The pathology of rightheart failure due to chronic pulmonary hypertension is generally associated with any cause of pulmonary hypertension such as acute pulmonary embolism, primary pulmonary hypertension, chronic pulmonary embolism, parasitic infection, COPD, asthma, pulmonary fibrosis, bronchiectasis, motor neurone disease, myasthenia gravis, kyphosis, scoliosis, and OSA.
Patients who experience rightheart failure due to chronic pulmonary hypertension typically exhibit symptoms such as dyspnoea, fatigue, anorexia, and weight loss, as well as signs including peripheral oedema, raised JVP, right ventricular heave, cyanosis, tricuspid regurgitation, hepatomegaly, and cyanosis.
The treatment of a rightheart failure due to chronic pulmonary hypertension is geared towards addressing the underlying cause as well as providing oxygen if hypoxic, diuretics, and heart-lung transplantation.
Complications associated with rightheart failure due to chronic pulmonary hypertension include arrhythmia and liver failure, while the prognosis for this condition is generally poor, with a 50% 5 year mortality rate.
