LIBRO + ANEXOS NEUMOLOGÍA PEDIÁTRICA

Libro Blanco de las ACES Pediátricas 2024 158 ❚ a. Know that sustained pulmonary hypertension produces cor pulmonale b. Know that intermittent hypoxemia, such as that occurring during sleep, can produce pulmonary hypertension and subsequent cor pulmonale c. Recognize the changes in heart function that occur in patients with cor pulmonale before right-sided heart failure occurs d. Diagnosis and clinical manifestations 1. History a. Recognize elements of the history suggestive of right-sided congestive heart failure 2. Physical examination a. Recognize the typical physical findings in patients with right-sided heart failure 3. Imaging a. Recognize the value of Doppler echocardiography in the diagnosis of pulmonary hypertension 4. Pulmonary function tests 5. Other investigations 6. Diagnostic criteria a. Recognize the electrocardiographic features of right ventricular hypertrophy b. Recognize the echocardiographic features associated with pulmonary hypertension 7. Complications a. Know that right-sided heart failure is a complication of cor pulmonale e. Prevention and therapeutic approach 1. Prevention a. Understand the role of oxygen therapy in preventing cor pulmonale in a patient with chronic lung disease 2. Therapeutic approach a. Know the supportive treatment for heart failure due to cor pulmonale b. Understand the role of long-term oxygen therapy in the treatment of patients with cor pulmonale 3. Side effects of therapy f. Prognosis 1. Natural history 2. Prognosis with therapy a. Know that cor pulmonale can be reversed with successful therapy for underlying lung disease, e.g., upper airway obstruction 2. Pulmonary edema a. Epidemiology b. Etiology/genetics 1. Recognize causes of pulmonary edema 2. Know that pulmonary edema can result from rapid expansion of atelectatic lung tissue 3. Know that pulmonary edema can occur due to postcapillary pulmonary venous obstruction