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Cor pulmonale - Overview

Nombres alternativos

Insuficiencia cardíaca derecha

Definición:

Es la insuficiencia del lado derecho del corazón provocada por una hipertensión arterial prolongada en las arterias pulmonares y en el ventrículo derecho del corazón.

Causas:

Normalmente, el lado izquierdo del corazón produce una presión arterial mayor con el fin de bombear sangre al cuerpo; mientras que el lado derecho bombea sangre a través de los pulmones bajo una presión mucho más baja.

La presión alta en las arterias de los pulmones se denomina hipertensión pulmonar. El lado derecho del corazón tiene una mayor dificultad para bombear sangre frente a estas presiones más altas. Si esta presión alta se presenta por un tiempo más prolongado, esto ejerce tensión sobre el lado derecho del corazón, llevando a que se presente cor pulmonale.

Casi cualquier enfermedad o afección pulmonar crónica que produzca disminución prolongada del oxígeno sanguíneo puede llevar a cor pulmonale. Algunas de estas causas abarcan:

  • Reviewed last on: 5/1/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; Denis Hadjiliadis, MD, Assistant Professor of Medicine, Division of Pulmonary, Allergy and Critical Care, University of Pennsylvania, Philadelphia, PA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

McGlothlin D, De Marco T. Cor pulmonale. In: Mason RJ, Broaddus VC, Martin TR, et al. Murray & Nadel's Textbook of Respiratory Medicine. 5th ed. Philadelphia, Pa: Saunders Elsevier; 2010:chap 56.

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