Chronic Pulmonary heart disease L Definition It is directly caused by chronic alterations in pulmonary circulation or chronic chest diseases that lead to pulmonary arterial hypertension, right ventricular enlargement, even right heart failure
Chronic Pulmonary heart disease 1.Definition It is directly caused by chronic alterations in pulmonary circulation or chronic chest diseases that lead to pulmonary arterial hypertension, right ventricular enlargement, even right heart failure
2.Etiology A. Bronchial and pulmonary disorders chronic bronchitis complicated with COPD 80-90% asthma, bronchiectasis, tuberculosis, silicosis, chronic interstitial lung disease B. Disorders of chest movement: (rare) abnormality, adhesion, vertebral tuberculosis rhumatoid spondylitis
2.Etiology A. Bronchial and pulmonary disorders： chronic bronchitis complicated with COPD: 80－90% asthma, bronchiectasis, tuberculosis, silicosis, chronic interstitial lung disease B. Disorders of chest movement:（rare） abnormality, adhesion, vertebral tuberculosis、 rhumatoid spondylitis
2.Etiology C. Disorders of nerve and muscle Poliomyelitis disorders of motor -nerve center D. Disorders of pulmonary vessels Hypersensitive granuloma embolism of pulmonary artery E. pulmonary arterial hypertension of unknown cause
2.Etiology C. Disorders of nerve and muscle Poliomyelitis disorders of motor-nerve center D. Disorders of pulmonary vessels Hypersensitve granuloma → embolism of pulmonary artery E. pulmonary arterial hypertension of unknown cause
3. Pathology 1) main primary disorders of lung chronic bronchitis and emphysema 2). changes of pulmonary vessels A. the wall of pulmonary vessels thickening, narrowing, or obliterative B. capillary bed of alveolar wall damaged, decreased C. vascular bed of lung compressed to be irregular
3.Pathology 1). main primary disorders of lung chronic bronchitis and emphysema 2). changes of pulmonary vessels A. the wall of pulmonary vessels thickening, narrowing, or obliterative B. capillary bed of alveolar wall damaged , decreased C. vascular bed of lung compressed to be irregular
3. Pathology 3). changes of the heart increased heart weight hypertrophy of right ventricle enlargement of right ventricle
3.Pathology 3). changes of the heart increased heart weight hypertrophy of right ventricle enlargement of right ventricle