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[The heart in lung diseases].

U Hüttemann1

  • 1Kreiskrankenhaus an der Lieth bei Göttingen, Bovenden.

Pneumologie (Stuttgart, Germany)
|February 1, 1990
PubMed
Summary

Chronic obstructive lung diseases (COLD) and sleep apnea can cause pulmonary hypertension, leading to right heart enlargement (cor pulmonale). Treating lung disease and using long-term oxygen therapy are key for managing this condition.

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Area of Science:

  • Cardiology
  • Pulmonology
  • Respiratory Medicine

Context:

  • Chronic lung diseases frequently cause heart adaptation through right ventricular hypertrophy, known as cor pulmonale.
  • Pulmonary hypertension is a key factor influencing the prognosis of chronic cor pulmonale.
  • Chronic obstructive lung diseases (COLD) are the most common cause of chronic cor pulmonale.

Purpose:

  • To explore the link between disturbed gas exchange in chronic lung diseases and cardiac adaptation.
  • To highlight the role of pulmonary hypertension in cor pulmonale prognosis.
  • To discuss diagnostic methods and therapeutic strategies for chronic cor pulmonale.

Summary:

  • Right ventricular hypertrophy (cor pulmonale) is the heart's adaptation to impaired gas exchange in chronic lung diseases.
  • Pulmonary hypertension severity dictates the prognosis of chronic cor pulmonale.
  • COLD and sleep apnea are significant contributors to pulmonary hypertension and subsequent cor pulmonale.
  • Invasive and noninvasive methods are valuable for diagnosing pulmonary arterial pressure.
  • Treating the primary lung condition and long-term oxygen therapy in hypoxemic patients are crucial therapeutic approaches.

Impact:

  • Provides insights into the cardiac consequences of chronic respiratory conditions.
  • Emphasizes the importance of managing pulmonary hypertension for better patient outcomes.
  • Highlights the established role of long-term oxygen therapy in improving survival for hypoxemic patients with cor pulmonale.

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