Abstract

BOMBON CHICO, José Enrique et al. Chronic Cor Pulmonale, a frequent complication of pulmonary fibrosis: a case report. Vive Rev. Salud [online]. 2025, vol.8, n.22, pp.313-325.  Epub Jan 22, 2025. ISSN 2664-3243.  https://doi.org/10.33996/revistavive.v8i22.378.

Cor Pulmonale is a syndrome characterized by right ventricular hypertrophy, the triggering phenomenon is pulmonary hypertension as a result of conditions that affect the lung parenchyma, or its vasculature, mainly. This is an 81-year-old male patient with a personal pathological history of polyglobulia, arterial hypertension and heart failure, he comes to the emergency service due to a 3-month clinical picture characterized by dyspnea on medium exertion accompanied by a dry, persistent cough, the condition already described has worsened in the last 15 days with edema of the lower limbs, syncope and dyspnea that evolves with small exertion, upon admission with oxygen saturation: 93% with 2 liters of supplemental O2. The physical examination of the cardiopulmonary system revealed decreased expansibility, decreased vesicular murmur, basal rales, bradycardic, rhythmic, hypophonetic heart, holosystolic murmur in the tricuspid focus IV/VI on the Levine scale, edema in the extremities leaving a pit +++/++++. The following were performed: chest x-ray and tomography, electrocardiogram, echocardiogram, the results of these examinations contributed to the diagnosis. Cor Pulmonale is an underdiagnosed entity that requires a thorough evaluation, from this perspective the presentation of this case underlies to delve into etiopathogenic mechanisms, which favor the understanding of the pathology.

Keywords : Cor pulmonale; Pulmonary hypertension; Right ventricular hypertrophy.

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