Right heart failure: Difference between revisions

	Right heart failure Microchapters
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Overview
Classification
Pathophysiology
Causes
Differentiating Right heart failure from other Diseases
Epidemiology and Demographics
Risk Factors
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
Chest X Ray
CT
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Case #1
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VisualWikitext

Latest revision as of 00:02, 30 July 2020

For the WikiPatient page for this topic, click here

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jad Z Al Danaf, Rim Halaby

Synonyms and keywords: Cor pulmonale; right ventricular failure; RV failure

Overview

Classification

Pathophysiology

Causes

Differentiating Right heart failure from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

Treatment

Case Studies

Case #1

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 {{Right heart failure}}
 '''For the WikiPatient page for this topic, click [[Cor pulmonale (patient information)|here]]'''
-{{CMG}}
+{{CMG}}; {{AE}} [[User:Jad Z Al Danaf|Jad Z Al Danaf]], [[User:Rim Halaby|Rim Halaby]]
+{{SK}} Cor pulmonale; right ventricular failure; RV failure
-'''''Synonyms and Keywords:''''' Cor pulmonale, right ventricular failure, RV failure
 ==[[Right heart failure overview|Overview]]==
+==[[Right heart failure classification|Classification]]==
 ==[[Right heart failure pathophysiology|Pathophysiology]]==
-==Causes==
-===Acute===
-* [[Pulmonary embolism|Massive pulmonary embolization]]
-* Exacerbation of chronic [[cor pulmonale]]
-===Chronic===
-* [[Chronic obstructive pulmonary disease|COPD]]
-* Loss of lung tissue following trauma or surgery
-* [[Pierre Robin Sequence]]
-* End stage [[Pneumoconiosis]]
-==Differential Diagnosis==
+==[[Right heart failure causes|Causes]]==
+==[[Right heart failure differential diagnosis|Differentiating Right heart failure from other Diseases]]==
-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 heart failure epidemiology and demographics|Epidemiology and Demographics]]==
-* [[Adenopathy]]
+==[[Right heart failure risk factors|Risk Factors]]==
-* [[Adult Respiratory Distress Syndrome]] ([[ARDS]])
-* After pulmonary resection
-* [[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
-* [[Drugs]]
-* [[Emphysema]]
-* Fibrosing [[mediastinitis]]
-* [[Guillain-Barre Syndrome]]
-* [[Histiocytosis X]]
-* [[HIV|HIV infection]]
-* [[Hypersensitivity pneumonitis]]
-* [[Idiopathic pulmonary fibrosis]]
-* Impairment of the respiratory system
-* [[Interstitial lung disease]]
-* [[Kyphoscoliosis]]
-* [[Left atrial myxoma]]
-* [[Left ventricular failure]]
-* [[Mitral valve disease]]
-* [[Myasthenia Gravis]]
-* Necrotizing and [[granulomatous arteritis]]
-* Neuromuscular disease
-* [[Obesity]]
-* Persistent [[pulmonary hypertension]] of the newborn
-* Pneumoconiose
-* [[Poliomyelitis]]
-* [[Portal hypertension]]
-* [[Polyradiculitis]]
-* [[Primary pulmonary hypertension]]
-* Pulmonary capillary hemangiomatosis
-* [[Pulmonary embolism]]
-* [[Pulmonary emphysema]]
-* [[Pulmonary fibrosis]]
-* [[Sarcoidosis]]
-* [[Schistosomiasis]]
-* [[Sickle Cell Anemia]]
-* [[Sleep Apnea]]
-* [[Tuberculosis]]
-* Tumor embolism
-* Tumor masses
-* Veno-occlusive lung disease
-* [[Scleroderma]]
-==Complications==
+==[[Right heart failure natural history|Natural History, Complications and Prognosis]]==
-Blood backups up into the system venous system, including the [[hepatic vein]]. Chronic congestion in the [[Hepatic lobule| centrilobular]] region of the [[liver]] leads to [[hypoxia]] and fatty changes of more peripheral [[hepatocytes]], leading to what's known as [[nutmeg liver]].  Left untreated, [[cor pulmonale]] can lead to [[right heart failure]] and death.
+==Diagnosis==
+[[Right heart failure history and symptoms| History and Symptoms]] | [[Right heart failure physical examination | Physical Examination]] | [[Right heart failure laboratory findings|Laboratory Findings]] | [[Right heart failure electrocardiogram|Electrocardiogram]] | [[Right heart failure chest x ray|Chest X Ray]] |  [[Right heart failure CT|CT]] | [[Right heart failure MRI|MRI]] | [[Right heart failure echocardiography|Echocardiography]]
 ==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]].
+[[Right heart failure medical therapy|Medical Therapy]] | [[Right heart failure surgery|Surgery]] | [[Right heart failure primary prevention|Primary Prevention]] | [[Right heart failure secondary prevention|Secondary Prevention]] | [[Right heart failure cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Right heart failure future or investigational therapies|Future or Investigational Therapies]]
-[[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]].
-==References==
-{{Reflist|2}}
+==Case Studies==
+[[Right heart failure case study one|Case #1]]
 {{Circulatory system pathology}}
-[[Category:Disease]]
-[[Category:Cardiology]]
-[[Category:Pulmonology]]
-[[Category:Signs and symptoms]]
-[[Category:Physical Examination]]
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+{{WH}}
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+[[Category:Disease]]
+[[Category:Cardiology]]
+[[Category:Pulmonology]]

Right heart failure: Difference between revisions

Latest revision as of 00:02, 30 July 2020

Diagnosis

Treatment

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