Right heart failure causes: Difference between revisions

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==Overview==
==Overview==
There are acute and chornic causes of right heart failure.
There are acute and chronic causes of right heart failure. Acute right heart failure is associated with right ventricular dilation. Chronic right heart failure is often associated with [[right ventricular hypertrophy]].
 
==Causes==
==Acute Causes of Right Heart Failure==
===Common Causes===
====Acute Causes of Right Heart Failure====
* [[Right ventricular infarction|Acute MI involving the right ventricle]]
* [[Right ventricular infarction|Acute MI involving the right ventricle]]
* [[Pulmonary embolism|Massive pulmonary embolization]]
* [[Pulmonary embolism|Massive pulmonary embolization]]
* Exacerbation of chronic [[cor pulmonale]]
* Exacerbation of chronic [[cor pulmonale]]


==Chronic Causes of Right Heart Failure==
====Chronic Causes of Right Heart Failure====
* [[Chronic obstructive pulmonary disease|COPD]]
* [[Chronic obstructive pulmonary disease|COPD]]
* [[Congenital heart disease]]
* [[Congenital heart disease]]
* [[Emphysema]]
* [[Emphysema]]
* [[Pneumonectomy|Loss of lung tissue following trauma or surgery (Pneumonectomy)]]
* [[Pneumonectomy|Loss of lung tissue following trauma or surgery (Pneumonectomy)]]
* [[Primary pulmonary hypertension]]
* [[Sleep apnea]]


==Differential Diagnosis of Underlying Causes of Right Heart Failure==
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Right ventricular infarction|Acute MI involving the right ventricle]], [[Atrial septal defect]]; [[Left atrial myxoma]]; [[Left ventricular failure]]; [[Mitral regurgitation]];
[[Mitral stenosis]]; [[Right ventricular infarction|Myocardial infarction of the right ventricle]]; [[Pulmonary hypertension]]
|-
|-bgcolor="LightSteelBlue"
| '''Chemical / poisoning'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Drug-induced]] lung disorder
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| Alveolar [[hypoxia]] in chronic [[high altitude]] exposure
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Obesity]]
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| [[Histiocytosis X]]; [[Polycythemia vera]]; [[Sickle Cell Anemia]]; Veno-occlusive lung disease
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| [[Pneumonectomy]]
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"| [[Guillain-Barre Syndrome]]; [[HIV|HIV infection]]; [[Schistosomiasis]]; [[Tuberculosis]]
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal / Ortho'''
|bgcolor="Beige"| [[Kyphoscoliosis]]
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| [[Amyotrophic Lateral Sclerosis]] ([[ALS]]); [[Guillain-Barre Syndrome]]; [[Myasthenia Gravis]]; [[Poliomyelitis]]; [[Polyradiculitis]]
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| [[Alpha-1 Antitrypsin Deficiency]]; [[Obesity]]
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| [[Adenopathy]] compressing the pulmonary vasculature; [[Tumor embolism]]; [[Tumor]] masses
|-
|-bgcolor="LightSteelBlue"
| '''Opthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose / Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| [[Adult Respiratory Distress Syndrome]] ([[ARDS]]); Bilateral [[Diaphragmatic dysfunction|diaphragmatic paralysis]]; [[Bronchiectasis]]; Bronchopulmonary dysplasia following [[neonatal respiratory distress syndrome]] ([[RDS]]); Chest wall dysfunction; [[Chronic bronchitis]]; Chronic fungal obstruction; [[Chronic Obstructive Pulmonary Disease]] ([[COPD]]); [[Emphysema]]; Fibrosing [[mediastinitis]]; [[Hypersensitivity pneumonitis]]; [[Idiopathic pulmonary fibrosis]]; [[Interstitial lung disease]]; [[Pneumonectomy]]; [[Pulmonary hypertension]]; Pulmonary hemangiomatosis; [[Pulmonary embolism]]; [[Pulmonary emphysema]]; [[Pulmonary fibrosis]]; [[Sarcoidosis]]; [[Sleep Apnea]]
|-
|-bgcolor="LightSteelBlue"
| '''Renal / Electrolyte'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| [[Collagen vascular disease]]; Necrotizing and [[granulomatous arteritis]]; [[Sarcoidosis]]; [[Scleroderma]]
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| [[Sleep Apnea]]
|-
|}


In alphabetical order. <ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>
===Causes in Alphabetical Order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref>===


* [[Right ventricular infarction|Acute MI involving the right ventricle]]
* [[Right ventricular infarction|Acute MI involving the right ventricle]]
Line 29: Line 142:
* Bilateral [[Diaphragmatic dysfunction|diaphragmatic paralysis]]
* Bilateral [[Diaphragmatic dysfunction|diaphragmatic paralysis]]
* [[Bronchiectasis]]
* [[Bronchiectasis]]
* Bronchopulmonary dysplasia following neonatal respiratory distress syndrome ([[RDS]])
* Bronchopulmonary dysplasia following [[neonatal respiratory distress syndrome]] ([[RDS]])
* Chest wall dysfunction
* Chest wall dysfunction
* [[Chronic bronchitis]]
* [[Chronic bronchitis]]
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* [[Cystic Fibrosis]]
* [[Cystic Fibrosis]]
* [[Drug-induced]] lung disease
* [[Drug-induced]] lung disease
* [[Drugs]]
* [[Emphysema]]
* [[Emphysema]]
* Fibrosing [[mediastinitis]]
* Fibrosing [[mediastinitis]]
Line 50: Line 162:
* [[Left atrial myxoma]]
* [[Left atrial myxoma]]
* [[Left ventricular failure]]
* [[Left ventricular failure]]
* [[Mitral valve disease]]
* [[Mitral regurgitation]]
* [[Mitral stenosis]]
* [[Myasthenia Gravis]]
* [[Myasthenia Gravis]]
*[[Right ventricular infarction|Myocardial infarction of the right ventricle]]
*[[Right ventricular infarction|Myocardial infarction of the right ventricle]]
Line 60: Line 173:
* [[Pneumonectomy]]
* [[Pneumonectomy]]
* [[Poliomyelitis]]
* [[Poliomyelitis]]
* [[Portal hypertension]]
* [[Polyradiculitis]]
* [[Polyradiculitis]]
* [[Polycythemia vera]] <ref name="pmid7942794">{{cite journal| author=Nand S, Orfei E| title=Pulmonary hypertension in polycythemia vera. | journal=Am J Hematol | year= 1994 | volume= 47 | issue= 3 | pages= 242-4 | pmid=7942794 | doi= | pmc= | url= }} </ref>
* [[Primary pulmonary hypertension]]
* [[Primary pulmonary hypertension]]
* [[Pulmonary hemangiomatosis]]
* Pulmonary hemangiomatosis
* [[Pulmonary embolism]]
* [[Pulmonary embolism]]
* [[Pulmonary emphysema]]
* [[Pulmonary emphysema]]
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


[[Category:Disease]]
[[Category:Cardiology]]
[[Category:Cardiology]]
[[Category:Pulmonology]]
[[Category:Pulmonology]]
[[Category:Emergency medicine]]
[[Category:Up-To-Date]]
[[Category:Mature chapter]]
[[Category:Up-To-Date cardiology]]

Latest revision as of 00:02, 30 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

There are acute and chronic causes of right heart failure. Acute right heart failure is associated with right ventricular dilation. Chronic right heart failure is often associated with right ventricular hypertrophy.

Causes

Common Causes

Acute Causes of Right Heart Failure

Chronic Causes of Right Heart Failure

Causes by Organ System

Cardiovascular Acute MI involving the right ventricle, Atrial septal defect; Left atrial myxoma; Left ventricular failure; Mitral regurgitation;

Mitral stenosis; Myocardial infarction of the right ventricle; Pulmonary hypertension

Chemical / poisoning No underlying causes
Dermatologic No underlying causes
Drug Side Effect Drug-induced lung disorder
Ear Nose Throat No underlying causes
Endocrine No underlying causes
Environmental Alveolar hypoxia in chronic high altitude exposure
Gastroenterologic Obesity
Genetic No underlying causes
Hematologic Histiocytosis X; Polycythemia vera; Sickle Cell Anemia; Veno-occlusive lung disease
Iatrogenic Pneumonectomy
Infectious Disease Guillain-Barre Syndrome; HIV infection; Schistosomiasis; Tuberculosis
Musculoskeletal / Ortho Kyphoscoliosis
Neurologic Amyotrophic Lateral Sclerosis (ALS); Guillain-Barre Syndrome; Myasthenia Gravis; Poliomyelitis; Polyradiculitis
Nutritional / Metabolic Alpha-1 Antitrypsin Deficiency; Obesity
Obstetric/Gynecologic No underlying causes
Oncologic Adenopathy compressing the pulmonary vasculature; Tumor embolism; Tumor masses
Opthalmologic No underlying causes
Overdose / Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Adult Respiratory Distress Syndrome (ARDS); Bilateral diaphragmatic paralysis; Bronchiectasis; Bronchopulmonary dysplasia following neonatal respiratory distress syndrome (RDS); Chest wall dysfunction; Chronic bronchitis; Chronic fungal obstruction; Chronic Obstructive Pulmonary Disease (COPD); Emphysema; Fibrosing mediastinitis; Hypersensitivity pneumonitis; Idiopathic pulmonary fibrosis; Interstitial lung disease; Pneumonectomy; Pulmonary hypertension; Pulmonary hemangiomatosis; Pulmonary embolism; Pulmonary emphysema; Pulmonary fibrosis; Sarcoidosis; Sleep Apnea
Renal / Electrolyte No underlying causes
Rheum / Immune / Allergy Collagen vascular disease; Necrotizing and granulomatous arteritis; Sarcoidosis; Scleroderma
Sexual No underlying causes
Trauma No underlying causes
Urologic No underlying causes
Miscellaneous Sleep Apnea

Causes in Alphabetical Order[1] [2]

References

  1. ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
  2. ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X
  3. ↑ Nand S, Orfei E (1994). "Pulmonary hypertension in polycythemia vera". Am J Hematol. 47 (3): 242–4. PMID 7942794.

Template:WH Template:WS

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