Pulmonary heart disease

Pulmonary heart disease (synonym: cardio-pulmonary failure, asthma, pulmonary heart - circulatory insufficiency, caused by the increased pressure in the pulmonary trunk in the pathological changes in the lungs and blood vessels of the small circle of blood circulation. There are acute lung-heart failure (develops within hours, days) and chronic (for its development takes years).
Acute pulmonary heart disease - acute coming right heart failure as a result of rapidly evolving increase the pressure in the pulmonary trunk. Reason: embolism or thrombosis of vessels of a small circle, pneumothorax, a severe attack of asthma, common pneumonia. Is rare. Characterized by sudden shortness of breath, choking, sharp chest pain, cyanosis, cold sweat, often collapse (see). When examined against the background of pathological changes in the organs of respiration determine the frequency of the pulse, and the expansion of the heart to the right and up, systolic murmur and the focus of the second tone of the pulmonary trunk.
Treatment of acute pulmonary-cardiac insufficiency - rest, oxygen inhalation, the appointment of papaverine (1-2 ml of 2% solution under the skin), eufillina (10 ml of 2.4% solution in 20 ml of 40% glucose solution intravenously), atropine (1 ml of 0.1% solution under the skin), and when embolism anticoagulants, pain (only on doctor's prescription) drugs morphine (1 ml of 1 - 2% solution of pantopon under the skin). Operational retrieval of the pitch is not often leads to recovery.
Chronic pulmonary heart disease occurs as a result of a gradual increase of pressure in the pulmonary trunk. Reasons: the primary hypertension pulmonary, growing at diseases of pulmonary vessels (atherosclerosis pulmonary trunk, endarteritis, re embolism); diseases of the lungs, bronchi, pleura, leading to the development of emphysema and of pneumosclerosis and increased pressure in the pulmonary circulation. This increased pressure in the pulmonary trunk initially compensated by hypertrophy of the right ventricle; further during exercise gradually begin to develop symptoms of circulatory failure on right ventricular type, combined with increasing pulmonary insufficiency. Chronic pulmonary heart disease is developing, as a rule, on the background of respiratory failure and always aggravates the course of the main (pulmonary) disease. Is characterized by shortness of breath, first during exercise, and then alone, General weakness, sometimes pain in the heart, heart rate, and further cyanosis destroy cheeks, swelling of the veins in the neck. In the study on the background of pathological changes in the organs of respiration determine nerezko expressed tachycardia, increased heart borders to the right (x-ray), deaf tones, sometimes systolic murmur at the top, the focus of the second tone of the pulmonary trunk, enlarged liver, sometimes pastoznost in the legs. Radiographically detected expansion of the pulmonary trunk, right atrium and right ventricle.
Treatment is primarily to the treatment of the underlying disease, contributing to the development of chronic lung-heart failure (for example, exacerbation of inflammatory processes in the lungs - sulfa drugs, antibiotics, bronchodilating agents).
When treating pulmonary-cardiac insufficiency should be carried out all the activities that used in the treatment of heart failure (see) any other origin. Effective inhaled oxygen therapy. Appropriate designation eufillina providing extend the operation of vessels in the small circle of blood circulation. Frequently observed in these patients, low blood pressure and the possibility of developing vascular insufficiency obliged to apply vascular funds - 1 ml of 10% solution of caffeine-benzoate sodium under the skin, 2 ml of 20% an oil solution of camphor under the skin and others With respiratory depression should be particularly careful to drugs (morphine, pantopon, large doses of barbiturates and so on). Have them be a doctor. The great value has the correct breathing, which should be applied breathing exercises, especially in the early stages of lung-heart failure.

Pulmonary heart disease (synonym: cardiopulmonary syndrome, cardiopulmonary insufficiency) - acute or chronic circulatory insufficiency in right ventricular type arising in the result of acute or chronic hypertension in the pulmonary circulation.