Right heart failure: Difference between revisions

	Right heart failure Microchapters
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Revision as of 19:16, 3 September 2011

For the WikiPatient page for this topic, click here

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

Synonyms and Keywords: Cor pulmonale, right ventricular failure, RV failure

@@ Line 23: / Line 23: @@
 ==[[Right heart failure pathophysiology|Pathophysiology]]==
 ==[[Right heart failure causes|Causes]]==
+==[[Right heart failure natural history|Natural History, Complications and Prognosis]]==
-==Complications==
+==[[Right heart failure treatment|Treatment]]==
-==Treatment==
-Elimination of the cause is the most important intervention. In [[pulmonary embolism]], [[thrombolysis]] (enzymatic dissolution of the blood clot) is advocated if there is dysfunction of the [[right ventricle]]. In [[COPD]], long-term [[oxygen therapy]] may improve [[cor pulmonale]].
-[[Cor pulmonale]] may lead to [[congestive heart failure]] ([[CHF]]), with worsening of respiration due to [[pulmonary edema]], swelling of the legs due to [[peripheral edema]] and painful congestive [[hepatomegaly]]. This situation requires [[diuretic]]s (to decrease strain on the heart), sometimes [[nitrate]]s (to improve blood flow), phosphodiesterase inhibitors like [[Sildenafil]], [[tadalafil]] and occasionally [[inotrope]]s (to improve heart contractility). [[CHF]] is a negative [[prognosis|prognostic indicator]] in [[cor pulmonale]].
 {{Circulatory system pathology}}