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Cor pulmonale

Alternative Names

Right-sided heart failure - cor pulmonale

Symptoms

  • Shortness of breath
  • Symptoms of underlying disorders (wheezing, coughing)
  • Swelling of the feet or ankles
  • Exercise intolerance
  • Chest discomfort

Exams and Tests

  • Bluish color to the skin (cyanosis)
  • Distension of the neck veins indicating high right-heart pressures
  • Abnormal fluid collection in the abdomen, enlargement of the liver
  • Swelling of the ankles
  • Abnormal heart sounds

The following tests may help diagnose cor pulmonale:

  • Echocardiogram (heart ultrasound)
  • Chest x-ray
  • CAT scan of the chest
  • Pulmonary function tests
  • Swan-Ganz catheterization
  • V/Q scan
  • Measurement of blood oxygen by arterial blood gas (ABG)
  • Lung biopsy (rarely performed)
  • Blood antibody tests
  • Blood test for brain natriuretic peptide (BNP)

Review Date: 11/13/2006
Reviewed By: David A. Kaufman, M.D., Assistant Professor, Division of Pulmonary, Critical Care & Sleep Medicine, Mount Sinai School of Medicine, New York, NY. Review provided by VeriMed Healthcare Network.

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