Document Detail


Physiopathology and treatment of chronic cor pulmonale due to dysventilation syndrome.
MedLine Citation:
PMID:  2614878     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
133 patients with chronic cor pulmonale due to dysventilation syndrome were studied. Chronic obstructive pulmonary disease (COPD) was found, possibly for the first time in Japan, to be the most common etiological condition, occurring in 54% of the patients. Chronic cor pulmonale was clinically diagnosed as the appearance of right heart failure on admission. Patients were divided into two groups depending on clinical state, compensated and decompensated. There was a marked difference in arterial blood gases and electrocardiographic fluctuations between the states. Serial observations of these parameters and enlarged cardiac silhouette to the left on plain chest film provided diagnostic evidence for development to the decompensated state. Pulmonary artery pressure changes on exercise and during sleep at night has been considered to impair right heart function. Prognosis of chronic cor pulmonale largely depends on the concentrated therapy of the decompensated state. 85% of patients in the current study returned to the compensated state with active intensive therapy. Recent therapeutic progress has made control of this serious disease possible, despite the appearance of right heart failure. Laborious prolonged therapy appears to be essential in order to improve long-term prognosis.
Authors:
T Kunieda; M Naito; T Yoshioka; S Okubo; N Nakanishi
Related Documents :
13190428 - Refractory heart failure.
11926008 - Prognostic value of 6-minute walk corridor testing in women with mild to moderate heart...
17853278 - Nonlinear analysis of heart rate variability in patients with eating disorders.
3665228 - Objective and useful mobility assessment of patients with arthropathy of the hip and knee.
8129458 - Respiratory abnormalities due to craniovertebral junction compression in rheumatoid dis...
681958 - Water intoxication in epileptic patients receiving carbamazepine.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  53     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1989 Oct 
Date Detail:
Created Date:  1990-03-02     Completed Date:  1990-03-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  1298-309     Citation Subset:  IM    
Affiliation:
Department of Medicine, National Cardiovascular Center, Suita, Osaka, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Asphyxia / complications*
Blood Gas Analysis
Chronic Disease
Electrocardiography
Female
Humans
Lung Diseases, Obstructive / complications
Male
Middle Aged
Prognosis
Pulmonary Heart Disease / etiology,  physiopathology*,  therapy
Pulmonary Wedge Pressure
Respiratory Function Tests
Syndrome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Assessment of right ventricular overload in patients with chronic pulmonary disease by 12-lead elect...
Next Document:  Oxygen therapy and vasodilator therapy in patients with chronic lung disease: the effects of episodi...