Doctor insights on:
End Stage Cor Pulmonale Renal Failure
Severe COPD. Cor pulmonale. V low blood pressure. Not relieved by drip fluids. Cause? Tests? Worried this may be end stage COPD or Cor pulmonale.
A condition in which your kidneys suddenly stop working normally. Since your kidneys remove waste products and help balance water and salt and other minerals (electrolytes) in your blood, when your kidneys stop working, waste products, fluids, and electrolytes build up in your body. This can cause problems ...Read more
Sort of: Cor pulmonale is the inability of the right side of the heart to pump blood through the lungs. One common cause is left-sided heart failure and this isn't cor pulmonale. A host of lung diseases cause cor pulmonale and some folks use the term to include heart failure due to pulmonary thromboembolization. ...Read more
Not much: Cor pulmanale is right sided failure brought on by long standing pulmonary artery hypertension. ...Read more
RV overload: Chronic lung disease causes pressure overload of the right ventricle which eventually fails with enlargement and rise in pressure in the right ventricle, right atrium and the systemic venous circulation including the liver, spleen, intestines, genitals, and legs. ...Read more
What is differences between right ventricular hypertrophy & right heart failure; cor pulmonale & pulmonary hypertension? Do they hv the same meaning?
Related: Pulmonary hypertension leads to right ventricular hypertophy. If the hypertension is severe and prolongued, the hypertrophied right ventricle begins to enlarge out of proportion to it's thickness. That is called cor pulmonale. Subsequently the right ventricle begins to fail, the right ventricular end diastolic pressures rise over 20mmhg, the rv cardiac output gets compromised, legs, liver, abdswell. ...Read moreSee 1 more doctor answer
Yes: Cor pulmonale refers to failure of the right ventricle - the part of the heart that pumps blood to the lungs. COPD can result in cor pulmonale. This happens when COPD results in hypoxemia (low oxygen). When there is a low level of oxygen in the lungs, the blood vessels in the lungs contact more strongly. This high pressure applies stress to the right ventricle, causing it to fail. ...Read moreSee 1 more doctor answer
Diag - cor pulmonale. Pitted edema for @ 4 yrs and an fev 56%. 460lbs 6'1" 49 yrs old. 5 yr exp after diag? How close to the end? 1.5 of 6mwt / 150yds
Depressing question: I know this isn't an 'easy' problem or answer. But quite obviously your main problem is your weight which needs some fairly dramatic intervention. There is no obvious number to give you. But with this weight and these problems your life will not be a long one. The time to tackle it is now! ...Read more
Cor pulmonale: Cor pulmonale is right heart failure due to pulmonary(lung)disease. Generically we can say its right heart failure. Dilated cardiomyopathy is a condition of generalized heart dilation usually resulting in heart failure. Right heart failure often exists in dilated cardiomyopathy because of failure of the right ventricle. ...Read more
Right heart failure : Cor pulmonale refers to the altered structure (eg, hypertrophy or dilatation) and/or impaired function of the right ventricle that results from pulmonary hypertension that is associated with diseases of the lung, vasculature, upper airway or chest wall. Usually it's a clinical diagnosis but chest X-ray, echo, right heart cath, pulmonary function test can be abnormal, thus supporting diagnosis. ...Read more
Renal failure: Acute renal failure: seen in a healthy person who develops an illness (e.g. hemolytic uremic syndrome [in children] or septic shock and multiple organ dysfunction) that leads to renal failure. Often it resolves. End-stage renal disease implies that the problem has been there for weeks/months, is not going to resolve and the person may need kidney transplant ...Read more
Depends upon health: Very variable. Current medical literature quotes 22% annual mortality rate which suggests 5 year survival rate. However, younger and otherwise healthy subjects can live 10 -20 years on dialysis. Kidney transplantation has a much better prognosis if and when there is choice. Some subjects only need tdialysis on temporary basis on temporary and recover kidney function. Others are 2 sick for transpl. ...Read moreSee 2 more doctor answers
If someone has end stage renal failure. Wouldn't they have severe swelling all over from fluid accumulation?
Possibly: It depends if there is still urine output or not. Some people maintain good urine volume even if they are on dialysis and in that case there is an outlet for fluid excess to leave the body. In the absence of urine output only dialysis can remove the extra fluid so a restriction of intake is mandatory. ...Read moreSee 2 more doctor answers
ESRD options: Patients with esrd have 4 options. One is hemodialysis (h), either at a dialysis center, doing regular or nocturnal h, or doing h at home. The second is, peritoneal dialysis. Esrd patients can receive a transplant for either a living related or a cadaveric donor. The 4th option is one that very few patients consider, and that is not starting dialysis at all leading to a fatal outcome. ...Read more
Other factors too!: A lot of other things help explain this. If the person has multiple other medical problems life expectancy could be very short. From my experience most people with end-stage kidney disease have a matter of years on average. Anyone with end-stage disease of any kind should be actively preparing for the end-of-life, creating advanced directives and completing their bucket lists! ...Read moreSee 1 more doctor answer
If one's kidney fxn is 14 percent, is that considered end stage renal failure? Any way to reverse its course? Any fluctuation possible?
GFR <15 is end stage: Kidney doctors will follow the lab results, start dialysis, and refer to the transplant team if one is eligible. Criteria for transplant can vary among medical centers and may include: end-stage renal disease, creatinine clearance at 20 or less, no active or ongoing cancers, no active infections, have reasonable heart and lung function, bmi <35, no smoking/drug-abuse/alcohol-abuse, etc... ...Read more
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