Right heart failure causes: Difference between revisions
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|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | |style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular''' | ||
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Right ventricular infarction|Acute MI involving the right ventricle]], [[Atrial septal defect]]; [[Left atrial myxoma]]; [[Left ventricular failure]]; [[Mitral regurgitation]]; | |style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Right ventricular infarction|Acute MI involving the right ventricle]], [[Atrial septal defect]]; [[Left atrial myxoma]]; [[Left ventricular failure]]; [[Mitral regurgitation]]; | ||
[[Mitral stenosis]]; [[Right ventricular infarction|Myocardial infarction of the right ventricle]]; [[Pulmonary hypertension]] | [[Mitral stenosis]]; [[Right ventricular infarction|Myocardial infarction of the right ventricle]]; [[Pulmonary hypertension]] | ||
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| '''Hematologic''' | | '''Hematologic''' | ||
|bgcolor="Beige"| [[Histiocytosis X]]; [[Polycythemia vera]]; [[Sickle Cell Anemia]] | |bgcolor="Beige"| [[Histiocytosis X]]; [[Polycythemia vera]]; [[Sickle Cell Anemia]]; Veno-occlusive lung disease | ||
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| '''Infectious Disease''' | | '''Infectious Disease''' | ||
|bgcolor="Beige"| [[Guillain-Barre Syndrome]]; [[HIV|HIV infection]]; [[Schistosomiasis]] | |bgcolor="Beige"| [[Guillain-Barre Syndrome]]; [[HIV|HIV infection]]; [[Schistosomiasis]]; [[Tuberculosis]] | ||
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| '''Nutritional / Metabolic''' | | '''Nutritional / Metabolic''' | ||
|bgcolor="Beige"| [[Alpha-1 Antitrypsin Deficiency]]; [[Obesity | |bgcolor="Beige"| [[Alpha-1 Antitrypsin Deficiency]]; [[Obesity]] | ||
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| '''Oncologic''' | | '''Oncologic''' | ||
|bgcolor="Beige"| [[Adenopathy]] compressing the pulmonary vasculature | |bgcolor="Beige"| [[Adenopathy]] compressing the pulmonary vasculature; [[Tumor embolism]]; [[Tumor]] masses | ||
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| '''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]] | ||
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Revision as of 18:43, 5 September 2011
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 of Right Heart Failure Based upon Chronicity
Acute Causes of Right Heart Failure (Common Examples)
- Acute MI involving the right ventricle
- Massive pulmonary embolization
- Exacerbation of chronic cor pulmonale
Chronic Causes of Right Heart Failure (Common Examples)
- COPD
- Congenital heart disease
- Emphysema
- Loss of lung tissue following trauma or surgery (Pneumonectomy)
- Primary pulmonary hypertension
- Sleep apnea
Differential Diagnosis of Underlying Causes of Right Heart Failure
In alphabetical order. [1] [2]
- 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 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 infection
- Hypersensitivity pneumonitis
- Idiopathic pulmonary fibrosis
- Interstitial lung disease
- Kyphoscoliosis
- Left atrial myxoma
- Left ventricular failure
- Mitral regurgitation
- Mitral stenosis
- Myasthenia Gravis
- 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 [3]
- 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)
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 disease |
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; Neuromuscular disease; 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 |
References
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X
- ↑ Nand S, Orfei E (1994). "Pulmonary hypertension in polycythemia vera". Am J Hematol. 47 (3): 242–4. PMID 7942794.