Symptoms of cor pulmonale

Written by Li Tao
Pulmonology
Updated on September 22, 2024
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Cor pulmonale refers to a disease characterized by increased pulmonary vascular resistance due to pathologies of the bronchi, lung tissue, chest wall, and blood vessels of the lungs, leading to pulmonary arterial hypertension and structural and functional changes in the right ventricle. The common clinical symptoms of cor pulmonale include coughing, expectoration, shortness of breath, significant palpitations, and breathing difficulties after physical activity, reduced work capacity, and exacerbation of the above symptoms during acute infection phases. Some patients may experience chest pain and hemoptysis. The second set of symptoms relates to heart and lung function, manifesting during the decompensation phase. For instance, some patients may develop respiratory failure, and experience headaches, decreased appetite, drowsiness, significant edema in the lower extremities, and further symptoms such as arrhythmias, anorexia, abdominal distension, and nausea.

Other Voices

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Written by Xie Zhi Hong
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Is hyperthyroid heart disease dangerous?

Hyperthyroidism can repeatedly cause an increase in heart rate and metabolism, which is quite active, causing a long-term overload of heart function, leading to the formation of hyperthyroid heart disease, a chronic pathological change process. In the middle and early stages, it generally does not pose a life-threatening risk, only manifesting symptoms such as palpitations, tightness after activity, breathlessness, or chest tightness, which can improve with rest. However, if hyperthyroidism is not cured for a long time, or if hyperthyroid heart disease is not treated in time, it can lead to severe heart failure. If there is a severe decline in heart pump function, causing the ejection fraction to be below 30%, it can easily cause sudden pump failure or severe arrhythmias, such as ventricular tachycardia or fibrillation, posing a life-threatening risk to the patient.

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Can people with heart disease drink alcohol?

Patients with heart disease should avoid drinking alcohol, especially those with severe conditions such as heart failure and arrhythmias. Drinking can excite the sympathetic nervous system, increasing heart rate and triggering episodes of arrhythmia, and exacerbating heart failure. Heart disease patients typically require medication, and consuming alcohol during treatment can cause chemical changes in some medications, affecting their effectiveness. Both alcohol and medications need to be detoxified in the liver, so drinking while on medication can increase the liver's burden, potentially leading to long-term liver damage.

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Written by Li Hai Wen
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Complications of heart disease

Heart disease is a very common illness in our daily lives. What are the complications of heart disease? The category of heart diseases is broad; here we will discuss some common ones, such as coronary heart disease. Patients with coronary heart disease are prone to develop heart failure, leading to symptoms such as shortness of breath and difficulty breathing, or atrial fibrillation. Atrial fibrillation often leads to complications like thrombosis. For instance, a dislodged thrombus can cause a cerebral infarction, resulting in symptoms like hemiplegia, weakness in one side of the body, and speech disturbances. Additionally, certain severe myocardial diseases can lead to malignant arrhythmias, causing sudden death in patients, which is often very serious.

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Rheumatic Heart Disease Concept

Rheumatic heart disease is a type of organic heart disease caused by a hypersensitivity reaction in the body due to infection by Streptococcus pyogenes. This leads to pathological changes in the heart valves, including the tricuspid and mitral valves, resulting in stenosis or insufficiency which affects hemodynamics. This condition is known as rheumatic heart disease. Patients with rheumatic heart disease should actively seek treatment under the guidance of a doctor in the early stages to control the occurrence of complications.

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Which place is the best for a heart disease massage?

Premature cardiac contractions can occur in normal individuals. For younger people, fewer than 3 contractions per minute generally poses no issue, whereas for older individuals, fewer than 5 per minute is considered normal. However, it is recommended to conduct a 24-hour Holter monitor test. If this test shows more than 10,000 occurrences in 24 hours, it is advisable to consult a specialist to determine if medication or hospital treatment, such as radiofrequency ablation, is needed. Additionally, it is crucial to investigate the causes of premature cardiac contractions. If serious diseases are ruled out, it may be helpful to massage corresponding acupoints. Generally, massaging acupoints like the Neiguan and Hegu, which are associated with the kidney and heart meridians, is suggested. Massage of the Fuxi acupoint is also recommended; located at the front of the thigh, it is easier to massage when seated with the knee bent at a 90-degree angle.