Heart Failure Right Ventricle Treatment
The treatment of cor pulmonale depends on the underlying cause and the severity of the cor pulmonale. Cor pulmonale may resolve after treatment of the underlying cause, but in many cases, the illness is not reversible. Treatment for cor pulmonale includes low salt diet, fluid restriction, exercise, diuretic medications, digoxin, Coumadin, calcium channel blocker medications, and endothelin receptor antagonists. Severe cor pulmonale may require admission to the hospital for oxygen therapy, intravenous (IV) medications, and additional treatment of the underlying cause. Some may benefit from surgery, angioplasty, or pacemaker placement.
Treatment for cor pulmonale includes:
- Oxygen therapy
- Healthy heart diet:
- Fluid restriction for congestive heart failure
- Elastic support stockings
- Exercise plan developed with your doctor.
- No smoking
Medications for the treatment of cor pulmonale may include:
- Endothelin receptor antagonists:
- Calcium channel blockers:
- Digoxin (Lanoxin)
Additional treatment of cor pulmonale may include:
- Heart valve surgery
- Coronary artery bypass surgery for coronary artery disease
- Angioplasty for coronary artery disease
- Pacemaker therapy for cardiac arrhythmias
For more information:
Heart Failure Right Ventricle Questions For Doctor
The following are some important questions to ask before and after the treatment of cor pulmonale.
Questions to ask before treatment:
- What are my treatment options?
- What are the risks associated with treatment?
- Do I need to stay in the hospital?
- How long will I be in the hospital?
- What are the complications I should watch for?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Do I need to change my diet?
- Do I need to lose weight?
- When can I resume my normal activities?
- When can I return to work?
- Do I need a special exercise program?
- Will I need physical therapy?
- What else can I do to reduce my risk for upper respiratory infections and bronchitis?
- How often will I need to see my doctor for checkups?
- What local support and other resources are available?
Heart Failure Right Ventricle Specialist
Physicians from the following specialties evaluate and treat cor pulmonale:
Continue to Heart Failure Right Ventricle Home Care
- Barnes PJ. Therapy of chronic obstructive pulmonary disease. Pharmacol Ther. 2003 Jan;97(1):87-94. 
- Budev MM, Arroliga AC, Wiedemann HP, Matthay RA. Cor pulmonale: an overview. Semin Respir Crit Care Med. 2003;24(3):233-44. 
- Lehrman S, Romano P, Frishman W, Rashid A, Dobkin J, Reichel J. Primary pulmonary hypertension and cor pulmonale. Cardiol Rev. 2002 Sep-Oct;10(5):265-78. 
- Romano PM, Peterson S. The management of cor pulmonale. Heart Dis. 2000 Nov-Dec;2(6):431-7. 
- Weitzenblum E. Chronic cor pulmonale. Heart. 2003 Feb;89(2):225-30.