Causes of Cor Pulmonale

Acuity

Condition

Acute

Massive pulmonary embolization

Injury due to mechanical ventilation (most commonly in patients with ARDS)

Chronic

COPD*

Extensive loss of lung tissue due to surgery or trauma

Chronic, unresolved pulmonary emboli

Pulmonary veno-occlusive disorders

Systemic sclerosis

Pulmonary interstitial fibrosis

Kyphoscoliosis

Obesity with alveolar hypoventilation

Neuromuscular disorders involving respiratory muscles

Idiopathic alveolar hypotension

* COPD is the most common cause of chronic cor pulmonale.

ARDS = acute respiratory distress syndrome; COPD = chronic obstructive pulmonary disease.