Heart disease, cor pulmonale.

Details

• Personal Author:
  Naeye RL
• Description:
  Cor pulmonale is reviewed with regard to its occupational epidemiology, pathology, etiology, clinical diagnostic criteria, methods of prevention, and research needs. The definition of cor pulmonale is heart failure caused by lung disease. Acute cor pulmonale is associated with disorders that induce severe alveolar hypoxia including pulmonary edema associated with toxic exposures to silica dusts (7631869), asbestos (1332214), beryllium (7440417), tungsten-carbide (12070121), antigenic agents causing allergic alveolitis, cadmium (7440439), graphite (7782425), hemp, and coal and uranium mine dusts. Occupational exposures associated with emboli and obliterative lesions have also been identified as contributing to the disease. Acute cor pulmonale is usually attributed to embolism or acute pulmonary edema. Chronic cor pulmonale is associated with pulmonary hypertension and right ventricular hypertrophy. Systemic venous congestion is common. Complications of the disease are difficult to treat when the increase in pulmonary vascular resistance is due to blood vessel destruction as in cases of silicosis. Early diagnosis is difficult. The most definitive method for detection, cardiac catheterization, is unsuitable for mass screening. Other methods such as echo cardiography, x-rays, and physical examination are appropriate only late in the progression of the disease. The suggested method for the prevention of cor pulmonale is avoidance of contact with any toxic fume or gas that produces acute pulmonary edema.
• Subjects:
  Accidents, Occupational Construction Industry Decompression Sickness Musculoskeletal Diseases Musculoskeletal System Occupational Health Safety
• Keywords:
  Cardiopulmonary-system-disorders Cardiovascular-disease Industrial-hygiene Metals Mineral-dusts Pulmonary-system-disorders Toxic-gases Toxic-vapors
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Genre:
  Chapter
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  719-736
• NIOSHTIC Number:
  nn:00170177
• Citation:
  Occupational respiratory diseases. Merchant, James A., Bochlecke BA, Taylor G, eds. Morgantown, WV: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, DHHS (NIOSH) Publication No. 86-102, 1986 Sep; :719-736
• CAS Registry Number:
  Silica (CAS RN 7631-86-9) ; Asbestos (CAS RN 1332-21-4) ; Beryllium (CAS RN 7440-41-7) ; Tungsten carbide (WC) (CAS RN 12070-12-1) ; Cadmium (CAS RN 7440-43-9) ; Graphite (CAS RN 7782-42-5)
• Editor(s):
  Merchant, James A. ; Bochlecke BA ; Taylor G
• Federal Fiscal Year:
  1986
• Peer Reviewed:
  False
• Source Full Name:
  Occupational respiratory diseases
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:f0ef7503bcd8aad7a4e776088452a33a21838772af194c8ec39a7b58a1f7375fb2a992cc8e35dbffeabab4fd01ca0d4a0530a86ee94aa3b4d9fad268985ba62c
• Download URL:
  https://stacks.cdc.gov/view/cdc/179975/cdc_179975_DS1.pdf
• File Type:
  [PDF - 682.01 KB ]