Which of the following symptoms would NOT be displayed by a patient with Cor Pul

Question

Which of the following symptoms would NOT be displayed by a patient with Cor Pulmonale, or right-sided heart failure Ascites, abnormal swelling Liver/spleen enlargement c. Shortness of breathe d. Dependent edema a. b. A patient presents with chest pains, HR of 110, BP of 96/64, mostly likely from myocardial infarction. To maintain cardiac output what has his body done to compensate? Increased HR to make up for low SV Increased SV to make up for low HR c. Increased overall contractility d. Decreased venous return a. b.

Explanation / Answer

1) Right sided heart failure is also known as cor pulmonale. The common clinical features include hepatosplenomegaly, ascites, edema, jugular venous distension and pleural effusion. Therefore, the answer for this question is shortness of breath (option c).

2) In patients with myocardial infarction, there is decrease in cardiac output and blood pressure. To compensate for the decreased cardiac output, body increases the heart rate to make up for the low stroke volume (option a).

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