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The Left Ventricle in Chronic Lung Disease

  • Chapter
Pulmonary Heart Disease

Abstract

Many symptoms associated with left ventricular dysfunction, such as exertional dyspnea, orthopnea and cough, may similarly be attributed to lung disease (1,2). For example, any increase in dyspnea perceived as a significant change by a patient with chronic lung disease can represent an important and sometimes difficult challenge to the physician. For such patients, few reliable clinical guides are available for separating breathlessness due to progression of lung disease from superimposed left ventricular dysfunction. Physical findings, such as crackles and tachycardia, are common to both entities. The problem is compounded in older patients, in whom the distinction between cardiac and pulmonary disease becomes blurred by changes accompanying aging. This issue is underscored by Rapaport: “Perhaps the most difficult problem in the differential diagnosis of dyspnea arises when the patient with chronic lung disease has cardiac disease, independently, as well” (2). The physician must ask the question, Does a change in dyspnea represent progression of pulmonary disease or is this a new assault on the left ventricle?

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Authors
  1. Edgar J. Caldwell M.D.
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Editors and Affiliations

  1. University of Texas Health Science Center at Dallas, Dallas, TX, USA

    Lewis J. Rubin M.D. (Assistant Professor of Internal Medicine Chief) (Assistant Professor of Internal Medicine Chief)

  2. Pulmonary Section, Veterans Administration Medical Center, Dallas, TX, USA

    Lewis J. Rubin M.D. (Assistant Professor of Internal Medicine Chief) (Assistant Professor of Internal Medicine Chief)

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© 1984 Martinus Nijoff Publishing

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Caldwell, E.J. (1984). The Left Ventricle in Chronic Lung Disease. In: Rubin, L.J. (eds) Pulmonary Heart Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2847-6_9

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