<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2664-3243</journal-id>
<journal-title><![CDATA[Vive Revista de Salud]]></journal-title>
<abbrev-journal-title><![CDATA[Vive Rev. Salud]]></abbrev-journal-title>
<issn>2664-3243</issn>
<publisher>
<publisher-name><![CDATA[CET-BOLIVIA]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2664-32432025000100313</article-id>
<article-id pub-id-type="doi">10.33996/revistavive.v8i22.378</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Cor Pulmonale Crónico una complicación frecuente de fibrosis pulmonar: a propósito de un caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Chronic Cor Pulmonale, a frequent complication of pulmonary fibrosis: a case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Cor Pulmonale crónico, complicação frequente da fibrose pulmonar: relato de um caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bombón Chico]]></surname>
<given-names><![CDATA[José Enrique]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Tamayo Viera]]></surname>
<given-names><![CDATA[Alejandra Mariela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Curicama Gualli]]></surname>
<given-names><![CDATA[Marco Antonio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Domínguez Noboa]]></surname>
<given-names><![CDATA[Geoandy Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres Guerra]]></surname>
<given-names><![CDATA[María Cristina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carrasco Carrasco]]></surname>
<given-names><![CDATA[Jonathan Fabricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Ambato  ]]></institution>
<addr-line><![CDATA[Ambato ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,aff2  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ambato  ]]></institution>
<addr-line><![CDATA[Ambato ]]></addr-line>
<country>Ecuador</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Quevedo  ]]></institution>
<addr-line><![CDATA[Quevedo ]]></addr-line>
<country>Ecuador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2025</year>
</pub-date>
<volume>8</volume>
<numero>22</numero>
<fpage>313</fpage>
<lpage>325</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_arttext&amp;pid=S2664-32432025000100313&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_abstract&amp;pid=S2664-32432025000100313&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.bo/scielo.php?script=sci_pdf&amp;pid=S2664-32432025000100313&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El Cor Pulmonale es un síndrome caracterizado por hipertrofia ventricular derecha, el fenómeno desencadenante es la hipertensión pulmonar como resultado de afecciones que comprometen el parénquima pulmonar, o su vasculatura, principalmente. Se trata de un paciente masculino de 81 años de edad con antecedentes patológicos personales de poliglobulia, hipertensión arterial e insuficiencia cardíaca, acude al servicio de emergencia por cuadro clínico de 3 meses de evolución caracterizado por disnea de medianos esfuerzos que se acompaña de tos seca, persistente, el cuadro ya descrito se exacerba en los últimos 15 días con edema de miembros inferiores, síncope y disnea que evoluciona a pequeños esfuerzos, a su ingreso con saturación de oxígeno: 93% con 2 litros de O2 suplementario. Al examen físico cardiopulmonar expansibilidad disminuida, murmullo vesicular disminuido, estertores basales, corazón bradicárdico, rítmico, hipofonético, soplo holosistólico en foco tricuspídeo IV/VI en la escala de Levine, en extremidades edema que deja fóvea +++/++++. Se le realizó: radiografía y tomografía de tórax, electrocardiograma, ecocardiograma, los resultados de estos exámenes contribuyeron al diagnóstico. El Cor Pulmonale es una entidad infradiagnosticada que requiere una minuciosa evaluación, desde esta perspectiva subyace la presentación de este caso para ahondar en mecanismos etiopatogénicos, que favorezcan la comprensión de la patología.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT 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.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[RESUMO Cor Pulmonale é uma síndrome caracterizada pela hipertrofia ventricular direita, cujo fenômeno desencadeante é a hipertensão pulmonar, decorrente de condições que afetam principalmente o parênquima pulmonar, ou sua vasculatura. Paciente do sexo masculino, 81 anos, com antecedentes pessoais de poliglobulia, hipertensão arterial e insuficiência cardíaca, recorre ao serviço de urgência por quadro clínico há 3 meses caracterizado por dispneia aos médios esforços acompanhada de tosse seca, persistente, o quadro já descrito piorou nos últimos 15 dias com edema de membros inferiores, síncope e dispneia que evolui com pequenos esforços, à admissão com saturação de oxigênio: 93% com 2 litros de O2 suplementar. Ao exame físico cardiopulmonar, expansibilidade diminuída, murmúrio vesicular diminuído, estertores basais, coração bradicárdico, rítmico, hipofonético, sopro holossistólico em foco tricúspide IV/VI na escala de Levine, edema em extremidades deixando fosseta +++/++++. Foram realizados: radiografia e tomografia de tórax, eletrocardiograma, ecocardiograma, cujos resultados contribuíram para o diagnóstico. Cor Pulmonale é uma entidade subdiagnosticada que requer uma avaliação criteriosa. Este caso é apresentado sob esta perspectiva, a fim de aprofundar mecanismos etiopatogênicos que favoreçam a compreensão da patologia.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Cor pulmonale]]></kwd>
<kwd lng="es"><![CDATA[Hipertensión pulmonar]]></kwd>
<kwd lng="es"><![CDATA[Hipertrofia ventricular derecha]]></kwd>
<kwd lng="en"><![CDATA[Cor pulmonale]]></kwd>
<kwd lng="en"><![CDATA[Pulmonary hypertension]]></kwd>
<kwd lng="en"><![CDATA[Right ventricular hypertrophy]]></kwd>
<kwd lng="pt"><![CDATA[Cor pulmonale]]></kwd>
<kwd lng="pt"><![CDATA[Hipertensão pulmonar]]></kwd>
<kwd lng="pt"><![CDATA[Hipertrofia ventricular direita]]></kwd>
</kwd-group>
</article-meta>
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