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(Chest. 1970;58:8-14.)
© 1970 American College of Chest Physicians

Left Ventricular Function in Cor Pulmonale

Hywel Davies M.D., F.C.C.P.1 and Hugh R. Overy M.D.1

1 Veterans Administration Hospital, Denver, Colorado

Twelve patients with severe chronic obstructive lung disease have been studied by catheterization of both sides of the heart. Elevation of the end-diastolic pressure in the left ventricle has not been observed in any of these cases, even in the presence of systemic venous hypertension. A right-to-left shunt was present at the atrial level in one patient. The concept of left ventricular dysfunction in cor pulmonale has been critically reviewed. We have found no evidence to support it.




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F. Sakamaki, T. Satoh, N. Nagaya, S. Kyotani, N. Nakanishi, and Y. Ishida
Abnormality of Left Ventricular Sympathetic Nervous Function Assessed by 123I-Metaiodobenzylguanidine Imaging in Patients With COPD*
Chest, December 1, 1999; 116(6): 1575 - 1581.
[Abstract] [Full Text] [PDF]


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