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[Prognosis and treatment of chronic cor pulmonale]
I Ben Jrad1, M L Slimane, M R Boujnah
1Service des Maladies Cardio-Vasculaires, Hôpital Habib Thameur, Tunis.
Insights
This study analyzed 100 chronic pulmonary heart cases, finding COPD as the primary cause. Management involved diuretics, nifedipine, and digitalis, with significant mortality observed during initial admissions.
Area of Science:
- Cardiology
- Pulmonology
- Internal Medicine
Context:
- Chronic pulmonary heart disease (CPHD) presents a significant clinical challenge.
- Understanding the etiology and outcomes of CPHD is crucial for patient management.
Purpose:
- To report on a cohort of 100 patients diagnosed with chronic pulmonary heart disease between 1982 and 1991.
- To analyze the demographic characteristics, etiological factors, treatment modalities, and survival rates in this patient group.
Summary:
- The cohort comprised 100 patients with a mean age of 63 years, predominantly male (61%).
- Chronic Obstructive Pulmonary Disease (COPD) was the leading etiology (84%), followed by restrictive lung diseases (14%) and thromboembolic conditions (2%).
- Treatment commonly included diuretics (100%), with nifedipine (32%) and digitalis (16%) used in a subset of patients. Mortality was notable, with 11 deaths during initial hospitalization and 6 subsequent deaths, leaving 31 patients under regular follow-up.
Impact:
- This retrospective analysis provides insights into the historical management and outcomes of chronic pulmonary heart disease.
- Findings highlight the predominant role of COPD in CPHD etiology and underscore the associated mortality risks.
- The data may inform contemporary clinical practice and research directions for managing CPHD.
Abstract:
We have report one hundred cases of chronic pulmonary heart observed between 1982 and 1991. Mean age was 63 years, 61% were men. COPD was the most frequent etiology of CP (84%) before restrictive (14%) and thromboembolic diseases (2%). Diuretics were used in all patients, nifedipine in 32% and digitalis in 16%. Eleven patients died during their first admission, and six died later. Only 31 patients are still regularly.