Pulmonary heart disease - forms of the disease , causes, symptoms , treatment


1. reasons

2. Acute pulmonary heart

3. Chronic pulmonary heart

4. treatment of disease

Pulmonary heart disease - diseaseright heart, which is characterized by an increase and extension of the right atrium and ventricle.At the same time, as a result of hypertension, pulmonary circulation, developing circulatory failure.The appearance of pulmonary heart disease processes provoke respiratory system, chest, lungs, blood vessels.This disease is the fourth fatality among cardiovascular diseases.

Causes The causes of the disease depends on its shape.

Bronchopulmonary form of pulmonary heart.This form causes about 70 bronchopulmonary diseases, in which 80% of the pulmonary heart shape.The cause of the disease are the primary lesion of the bronchi and lungs in chronic obstructive bronchitis, bronchial asthma, bronchiolitis, pneumoconiosis, sarcoidosis, tuberculosis, polycystic lung, diffuse pnevmoskleroze different origins, pulmonary emphysema, and other diseases.

Torakodiafragmalnaya form of pulmonary heart.It arises as a result of the primary lesion of the chest, diaphragm, limiting their mobility, which interferes with ventilation and hemodynamics (blood flow through the vessels) in the lungs.The number of such diseases include diseases that deform the chest (ankylosing spondylitis, kyphoscoliosis), diaphragm disease of the pleura (paresis of the diaphragm, pulmonary fibrosis), neuromuscular diseases (poliomyelitis).

vascular form.Formed in primary pulmonary vascular lesions - pulmonary vasculitis, primary pulmonary hypertension, thromboembolism, pulmonary artery branches, atherosclerosis, pulmonary artery, pulmonary trunk squeezing aortic aneurysm, mediastinal tumors.

Acute pulmonary heart

Acute pulmonary heart occurs as a result of pulmonary embolism or certain diseases of the respiratory and cardiovascular systems.This disease is very dangerous, because in most cases it develops rapidly in a matter of hours or minutes.It is often fatal.

Symptoms of pulmonary heart in this form is the swelling of the veins of the neck of the patient, wheezing when listening, pulsation in the second and third intercostal space, an enlarged liver.Then, the patient may develop a myocardial infarction, which often occurs after death.

The main causes of acute pulmonary heart disease include:

  • massive pulmonary embolism;
  • heavy for a prolonged attack of asthma;
  • valve pneumothorax;
  • common acute pneumonia.

If the disease develops within a few days or weeks, talking about the development of subacute pulmonary heart.patient death can occur as a result of heart failure.

The most common symptom of pulmonary heart in this form is a sudden pain when breathing moderate intensity.In addition, the patient has heart palpitations, shortness of breath may be fainting, coughing up blood.There are signs that are typical for pleurisy.

Chronic pulmonary heart

Chronic pulmonary heart develops over several years.As a result of various causes increased pulmonary vascular resistance and load of the right ventricle.This contributes to its increase and development of heart failure.

The causes of chronic pulmonary heart disease may be pulmonary emphysema, chronic pulmonary inflammatory disease with frequent exacerbations, chronic bronchitis, lung diseases associated with dust deposition on them (pneumoconiosis, silicosis), chest wall deformity (kyphosis, scoliosis), scarring to the tissueslung, pulmonary vascular thrombosis.

At the beginning of the development of chronic pulmonary heart disease are present the main features of lung disease.Over time, the symptoms of pulmonary heart of this form:

  • dyspnea, which sometimes occurs at rest and during exercise is enhanced;
  • jugular veins that do not collapse on exhalation or inhalation;
  • bluish or gray skin color, cyanosis of the nose, tips of the ears, lips, hands, feet;
  • a painful, persistent cough, in which the separated yellow-green or rusty bloody sputum;
  • lowering of blood pressure and body temperature;
  • severe weakness, fatigue at low load, the total apathy, constant sleepiness;
  • at a late stage gradually increase swelling, which starts in the legs and cover the whole body;
  • at a late stage reduces the amount of urine, increased liver, appear nervous system disorders, such as noise in the head, dizziness;
  • edema by increasing the fluid accumulates in the peritoneal cavity, the thoracic cavity is formed and the whole body edema;
  • heart increases in size, its rhythm is disturbed.

treatment of disease

Treatment of pulmonary heart depends on at what stage the disease.

acute stage is very dangerous for the life of the patient.With the development of shock and signs of clinical death, resuscitation is carried out immediately - heart massage, artificial respiration.If successful data recovery measures must be patient surgery.During the operation, the probe is introduced into the pulmonary artery thrombolytic drugs or remove a blood clot from the pulmonary artery trunk.Treatment of pulmonary heart in this case, includes the fight against shock, cessation of pain, reduction of pulmonary artery pressure, heart failure therapy.

the treatment of pulmonary heart, has a chronic course, great attention is paid to treatment of the underlying disease.

In acute inflammation in the lungs prescribe antibiotics.

If bronchospastic syndrome used bronchodilators, corticosteroids, antihistamines.If the patient is viscous sputum, prescribe mucolytic and expectorant.

patients suffering from hypertension, administered drugs that lower blood pressure.

well-proven in the treatment of pulmonary heart oxygen therapy.It can slow down and even stop the course of the disease.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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