PULMONARY HEART DISEASE

INTRODUCTION• Enlargement and failure of the right ventricle of the heart as a

response to increased vascular resistance (such as from pulmonic stenosis) or high blood pressure in the lungs is leads to pulmonary heart disease.

• Chronic pulmonary heart disease usually results in right ventricular hypertrophy (RVH),whereas acute pulmonary heart disease usually results in dilatation.

• To be classified as pulmonary heart disease, the cause must originate in the pulmonary circulation system.

SIGNS&SYMPTOMS• Shortness of breath• Wheezing• Cyanosis• Ascites• Jaundice• Hepatomegaly• Raised jugular venous pressure(JVP)• Third heart sound• Intercostal recession• Presence of abnormal heart sounds

CAUSES• Acute respiratory distress syndrome (ARDS)• COPD• Primary pulmonary hypertension• Blood clots in lungs• Interstitial lung disease• Cystic fibrosis• Sarcoidosis• Obstructive sleep apnea (untreated)• Sickle cell anemia

PATHOPHYSIOLOGY

DIAGNOSIS• Chest X-ray• ECG• Thrombophilia screen test• CBC

TREATMENT• Antibiotics• Expectorants• Diuretics• Oxygen therapy• Vasodilators• anticoagulants

ICD-10-CM-GUIDELINES• Septic pulmonary embolism with acute cor pulmonale-i26.01

code first underlying infection• Saddle embolus of pulmonary artery with acute cor

pulmonale-i26.02• Other pulmonary embolism with acute cor pulmonale-i26.09

acute cor pulmonale NOS

• Septic pulmonary embolism without acute cor pulmonale-i26.90

code first underlying infection• Saddle embolus of pulmonary artery without acute cor

pulmonale-i26.92• Other pulmonary embolism without acute cor pulmonale-

i26.09 acute pulmonary embolism NOS pulmonary embolism NOS

Other pulmonary heart diseases• Primary pulmonary hypertension-i27.0• Kyphoscoliotic heart disease-i27.1• Other secondary pulmonary hypertension-i27.2

code also associated underlying condition• Cor pulmonale(chronic)-i27.81• Chronic pulmonary embolism-i27.82

use additional code,if applicable,for associated long term use of anti coagulants(z79.01)

• Pulmonary heart disease unspecified-i27.9• Arteriovenous fistula of pulmonary vessels-i28.0• Aneurysm of pulmonary artery-i28.1• Other diseases of pulmonary vessels-i28.8• Diseases of pulmonary vessels unspecified-i28.9• https://www.medesunglobal.com

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