What would the hemodynamics of a patient with Cor Pulmonale likely show?

In patients with Cor Pulmonale, which is right-sided heart failure caused by pulmonary disease, the hemodynamics typically reveal increased central venous pressure (CVP). This increase occurs due to the right ventricle's inability to effectively pump blood into the pulmonary circulation, often resulting from chronic hypoxia, pulmonary hypertension, or lung diseases such as COPD.

When the right heart fails, it leads to congestion in systemic venous circulation, showing an elevation in the CVP. This elevation reflects increased pressure in the venous system as blood backs up, indicating that the heart is struggling to keep up with the return flow of blood from the body.

In contrast, the other options do not align with the expected hemodynamic changes seen in Cor Pulmonale. For example, a decreased CVP would suggest effective right heart function and reduced systemic venous return, while increased cardiac output (Qt) with exercise would generally indicate a well-functioning heart, which is not typical in patients with Cor Pulmonale where heart function is compromised. Normal cardiac output during exercise would also imply the absence of right heart dysfunction, which contradicts the premise of the condition.