{"id":1983,"date":"2026-03-31T19:25:06","date_gmt":"2026-03-31T19:25:06","guid":{"rendered":"https:\/\/studenthub.elsevier.com\/de\/?p=1983"},"modified":"2026-03-31T19:25:06","modified_gmt":"2026-03-31T19:25:06","slug":"cor-pulmonale","status":"publish","type":"post","link":"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/cor-pulmonale\/","title":{"rendered":"Cor pulmonale"},"content":{"rendered":"\n<p><em>Durch Erkrankungen der Lunge bedingte pulmonale Hypertonie mit Rechtsherzbelastung u. nachfolgender Hypertrophie (sp\u00e4ter auch Dilatation) der rechten Herzkammer<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ursachen<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Akutes Cor pulmonale: pl\u00f6tzl. Druckanstieg im Lungenkreislauf, oft bei Lungenembolie, seltener bei Status asthmaticus u. Spannungspneu<\/li>\n\n\n\n<li>Chron. Cor pulmonale: langfristig bestehende Widerstandserh\u00f6hung im Lungenkreislauf (pulmonale Hypertonie), verursacht durch chron. Lungenerkrankungen, z. B. chron. Bronchitis, Sarkoidose, Lungenfibrose, Mukoviszidose<\/li>\n\n\n\n<li>Nur pulmonal bedingte Widerstandserh\u00f6hungen lt. WHO-Definition Cor pulmonale<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Symptome<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Akutes Cor pulmonale:<br>\u2013 Dyspnoe, Tachykardie, atemabh\u00e4ngige<br>Thoraxschmerzen, Husten<br>\u2013 Bei schwerem Verlauf kardiogener Schock mit t\u00f6dl. Rechtsherzversagen m\u00f6gl.<\/li>\n\n\n\n<li>Chron. Cor pulmonale:<br>\u2013 Anfangs geringe Beschwerden: Leistungsschw\u00e4che, Dyspnoe, Schwindel, Thoraxschmerzen<br>\u2013 Sp\u00e4ter Zeichen der Rechtsherzinsuffizienz: Husten, gestaute Halsvenen, Bein\u00f6deme, Leberstauung, Aszites<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnostik<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Anamnese, k\u00f6rperl. Untersuchung<\/li>\n\n\n\n<li>EKG, R\u00f6-Thorax, Echo, Lufu, Rechtsherzkatheter, CT, Sauerstoffs\u00e4ttigung, Lungenfunktion<\/li>\n\n\n\n<li>Bei akutem Cor pulmonale zum Ausschluss o. Nachweis einer Lungenembolie auch Perfusionsszintigrafie u. Pulmonalisangiografie<\/li>\n\n\n\n<li>Ggf. Rechtsherzkatheteruntersuchung<\/li>\n\n\n\n<li>DD: Myokardinfarkt<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Therapie<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Behandlung der Grunderkrankung u. Folgeerscheinungen:<\/li>\n\n\n\n<li>Chron. O2-Mangel: O2-Langzeittherapie,<br>nasale CPAP-Atmung<\/li>\n\n\n\n<li>Herzinsuffizienztherapie<\/li>\n\n\n\n<li>Antikoagulation bei rezid. Lungenembolien<\/li>\n\n\n\n<li>Medikament\u00f6se Therapie der pulmonalen Hypertonie, z. B. Kalziumantagonisten, Prostazyklinderivate, Phosphodiesterase- 5-Inhibitoren (Sildenafil) zur Senkung des pulmonalen Drucks<\/li>\n\n\n\n<li>Akutes Cor pulmonale: Akutthrombolyse, Notfallembolektomie (hohe Letalit\u00e4t!), ggf.<br>Beatmung<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-background has-fixed-layout\" style=\"background-color:#ffd8b8\"><tbody><tr><td><strong>Erstma\u00dfnahmen Akutes Cor pulmonale<\/strong><\/td><\/tr><tr><td>&gt; \u00c4rztIn verst\u00e4ndigen, Herzbettlagerung, Pat. beruhigen, Sicherheit vermitteln<br>&gt; Hoch dosierte O2-Gabe \u00fcber Nasensonde o. Maske mit Reservoirbeutel 4\u201315 l\/Min.<br>&gt; Vitalzeichenkontrolle, Reanimationsbereitschaft<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Hinweise zur Pflege<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Chron. Cor pulmonale<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-background has-fixed-layout\" style=\"background-color:#ffd8b8\"><tbody><tr><td><strong>Besonderheiten beim alten Menschen<\/strong><\/td><\/tr><tr><td>&gt; Bei pr\u00e4final erkrankten Patienten sollte dem Team bekannt sein, ob Wiederbelebungsma\u00dfnahmen gew\u00fcnscht sind (Patientenverf\u00fcgung)<br>&gt; Im Zweifel muss immer mit der Reanimation begonnen werden, da das Risiko f\u00fcr dauerhafte Behinderungen mit jeder kleinsten Verz\u00f6gerung zunimmt<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">Besondere Informationen<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Einteilung des Cor pulmonale nach:<br>\u2013 Klin. Verlauf: akut o. chron.<br>\u2013 Schweregrad: Stadium I\u2013III<br>\u2013 Auftreten: latent o. manifest<\/li>\n\n\n\n<li>Pulmonale Hypertonie: Erh\u00f6hung des mittleren Pulmonalarteriendrucks auf \u2265<br>20 mmHg<\/li>\n<\/ul>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Durch Erkrankungen der Lunge bedingte pulmonale Hypertonie mit Rechtsherzbelastung u. nachfolgender Hypertrophie (sp\u00e4ter auch Dilatation) der rechten Herzkammer Ursachen Symptome Diagnostik Therapie Erstma\u00dfnahmen Akutes Cor pulmonale &gt; \u00c4rztIn verst\u00e4ndigen, Herzbettlagerung, Pat. beruhigen, Sicherheit vermitteln&gt; Hoch dosierte O2-Gabe \u00fcber Nasensonde o. Maske mit Reservoirbeutel 4\u201315 l\/Min.&gt; Vitalzeichenkontrolle, Reanimationsbereitschaft Hinweise zur Pflege Besonderheiten beim alten Menschen &gt; [&hellip;]<\/p>\n","protected":false},"author":172,"featured_media":2183,"comment_status":"open","ping_status":"open","sticky":false,"template":"erkrankungen-individual-entry","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[27],"tags":[],"class_list":["post-1983","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-erkrankungen"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cor pulmonale - Student Hub Germany<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/studenthub.elsevier.com\/de\/erkrankungen\/cor-pulmonale\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cor pulmonale - Student Hub Germany\" \/>\n<meta property=\"og:description\" content=\"Durch Erkrankungen der Lunge bedingte pulmonale Hypertonie mit Rechtsherzbelastung u. nachfolgender Hypertrophie (sp\u00e4ter auch Dilatation) der rechten Herzkammer Ursachen Symptome Diagnostik Therapie Erstma\u00dfnahmen Akutes Cor pulmonale &gt; \u00c4rztIn verst\u00e4ndigen, Herzbettlagerung, Pat. beruhigen, Sicherheit vermitteln&gt; Hoch dosierte O2-Gabe \u00fcber Nasensonde o. 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