chest wall dysfunction
* [[Chronic bronchitis]]
* Chronic fungal obstruction
* [[Chronic Obstructive Pulmonary Disease]] ([[COPD]])
* [[Collagen vascular disease]]
* [[Congenital heart disease]]
* [[Cystic Fibrosis]]
* [[Drug-induced]] lung disease
* [[Emphysema]]
* Fibrosing [[mediastinitis]]
* [[Guillain-Barre Syndrome]]
* [[Histiocytosis X]]
* [[HIV|HIV infection]]
* [[Hypersensitivity pneumonitis]]
* [[Idiopathic pulmonary fibrosis]]
* [[Interstitial lung disease]]
* [[Kyphoscoliosis]]
* [[Left atrial myxoma]]
* [[Left ventricular failure]]
* [[Mitral regurgitation]]
* [[Mitral stenosis]]
* [[Myasthenia Gravis]]
*[[Right ventricular infarction|Myocardial infarction of the right ventricle]]
* Necrotizing and [[granulomatous arteritis]]
* Neuromuscular disease
* [[Obesity]]
* Persistent [[pulmonary hypertension]] of the newborn
* [[Pneumoconiosis]]
* [[Pneumonectomy]]
* [[Poliomyelitis]]
* [[Polyradiculitis]]
* [[Polycythemia vera]] <ref name="pmid7942794">{{cite journal| author=Nand S, Orfei E| title=Pulmonary hypertension in polycythemia vera. | journal=Am J Hematol | year= 1994 | volume= 47 | issue= 3 | pages= 242-4 | pmid=7942794 | doi= | pmc= | url= }} </ref>
* [[Primary pulmonary hypertension]]
* [[Pulmonary hemangiomatosis]]
* [[Pulmonary embolism]]
* [[Pulmonary emphysema]]
* [[Pulmonary fibrosis]]
* [[Pulmonary resection]]
*[[Right ventricular infarction]]
* [[Sarcoidosis]]
* [[Schistosomiasis]]
* [[Scleroderma]]
* [[Sickle Cell Anemia]]
* [[Sleep Apnea]]
* [[Tuberculosis]]
* [[Tumor embolism]]
* [[Tumor]] masses
* Veno-occlusive lung disease
 
==Complete Differential Diagnosis of the Causes of Right Heart Failure==
(By organ system)
{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Drug-induced]] lung disease
|bgcolor="Beige"| [[Drug-induced]] lung disorder
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| [[Amyotrophic Lateral Sclerosis]] ([[ALS]]); [[Guillain-Barre Syndrome]]; [[Myasthenia Gravis]]; Neuromuscular disease; [[Poliomyelitis]]; [[Polyradiculitis]]
|bgcolor="Beige"| [[Amyotrophic Lateral Sclerosis]] ([[ALS]]); [[Guillain-Barre Syndrome]]; [[Myasthenia Gravis]]; [[Poliomyelitis]]; [[Polyradiculitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''Pulmonary'''
|bgcolor="Beige"| [[Adult Respiratory Distress Syndrome]] ([[ARDS]]); Bilateral [[Diaphragmatic dysfunction|diaphragmatic paralysis]]; [[Bronchiectasis]]; Bronchopulmonary dysplasia following neonatal respiratory distress syndrome ([[RDS]]); Chest wall dysfunction; [[Chronic bronchitis]]; Chronic fungal obstruction; [[Chronic Obstructive Pulmonary Disease]] ([[COPD]]); [[Emphysema]]; Fibrosing [[mediastinitis]]; [[Hypersensitivity pneumonitis]]; [[Idiopathic pulmonary fibrosis]]; [[Interstitial lung disease]]; [[Pneumonectomy]]; [[Pulmonary hypertension]]; [[Pulmonary hemangiomatosis]]; [[Pulmonary embolism]]; [[Pulmonary emphysema]]; [[Pulmonary fibrosis]]; [Sarcoidosis]]; [[Sleep Apnea]]
|bgcolor="Beige"| [[Adult Respiratory Distress Syndrome]] ([[ARDS]]); Bilateral [[Diaphragmatic dysfunction|diaphragmatic paralysis]]; [[Bronchiectasis]]; Bronchopulmonary dysplasia following [[neonatal respiratory distress syndrome]] ([[RDS]]); Chest wall dysfunction; [[Chronic bronchitis]]; Chronic fungal obstruction; [[Chronic Obstructive Pulmonary Disease]] ([[COPD]]); [[Emphysema]]; Fibrosing [[mediastinitis]]; [[Hypersensitivity pneumonitis]]; [[Idiopathic pulmonary fibrosis]]; [[Interstitial lung disease]]; [[Pneumonectomy]]; [[Pulmonary hypertension]]; Pulmonary hemangiomatosis; [[Pulmonary embolism]]; [[Pulmonary emphysema]]; [[Pulmonary fibrosis]]; [[Sarcoidosis]]; [[Sleep Apnea]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| [[Collagen vascular disease]]; Necrotizing and [[granulomatous arteritis]]; [Sarcoidosis]]; [[Scleroderma]]
|bgcolor="Beige"| [[Collagen vascular disease]]; Necrotizing and [[granulomatous arteritis]]; [[Sarcoidosis]]; [[Scleroderma]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-
|-
|}
|}
===Causes in Alphabetical Order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>===
* [[Right ventricular infarction|Acute MI involving the right ventricle]]
* [[Adenopathy]]
* [[Adult Respiratory Distress Syndrome]] ([[ARDS]])
* [[Alpha-1 Antitrypsin Deficiency]]
* Alveolar [[hypoxia]] in chronic [[high altitude]] exposure
* [[Amyotrophic Lateral Sclerosis]] ([[ALS]])
* Bilateral [[Diaphragmatic dysfunction|diaphragmatic paralysis]]
* [[Bronchiectasis]]
* Bronchopulmonary dysplasia following [[neonatal respiratory distress syndrome]] ([[RDS]])
* Chest wall dysfunction
* [[Chronic bronchitis]]
* Chronic fungal obstruction
* [[Chronic Obstructive Pulmonary Disease]] ([[COPD]])
* [[Collagen vascular disease]]
* [[Congenital heart disease]]
* [[Cystic Fibrosis]]
* [[Drug-induced]] lung disease
* [[Emphysema]]
* Fibrosing [[mediastinitis]]
* [[Guillain-Barre Syndrome]]
* [[Histiocytosis X]]
* [[HIV|HIV infection]]
* [[Hypersensitivity pneumonitis]]
* [[Idiopathic pulmonary fibrosis]]
* [[Interstitial lung disease]]
* [[Kyphoscoliosis]]
* [[Left atrial myxoma]]
* [[Left ventricular failure]]
* [[Mitral regurgitation]]
* [[Mitral stenosis]]
* [[Myasthenia Gravis]]
*[[Right ventricular infarction|Myocardial infarction of the right ventricle]]
* Necrotizing and [[granulomatous arteritis]]
* Neuromuscular disease
* [[Obesity]]
* Persistent [[pulmonary hypertension]] of the newborn
* [[Pneumoconiosis]]
* [[Pneumonectomy]]
* [[Poliomyelitis]]
* [[Polyradiculitis]]
* [[Polycythemia vera]] <ref name="pmid7942794">{{cite journal| author=Nand S, Orfei E| title=Pulmonary hypertension in polycythemia vera. | journal=Am J Hematol | year= 1994 | volume= 47 | issue= 3 | pages= 242-4 | pmid=7942794 | doi= | pmc= | url= }} </ref>
* [[Primary pulmonary hypertension]]
* Pulmonary hemangiomatosis
* [[Pulmonary embolism]]
* [[Pulmonary emphysema]]
* [[Pulmonary fibrosis]]
* [[Pulmonary resection]]
*[[Right ventricular infarction]]
* [[Sarcoidosis]]
* [[Schistosomiasis]]
* [[Scleroderma]]
* [[Sickle Cell Anemia]]
* [[Sleep Apnea]]
* [[Tuberculosis]]
* [[Tumor embolism]]
* [[Tumor]] masses
* Veno-occlusive lung disease


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Emergency medicine]]
[[Category:Up-To-Date]]
[[Category:Mature chapter]]
[[Category:Up-To-Date cardiology]]

Latest revision as of 00:02, 30 July 2020

Right heart failure Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

There are acute and chronic causes of right heart failure. Acute right heart failure is associated with right ventricular dilation. Chronic right heart failure is often associated with right ventricular hypertrophy.

Causes

Common Causes

Acute Causes of Right Heart Failure

Chronic Causes of Right Heart Failure

Causes by Organ System

Cardiovascular Acute MI involving the right ventricle, Atrial septal defect; Left atrial myxoma; Left ventricular failure; Mitral regurgitation;

Mitral stenosis; Myocardial infarction of the right ventricle; Pulmonary hypertension

Chemical / poisoning No underlying causes
Dermatologic No underlying causes
Drug Side Effect Drug-induced lung disorder
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental Alveolar hypoxia in chronic high altitude exposure
Gastroenterologic Obesity
Genetic No underlying causes
Hematologic Histiocytosis X; Polycythemia vera; Sickle Cell Anemia; Veno-occlusive lung disease
Iatrogenic Pneumonectomy
Infectious Disease Guillain-Barre Syndrome; HIV infection; Schistosomiasis; Tuberculosis
Musculoskeletal / Ortho Kyphoscoliosis
Neurologic Amyotrophic Lateral Sclerosis (ALS); Guillain-Barre Syndrome; Myasthenia Gravis; Poliomyelitis; Polyradiculitis
Nutritional / Metabolic Alpha-1 Antitrypsin Deficiency; Obesity
Obstetric/Gynecologic No underlying causes
Oncologic Adenopathy compressing the pulmonary vasculature; Tumor embolism; Tumor masses
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Adult Respiratory Distress Syndrome (ARDS); Bilateral diaphragmatic paralysis; Bronchiectasis; Bronchopulmonary dysplasia following neonatal respiratory distress syndrome (RDS); Chest wall dysfunction; Chronic bronchitis; Chronic fungal obstruction; Chronic Obstructive Pulmonary Disease (COPD); Emphysema; Fibrosing mediastinitis; Hypersensitivity pneumonitis; Idiopathic pulmonary fibrosis; Interstitial lung disease; Pneumonectomy; Pulmonary hypertension; Pulmonary hemangiomatosis; Pulmonary embolism; Pulmonary emphysema; Pulmonary fibrosis; Sarcoidosis; Sleep Apnea
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy Collagen vascular disease; Necrotizing and granulomatous arteritis; Sarcoidosis; Scleroderma
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous Sleep Apnea

Causes in Alphabetical Order[1] [2]

References

  1. ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X
  3. ↑ Nand S, Orfei E (1994). "Pulmonary hypertension in polycythemia vera". Am J Hematol. 47 (3): 242–4. PMID 7942794.

Template:WH Template:WS

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