<prompt> Which of the following is contributory factor for developing Cor-pulmonale in chronic bronchitisHypoxiaHypercapneaAcidosisAlkalosis  <response>: Hypoxia 1453-54-H17thCOR- PULMONALE - denotes RV hypertrophy and eventual failure resulting from pulmonary disease and the attendent hypoxia or from pulmonary vascular diseaseEssentials of Diagnosis - Cor pulmonale Symptoms and sign of chronic bronchitis and pulmonary emphysema Elevated JVP, Parasternal lift, edema, hepatomegaly ascites ECG shows tall, peaked P waves P- pulmonale right axis deviation, and RVH Chest radiograph : enlarged RV and PA Echocardiogram or radionuclide angiography excludes primary LV dysfunctions 