Right heart failure causes: Difference between revisions

Jump to navigation Jump to search
VisualWikitext
No edit summary
m (Bot: Removing from Primary care)
 
(21 intermediate revisions by 6 users not shown)
Line 4: Line 4:


==Overview==
==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]].
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==
==Causes of Right Heart Failure Based upon Chronicity==
===Common Causes===
===Acute Causes of Right Heart Failure (Common Examples)===
====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 (Common Examples)===
====Chronic Causes of Right Heart Failure====
* [[Chronic obstructive pulmonary disease|COPD]]
* [[Chronic obstructive pulmonary disease|COPD]]
* [[Congenital heart disease]]
* [[Congenital heart disease]]
Line 20: Line 20:
* [[Sleep apnea]]
* [[Sleep apnea]]


==Differential Diagnosis of Underlying Causes of Right Heart Failure==
===Causes by Organ System===
 
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]]
* [[Adenopathy]]
* [[Adult Respiratory Distress Syndrome]] ([[ARDS]])
* [[Alpha-1 Antitrypsin Deficiency]]
* Alveolar [[hypoxia]] in chronic [[high altitude]] exposure
* [[Amyotrophic Lateral Sclerosis]] ([[ALS]])
* 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]])
* [[Collagen vascular disease]]
* [[Congenital heart disease]]
* [[Cystic Fibrosis]]
* [[Drug-induced]] lung disease
* [[Emphysema]]
* Fibrosing [[mediastinitis]]
* [[Guillain-Barre Syndrome]]
* [[Histiocytosis X]]
* [[HIV|HIV infection]]
* [[Hypersensitivity pneumonitis]]
* [[Idiopathic pulmonary fibrosis]]
* [[Interstitial lung disease]]
* [[Kyphoscoliosis]]
* [[Left atrial myxoma]]
* [[Left ventricular failure]]
* [[Mitral regurgitation]]
* [[Mitral stenosis]]
* [[Myasthenia Gravis]]
*[[Right ventricular infarction|Myocardial infarction of the right ventricle]]
* Necrotizing and [[granulomatous arteritis]]
* Neuromuscular disease
* [[Obesity]]
* Persistent [[pulmonary hypertension]] of the newborn
* [[Pneumoconiosis]]
* [[Pneumonectomy]]
* [[Poliomyelitis]]
* [[Portal hypertension]]
* [[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]]
* [[Pulmonary hemangiomatosis]]
* [[Pulmonary embolism]]
* [[Pulmonary emphysema]]
* [[Pulmonary fibrosis]]
* [[Pulmonary resection]]
*[[Right ventricular infarction]]
* [[Sarcoidosis]]
* [[Schistosomiasis]]
* [[Scleroderma]]
* [[Sickle Cell Anemia]]
* [[Sleep Apnea]]
* [[Tuberculosis]]
* [[Tumor embolism]]
* [[Tumor]] masses
* Veno-occlusive lung disease
 
==Complete Differential Diagnosis of the Causes of Right Heart Failure==
(By organ system)
{|style="width:80%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|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]];
|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]]
[[Mitral stenosis]]; [[Right ventricular infarction|Myocardial infarction of the right ventricle]]; [[Pulmonary hypertension]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 100: Line 36:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Drug-induced]] lung disease
|bgcolor="Beige"| [[Drug-induced]] lung disorder
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 116: Line 52:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Obesity]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 124: Line 60:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Histiocytosis X]]; [[Polycythemia vera]]; [[Sickle Cell Anemia]]; Veno-occlusive lung disease
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Pneumonectomy]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[Guillain-Barre Syndrome]]; [[Histiocytosis X]]; [[HIV|HIV infection]]
|bgcolor="Beige"| [[Guillain-Barre Syndrome]]; [[HIV|HIV infection]]; [[Schistosomiasis]]; [[Tuberculosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 140: Line 76:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
| '''Neurologic'''
|bgcolor="Beige"| [[Amyotrophic Lateral Sclerosis]] ([[ALS]]); [[Guillain-Barre Syndrome]]; [[Myasthenia Gravis]]
|bgcolor="Beige"| [[Amyotrophic Lateral Sclerosis]] ([[ALS]]); [[Guillain-Barre Syndrome]]; [[Myasthenia Gravis]]; [[Poliomyelitis]]; [[Polyradiculitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Nutritional / Metabolic'''
| '''Nutritional / Metabolic'''
|bgcolor="Beige"| [[Alpha-1 Antitrypsin Deficiency]]
|bgcolor="Beige"| [[Alpha-1 Antitrypsin Deficiency]]; [[Obesity]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 152: Line 88:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Adenopathy]] compressing the pulmonary vasculature
|bgcolor="Beige"| [[Adenopathy]] compressing the pulmonary vasculature; [[Tumor embolism]]; [[Tumor]] masses
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 168: Line 104:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
| '''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]]
|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"
|-bgcolor="LightSteelBlue"
Line 176: Line 112:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheum / Immune / Allergy'''
| '''Rheum / Immune / Allergy'''
|bgcolor="Beige"| [[Collagen vascular disease]]
|bgcolor="Beige"| [[Collagen vascular disease]]; Necrotizing and [[granulomatous arteritis]]; [[Sarcoidosis]]; [[Scleroderma]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
Line 192: Line 128:
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| No underlying causes
|bgcolor="Beige"| [[Sleep Apnea]]
|-
|-
|}
|}
===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]]
* [[Adenopathy]]
* [[Adult Respiratory Distress Syndrome]] ([[ARDS]])
* [[Alpha-1 Antitrypsin Deficiency]]
* Alveolar [[hypoxia]] in chronic [[high altitude]] exposure
* [[Amyotrophic Lateral Sclerosis]] ([[ALS]])
* 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]])
* [[Collagen vascular disease]]
* [[Congenital heart disease]]
* [[Cystic Fibrosis]]
* [[Drug-induced]] lung disease
* [[Emphysema]]
* Fibrosing [[mediastinitis]]
* [[Guillain-Barre Syndrome]]
* [[Histiocytosis X]]
* [[HIV|HIV infection]]
* [[Hypersensitivity pneumonitis]]
* [[Idiopathic pulmonary fibrosis]]
* [[Interstitial lung disease]]
* [[Kyphoscoliosis]]
* [[Left atrial myxoma]]
* [[Left ventricular failure]]
* [[Mitral regurgitation]]
* [[Mitral stenosis]]
* [[Myasthenia Gravis]]
*[[Right ventricular infarction|Myocardial infarction of the right ventricle]]
* Necrotizing and [[granulomatous arteritis]]
* Neuromuscular disease
* [[Obesity]]
* Persistent [[pulmonary hypertension]] of the newborn
* [[Pneumoconiosis]]
* [[Pneumonectomy]]
* [[Poliomyelitis]]
* [[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]]
* Pulmonary hemangiomatosis
* [[Pulmonary embolism]]
* [[Pulmonary emphysema]]
* [[Pulmonary fibrosis]]
* [[Pulmonary resection]]
*[[Right ventricular infarction]]
* [[Sarcoidosis]]
* [[Schistosomiasis]]
* [[Scleroderma]]
* [[Sickle Cell Anemia]]
* [[Sleep Apnea]]
* [[Tuberculosis]]
* [[Tumor embolism]]
* [[Tumor]] masses
* Veno-occlusive lung disease


==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

Right heart failure Microchapters

Home

Patient Information

Overview

Classification

Pathophysiology

Causes

Differentiating Right heart failure from other Diseases

Epidemiology and Demographics

Risk Factors

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Right heart failure causes On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Google Images

American Roentgen Ray Society Images of Right heart failure causes

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Right heart failure causes

CDC on Right heart failure causes

Right heart failure causes in the news

Blogs on Right heart failure causes

Directions to Hospitals Treating Right heart failure

Risk calculators and risk factors for Right heart failure causes

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

Retrieved from "https://www.wikidoc.org/index.php?title=Right_heart_failure_causes&oldid=1642975"