Introduction: Chronic obstructive pulmonary disease causes structural and functional changes in lung that leads to changes in cardiovascular system. This is reflected in Electrocardiogram. Material & Method: 100 COPD cases were selected from medicine OPD. GOLD staging was done by spirometry. Monthly ECG was done on every patient. Observation & results: The analysis of data was done by SPSS ver 26.0. on corelating ECG findings with GOLD staging, we found significant association for P-pulmonale and RAD however non-significant association was found for R/S in V1>1, R/S >7mm, S<2mm in V1, qR in V1 R/S in V5/V6 and other parameter of ECG. Conclusion: COPD patients shows P-Pulmonale and right ECG axis deviation in ECG.
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