PATHOPHYSIOLOGY of COR PULMONALE
Precipitating Factors:
Predisposing Factors:
Lifestyle
Diet
Age
COPD
Sex (Male)
History of MI
Heredity History of CAD
Etiology
(Unknown)
Hypoxia and hypoxemia Respiratory Acidosis
Hypoxic Pulmonary
Arterial
vasoconstriction
Decrease in pulmonary
vascular bed
Increase pulmonary artery
pressure
Increase resistance in
pulmonary circulatory system
Pulmonary
hypertension
Increased right loud second heart
ventricular afterload sound
Right ventricular
Enlarged heart
hypertrophy
Right ventricular failure
Increased venous Increased capillary hydrostatic Further impairment
pressure pressure throughout the of blood circulation
venous system
a
b c
a b c
Jugular venous Retention of fluid
distension
Easy confusion
fatigability
Edema of the lower
extremities
Distended Enlarged
neck veins palpable liver
Increase pressure
within the portal
Increase pressure on Somnolence
vessels
the diaphragm
Shortness of breath Ascites