What are the symptoms of cor pulmonale?

Updated: Dec 15, 2017
  • Author: Derek Leong, MD; Chief Editor: Henry H Ooi, MD, MRCPI  more...
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Patients may report a combination of fatigue, tachypnea, exertional dyspnea, and cough. Anginal chest pain can also occur and may be due to right ventricular ischemia or pulmonary artery stretching, which typically do not respond to nitrates. A variety of neurologic symptoms may be seen due to decreased cardiac output and hypoxemia.

Hemoptysis may occur due to rupture of a dilated or atherosclerotic pulmonary arteriole. Other conditions, such as tumors, bronchiectasis, and pulmonary infarction, should be excluded before attributing hemoptysis to pulmonary hypertension. Rarely, the patient may complain of hoarseness due to compression of the left recurrent laryngeal nerve by a dilated pulmonary artery.

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