Cor Pulmonale: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate cor pulmonale:

Mild cases of chronic cor pulmonale may lack symptoms at rest.

Leading symptoms of cor pulmonale acutum.

  • Sudden onset of dyspnea (shortness of breath).
  • Cardiac arrhythmia
  • Vertigo (dizziness)
  • Signs of right heart failure:
    • Neck vein congestion
    • Congestive liver
    • Edema, peripheral (water retention)
  • Tachycardia – too fast heartbeat: > 100 beats per minute.
  • Cyanosis (cyanosis)
  • Shock

Leading symptoms of cor pulmonale chronicum

  • Dyspnea (shortness of breath), at the beginning only on exertion.
  • Osteoarthropathia hypertrophicans – distension of the bones of the fingers (drumstick fingers).
  • Pulmonary angina pectoris (“chest tightness”; lung-related, sudden pain in the heart area).
  • Tachycardia – too fast heartbeat: > 100 beats per minute.
  • Central cyanosis (cyanosis) [peripheral and central cyanosis can be distinguished by checking the color of the tongue: in peripheral cyanosis the tongue usually does not turn bluish, but in central cyanosis the cyanotic discoloration can be seen]
  • Abdominal pain (abdominal pain)
  • Ascites (abdominal dropsy)

Associated symptoms

  • Nail symptoms: clock glass nails (bulging nails).