Background: Chronic obstructive pulmonary disease is the fourth leading cause of mortality worldwide. It is defined as a disease formal categorized by airflow limitation that is not fully reversible. Patients with chronic obstructive pulmonary disease (COPD) are at increased risk of cardiovascular disease. Electrocardiography (ECG) carries information about cardiac disease and prognosis in COPD patients. However, Echocardiography provides a rapid, noninvasive, portable, and accurate method to evaluate cardiac functions.Methods: A 100 patients of COPD fulfilling the inclusion criteria coming to OPD/wards of Medicine, Gitanjali medical college and Hospital, Udaipur were recruited. They were staged by pulmonary function test (PFT) and evaluated by electrocardiography and echocardiography. Statistical analysis of correlation was done with chi square test and statistical significance was taken p<0.05.Results: Mean age was 52.54±9.55 years, with male preponderance, male to female ratio 4.55:1. Mean duration of disease was 6.36±4.14 years. The common symptoms were Breathlessness (100%). Most common ECG and ECHO finding was RAD (52%) and PAH (54%) respectively. Statistically Right axis deviation and Poor ‘r’ wave progression was significantly correlated with disease severity by ECG findings while R.A. dilatation, R.V. dilatation and Pulmonary hypertension were significantly correlated with disease severity by ECHO findings (p<0.05).Conclusions: COPD is more common in males and in the 5th and 6th decade of life. Most of the patients have fairly advanced disease at presentation. The incidence of abnormalities of ECG and echocardiography increases with COPD severity. ECG and echocardiography are better tools than clinical methods in detecting R.V. dysfunction in COPD.

Takotsubo syndrome is a rare entity, and the occurrence of Bartter syndrome along with Takotsubo syndrome makes it a bizarre incidence. Diagnosis of both is very crucial and important, as the signs and symptoms tend to be different for each patient. Here, the authors present a case of Takotsubo cardiomyopathy with acquired Bartter-like phenotype and colonic stricture. It was promptly diagnosed and well managed at first incidence, but failing a timely follow-up led to mortality of patient, which highlights the importance of follow-up.

Good posture is important because it minimizes the excessive force that muscles and joints need to absorb. Psychology studies have suggested that slouchier postures make people look less confident to others, and even feel less competent, Henderzahs-Mason said. There's also some evidence showing that people who walk with a slouched posture have a higher predisposition to depression than those who walk more upright. In this article we have tried to compile the significance of sitting posture as a etiological factor causing low back pain. Back pain has been termed as “an illness in search of a disease”.