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Home > West Medicine > Internal Medicine > Cardiology
I26.001

Acute Cor Pulmonale

心内科

Common symptoms

胸痛、血压下降、呼吸困难、胸骨后疼痛、烦躁不安、胸闷、窒息、心悸

The pathology of disease

Acute cor pulmonale is acute right-ventricular failure due to a sudden rise in pulmonary artery resistance, most often from massive pulmonary embolism, presenting with dyspnea, hypotension, elevated JVP, and right-heart strain. It is an emergency. Treatment: oxygen; anticoagulation (heparin); thrombolysis or surgical/percuta-neous embolectomy for massive/high-risk PE; hemodynamic support; ICU monitoring.

Common Symptoms

Sudden dyspnea; hypotension/shock; elevated JVP; right-heart strain; massive PE

Causes and Pathogenesis

Massive pulmonary embolism acutely raises pulmonary-artery resistance, causing RV failure.

Treatment

Oxygen; anticoagulation; thrombolysis/embolectomy for high-risk PE; hemodynamic support; ICU

Preventive Measures

Prevent/treat DVT; early PE recognition.

Department to Visit

It is recommended to visit the Cardiology/Emergency-ICU department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.