Elderly pulmonary heart condition may be a relatively common sort of disease in clinic. Mainly thanks to chronic lung disease, arteria pulmonalis blood vessels or thoracic lesions caused by abnormal lung tissue structure and performance, leading to pulmonary vascular resistance increased pulmonary hypertension formation, in order that right heart dilated hypertrophy with or without right coronary failure heart condition.
The course of the disease progresses slowly, and may be divided into two stages of compensation and decompensation, but the limit sometimes unclear.
(1) Patients with functional compensation have a history of chronic cough, sputum, or asthma, and gradually develop fatigue and difficulty breathing. Physical examination showed obvious emphysema, including barrel chest, excessive percussion in lung percussion, decreased upper limit of liver dullness, and reduced or maybe disappeared heart dullness. Breath sounds are low on auscultation, with wet and dry rales and lightweight heart sounds, sometimes only under the bone. arteria pulmonalis area hyperextension, obvious heart beat under the bone of the upper abdomen, is that the main manifestation of the disease involving the guts. The vena jugularis could also be slightly dilated, but the blood pressure doesn't increase significantly.
The early manifestations of chronic pulmonary heart condition are long-term coughing, sputum production, and ranging degrees of dyspnea, especially after exercise or during the cold season. within the early stage of hypertrophy, the cardiopulmonary function is within the stage of tasting, the patient has no specific symptoms, and therefore the patient can haven't any symptoms when quiet, therefore the disease isn't easy to draw in people's attention. However, as long because the following conditions occur, it often prompts that you simply have already got pulmonary heart disease:
①Cough and sputum repeatedly for an extended time.
②When the cold season gets worse, the cough gets worse, the phlegm increases, becomes thicker or yellow.
③ once you are slightly active, like rising stairs or brisk walking, you'll feel shortness of breath, shortness of breath, palpitations, pain within the precordial area, fatigue, chest tightness and other symptoms. you'll improve after rest.
④ The fingertips, lips and surroundings are bluish purple.
⑤Heart rate increases, arrhythmia
(2) Damage to the lung tissue during the decompensation stage causes severe hypoxia and CO2 retention, which may cause respiratory and / or coronary failure.
1. the first manifestations of respiratory failure and hypoxia are mainly cyanosis, palpitations, and chest tightness. Hypoxemia and hypercapnia occur when the disease further develops. Various symptoms of mental and neurological disorders can occur, called pulmonary encephalopathy. Manifested as headache, head bloating, restlessness, barrier, and hallucinations, confusion, convulsions or tremors.
2. coronary failure mostly occurs after acute tract infection, so it's often complicated by respiratory failure. The patient develops symptoms of right coronary failure like asthma, palpitations, oliguria, cyanosis, upper abdominal distension, loss of appetite, nausea and even vomiting. Physical examination revealed vena jugularis dilatation, increased pulse, premature heart audible galloping rhythm, or heart murmur caused by relative tricuspid insufficiency. The murmur can disappear because the condition improves. a spread of arrhythmias can occur, especially atrial arrhythmias, hepatomegaly with tenderness, positive signs of hepatic neck reflex, edema and ascites. Shock can occur in severe cases.
In addition, since Pulmonary heart condition may be a disease during which multiple organs are damaged supported heart and lung lesions, severely ill patients may have insufficiency, disseminated intravascular coagulation, and cheek pigmentation thanks to hypoadrenal function which performed.
The above are the symptoms of the elderly pulmonary heart condition. If the aged people reception has the above symptoms, quickly take the patient to the hospital for treatment. it's necessary to concentrate to some predisposing factors, like infection or cold, which can aggravate the first disease, and long-term oxygen therapy, that is, oxygen inhalation. Elderly patients may require long-term oxygen inhalation, which doesn't require high flow. Can improve the body's hypoxic state and relieve the progress of pulmonary heart condition. Special reminder: For severely ill patients or special patients, oxygen therapy should be very professional, and must be guidance by knowledgeable physician.