Neuromuscular disease, respiratory failure and cor pulmonale.

نویسندگان

  • J White
  • R E Bullock
  • P Hudgson
  • G J Gibson
چکیده

Respiratory muscle weakness is an uncommon cause of chronic respiratory failure and a rare cause of cor pulmonale. The problem may not be apparent unless specific physical signs are sought or appropriate investigations performed. We present three patients who presented diagnostic difficulty for prolonged periods until the presence of respiratory muscle weakness was considered. Once the diagnosis was established treatment with nocturnal nasal intermittent positive pressure ventilation produced a dramatic improvement in symptoms and allowed a return to a near normal lifestyle.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Severe pectus excavatum associated with cor pulmonale and chronic respiratory acidosis in a young woman.

Pectus excavatum has never been reported to cause hypercapnic respiratory failure. In this report, we describe the first such case in a young woman with severe pectus excavatum who presented with chronic respiratory acidosis, pulmonary hypertension, and chronic cor pulmonale. An extensive diagnostic workup failed to uncover any other cause of respiratory acidosis, which led us to conclude that ...

متن کامل

Chronic cor pulmonale.

The term “cor pulmonale” is still very popular in the medical literature, but its definition varies and there is presently no consensual definition. Forty years ago an expert committee of the World Health Organization defined cor pulmonale as “hypertrophy of the right ventricle resulting from diseases affecting the function and/or structure of the lungs . . .”. This pathological definition is i...

متن کامل

Rare Cause of Type 2 Respiratory Failure: Arnold Chiari Malformation.

S y r i n g o m y e l i a i . e . I m p a i r e d neuromuscular transmission is a rare cause (0.01%) of type 2 respiratory failure. Here i am discussing a case who presented with hypercapnic respiratory failure and on evolution found to be afflicted with extensive syrinx involving cervical spinal cord. A prediabetic 45 yrs old lady presented in our casualty with complaints of cough with expecto...

متن کامل

The Circulatory Effects of Acute

Respiratory failure may be defined as the inability to maintain normal oxygen and carbon dioxide tensions in the arterial blood under normal atmospheric conditions. This condition will lead to serious functional disturbances of the cardiovascular system if hypoxia and hypercapnoea become severe. In addition, parenchymatous disease of the lungs, disorders affecting the mechanics of the thoracic ...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Postgraduate medical journal

دوره 68 804  شماره 

صفحات  -

تاریخ انتشار 1992