tailieunhanh - Cor Pulmonale in Pulmonary Tuberculosis: A preliminary report on 66 patients

The definition or Cor Pulmonale not being fully agreed upon, it would probably be best to make our criteria of diagnosing this condition clear. We have stuck to White's original definition, except that congestive heart failure has not been considered an essential component of “the picture, in view of more modern views. We are not in agreement with the school that considers every case of pulmonary hypertension as Cor Pulmonale, be it due to left sided heart diseases even (Brill, 1958). Our main bases of diagnosis have been, (i) no evidence of other heart disease, (ii) definite right heart failure or (iii) at least two of the. | Cor Pulmonale in Pulmonary Tuberculosis A preliminary report on 66 patients BY S. C. KAPOOR Sitver Jubilee Tuberculosis Hospital Kngsway Delhi-9. Till recently pulmonary tuberculosis had not been regarded as an important cause of Cor pulmonale. Most of us had not seen more than one or two cases of pulmonary tuberculosis die of right heart failure. During the last five or six years however we have seen this complication occur more and more frequently in tuberculosis patients and in this Institution we have seen it often enought to sit up and take notice. MATERIAL AND METHODS The definition or Cor Pulmonale not being fully agreed upon it would probably be best to make our criteria of diagnosing this condition clear. We have stuck to White s original definition except that congestive heart failure has not been considered an essential component of the picture in view of more modern views. We are not in agreement with the school that considers every case of pulmonary hypertension as Cor Pulmonale be it due to left sided heart diseases even Brill 1958 . Our. main bases of diagnosis have been i no evidence of other heart disease ii definite right heart failure or iii . at least two. of the features and or iv unequivocal electrocardiagrophic evidence. No patient has been diagnosed as having cor Pulmonable on just one finding unless unequivocal. The cases reviewed in this report have all been discovered in the routine course of observation and are not the result of a deliberate survey. Our usual case apart from the grossly evident ones has been found during a somewhat perfunctory examination of the heart or during an electrocardiographic examination for some other suspicion and as such this report in no way deals with the incidence of this condition. All cases reported had a thorough clinical radiological and electrocardiographic examination the two former being in serial in most cases. Most of these cases were discovered during the last year and a half and

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