Prevention Of Cardiovascular Disease South-East Asia Region:

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This indicates that clearing the blockage in the affected artery will be of benefit. The high pressure in the arteries puts extra strain on the heart and can eventually lead to failure of the right side of the heart. ❖ The most significant causes include formation of blood clots in the lungs, scarring of the lung tissue, and a decrease in the level of oxygen in the blood. ❖ Pulmonary hypertension, which is an increase of blood pressure in the pulmonary arteries. ❖ General causes like kyphoscoliosis (abnormal bending of the upper part of the spine), and obstructive sleep apnea (breathing difficulties while sleeping) increase the risk of cor pulmonale. ❖ Other risk factors are lung diseases like Chronic Obstructive Pulmonary Disease (COPD), black lung disease, and cystic fibrosis. ❖ Cyanosis, a condition in which the color of the skin turns blue, is the first symptom to watch out for. ❖ The patient experiences severe chest pain, breathlessness, fatigue, exertion, palpitations, and irregular heartbeat. ❖ Swelling of the legs, feet, and ankles. ❖ Protruding veins in the neck and the face of the patient. ❖ The patient may require oxygen therapy to maintain the optimum percentage of oxygen in the blood and control breathlessness. ❖ Blood thinning medicines are administered to avoid clots in the lungs. ❖ To keep the symptoms under control, drugs like, ambrisentan, bosentan, diuretics, calcium channel blockers, and bronchodilators are administered. ❖ In extreme cases a transplant of the heart and lungs may be necessary. ❖ The patient should avoid smoking, alcohol, heavy physical activities, cold weather, and traveling to places that are at high altitudes.

Pages: 30

Publisher: World Health Organization (October 30, 2007)

ISBN: 9241547251

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