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Cor pulmonale (pulmonary heart disease): present-day status.

In reviewing the present-day status of cor pulmonale, it is clear that considerable progress has been made in almost all instances of the disease. It is clearly a preventable form of heart disease in most cases and it is treatable and curable in its most common form, i. e., in COPD. One must agree with Petty, that today we have effective means of caring for the majority of respiratory cripples. Therapy for lung disease now appears even to have reduced the expected rate of pulmonary function deterioration in some patients. Surely with improved gas exchange and early detection of respiratory insufficiency the outlook for patients with respiratory diseases leading to cor pulmonale is better today than it was 30 years ago.

Adult↗

[Early electrocardiographic signs of chronic pulmonary heart disease].

Early electrocardiographic diagnosis of chronic cor pulmonale was attempted in the study of 312 patients with chronic pneumonia and in 251 normal individuals. In comparing the mean values of several ECG indices in chronic pneumonia, Stage 1, some signs with significant differences were revealed (amplitude of the PaVF wave, ratio of the hight of the PII and TII Waves, are of the PII wave). These signs appeared to be most informative. The following groups were singled out: 38 patients with chronic pneumonia, Stages 1 and 2 with signs of bronchospasm, and 53 persons with the same stages of the disease, but free of bronchial patency disorders. The ECG of these groups of patients was evaluated by means of the tables of electrocardiographic diagnosis of right atrial hypertrophy. The signs of overloading of the right atrium were revealed with statistical significance more often in patients with bronchospasm. The possibility of using this table for revealing early electrocardiographic signs of chronic cor pulmonale was also established; these signs include the amplitude of the PII wave greater than 2 mm and PaVF 1.5 mm, ratio of the hight of the PII and TII waves less than 0.75, the are of the PII wave greater than 0.09.

Adult↗

[Clinico-functional characteristics of pulmonary heart disease developing at high altitude as a result of chronic bronchitis].

It was shown that the high-altitude conditions of the Pamirs and Tien Shan (2800-3600 m above the sea-level) modified the clinicofunctional signs and a course of the cor pulmonale (CP) in chronic bronchitis. CP was detected in the examined patients with chronic bronchitis. As compared to the conditions of foothills (760 m) CP in mountain-dwellers was more noticeable in terms of the signs of pulmonary arterial hypertension, right ventricular hypertrophy developed in them 5 years earlier. The first obvious signs of cardiac decompensation developed in the presence of moderate (noticeable at the foothills) right ventricular hypertrophy and were often (51.5% of the patients against 21.6% under the foothills conditions) accompanied by disturbance of cardiac rhythm and conduction.

Adult↗