โข Perivascular changes secondary to recurrent small PE โ โ pulmonary vascular resistance โ โ pressure in the pulmonary circuit โ โ RV afterload โ dilatation and/or hypertrophy of the right heart
โข Will present as pure right sided HF (JVD, dyspnea, ascites, LE pitting edema, cardiomegaly but NO pulmonary edema (pulmonary edema is associated with left sided HF)
Patient with progressive dyspnea with signs of right-sided heart failure (JVD, ascites, pitting edema but no pulmonary edema) and a history of DVT/PE, most consistent with cor pulmonale secondary to Group 4 pulmonary hypertension
submitted by โgh889(154)
โข Perivascular changes secondary to recurrent small PE โ โ pulmonary vascular resistance โ โ pressure in the pulmonary circuit โ โ RV afterload โ dilatation and/or hypertrophy of the right heart
โข Will present as pure right sided HF (JVD, dyspnea, ascites, LE pitting edema, cardiomegaly but NO pulmonary edema (pulmonary edema is associated with left sided HF)