A Study on Chronic Obstructive Pulmonary Disease (Copd) Patients With Reference to Echocardiographic Findings

Kutum, Uma Sankar; Deb, Dipankar; Sarma, Prabhash Chandra; Deb, Tanushree; Pujar, Ravikumar

doi:10.14260/jemds/2015/2524

Cited by 2 publications

(3 citation statements)

References 9 publications

(8 reference statements)

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“…Similar incidences were found in some previous studies. [10][11][12] In this study it was observed that RA/RV dilatation, RVH, Cor pulmonale, PAH and LVDD were statistically significant (p<0.05) when compared with severity of COPD. Jatav et al4 analysed echocardiographic findings with disease severity, which showed that in mild category no case of RA/RV dilatation was present while in moderate, severe and very severe categories it was present in 27.27%, 40.90% and 63.33% of cases respectively.…”

Section: Methodsmentioning

confidence: 86%

Study on association between echocardiographic findings in COPD patients with severity of COPD

et al. 2020

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Background: Patients with chronic obstructive pulmonary disease (COPD) are at increased risk of developing cardiovascular disease. Echocardiography (ECHO) carries information about cardiac diseases and prognosis in COPD patients. Objective: To find out the Echocardiography changes in COPD patients and to assess Right ventricular (RV) dysfunction by echocardiography and correlate with the disease severity. Methods: A prospective study was conducted on 70 patients admitted with symptoms and signs suggestive of COPD in the Department of Medicine, Gazi Medical College and Hospital (GMCH), Khulna from January 2017 to December 2018. Patients were diagnosed clinically as having COPD with confirmation by spirometry. The patients with asthma, bronchiectasis, tuberculosis, pneumoconiosis, restrictive lung disease like kyphoscoliosis, rheumatic, congenital, ischemic heart disease and hypertension were excluded from the present study. Results: Regarding symptoms, majority 65 (92.9%) patients had breathlessness, 58 (82.9%) had cough with sputum, 25 (35.7%) had swelling of feet. Regarding signs, 68 (97.1%) patients had tachypnea, 24 (34.3%) had raised JVP, 23 (32.9%) had loud P2 suggestive of pulmonary arterial hypertension. Regarding echocardiographic findings, 42 (60.0%) patients had Cor pulmonale, 32 (45.7%) had LVDD, 31 (44.3%) had RVH, 30 (42.9%) had PAH, 29 (41.4%) patients had RA/RV dilation, 11 (15.7%) had RVSD and 9 (12.9%) had LVH. Table 08 shows RA/RV dilatation, RVH, Cor pulmonale, PAH and LVDD were statistically significant (p<0.05) when compared with severity of COPD. Conclusion: High occurrence of cardiac co morbidities such as PAH, RV dysfunction and LV dysfunction accompanied COPD patients. The severity of complications increased with severity of COPD which makes a linear relation. The 2D-echocardiography is more sensitive than radiography and clinical methods in detecting cardiovascular complications like PAH, ‘p’ pulmonale and RV dysfunction in COPD patients. Mediscope Vol. 7, No. 1: Jan 2020, Page 44-50

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Section: Methodsmentioning

confidence: 86%

Study on association between echocardiographic findings in COPD patients with severity of COPD

et al. 2020

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“…Similar incidences were found in some previous studies. 8,10 On correlating the echocardiographic signs of right atrium enlargement, right ventricle dilatation and pulmonary hypertension correlated significantly with the severity of the COPD (p<0.05). This means that the increase in incidence of the above ECHO findings, with increasing disease severity (decreasing FEV1) was statistically significant.…”

Section: Discussionmentioning

confidence: 96%

“…7,8 Patients between 40-70 years form the maximum number of male patients admitted, mainly because of the longer interval of tobacco exposure and continual respiratory tract infections, which would have negotiated their quality of life.…”

Section: Discussionmentioning

confidence: 99%

Study of clinical, electrocardiographic and echocardiographic profile in patients with chronic obstructive pulmonary disease

Chaudhari

Shrimali

2018

Int J Res Med Sci

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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.

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A Study on Chronic Obstructive Pulmonary Disease (Copd) Patients With Reference to Echocardiographic Findings

Cited by 2 publications

References 9 publications

Study on association between echocardiographic findings in COPD patients with severity of COPD

Study on association between echocardiographic findings in COPD patients with severity of COPD

Study of clinical, electrocardiographic and echocardiographic profile in patients with chronic obstructive pulmonary disease

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