Venöse Insuffizienz bei Patienten mit chronisch obstruktiver Lungenerkrankung

Erdoğmuş, Beşir; Annakkaya, Ali Nihat; Yazıcı, Burhan; Bulut, İsmet; Özdere, Betul Ayça; Büyükkaya, Ramazan

doi:10.1007/s00508-006-0660-8

Cited by 5 publications

(4 citation statements)

References 19 publications

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“…4,5,20 Significant association between venous ulceration and COPD, found in the present study, is in line with previous investigations. Erdogmus et al 34 found that in patients with COPD, the prevalence of venous insufficiency of lower limbs was significantly higher in comparison with healthy controls. Patients with COPD are also at increased risk of VTE.…”

Section: Discussionmentioning

confidence: 99%

Factors Related To Venous Ulceration

et al. 2013

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The aim of the study was to determine the factors related to venous ulceration. Patients with venous ulceration (278 patients) were compared with 1401 patients in other categories of clinical classification of venous disease (clinical, etiologic, anatomic, and pathophysiological [CEAP]). Demographic, anthropometric, and clinical data were collected. Univariate and multivariate logistic regression analyses were used. According to multivariate analyses, risk factors for venous ulceration were age, male sex, personal history of superficial and deep venous thrombosis, diabetes, high blood pressure, skeletal or joint disease in the legs and emphysema or chronic obstructive pulmonary disease, higher body mass index and physical inactivity, parental history of ankle ulcer as well as reflux in deep and perforator veins, deep obstruction, and combination of reflux and obstruction. It seems reasonable to pay special attention to patients in whom the postulated risk factors for venous ulceration are present.

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Section: Discussionmentioning

confidence: 99%

Factors Related To Venous Ulceration

et al. 2013

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“…In these two groups of patients, it was suggested that PH causes an increase in right atrial pressure and this causes venous VI by increasing central blood pressure. Similarly, Erdogmus et al 8 suggested that the prevalence of VI in patients with COPD is higher than the control group, independently of other risk factors. They determined that the prevalence rate of VI increased as the severity of COPD increased.…”

Section: Discussionmentioning

confidence: 92%

“…7 In addition, VI of the lower extremity appears more frequent in patients with chronic obstructive pulmonary disease (COPD) leading to right heart failure and increased central venous pressure. 8 However, there is no study to directly investigate the effect of pulmonary arterial hypertension (PAH) with preserved right ventricular function on lower limb VI.…”

Section: Introductionmentioning

confidence: 99%

Primary pulmonary arterial hypertension with preserved right ventricular function leads to lower extremity venous insufficiency

et al. 2017

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Objectives Pulmonary hypertension with heart failure is related to venous insufficiency. However, there is no clear data whether pulmonary arterial hypertension with preserved right ventricular function cause venous insufficiency. In this study, we aim to investigate the relation between pulmonary arterial pressure with venous insufficiency in pulmonary arterial hypertension patients with preserved right ventricular function. Methods Between January 2012 and October 2014, 38 patients with a diagnosis of pulmonary arterial hypertension and 47 control group patients were included. Venous disability score and venous segmental disease score of both groups were calculated in order to measure venous insufficiency. The relationship between venous disability score and venous segmental disease scores and mean pulmonary arterial pressure and World Heart Organization functional capacity was examined. Results Total venous segmental disease score (5 ± 3.9 vs. 2 ± 1.8 p < 0.001), right venous segmental disease score (2.6 ± 2.2 vs. 1 ± 0.9 p < 0.001), left venous segmental disease score (2.4 ± 2.2 vs. 1 ± 0.9 p < 0.001), and venous disability scores (2.2 ±1 vs. 1.6 ± 0.7 p < 0.001) of patients with pulmonary arterial hypertension were higher than the control group. While the total venous segmental disease score was highly related to mean pulmonary arterial pressure (r = 0.829, p < 0.001), the venous disability score was only weakly related (r = 0.343, p = 0.037). Total venous segmental disease score (r = 0.606, p < 0.001) and venous disability scores (r = 0.601, p < 0.001) were moderately related with World Health Organization functional capacity intensity. Conclusions The degree of venous insufficiency increase in accordance with the mean pulmonary arterial pressure even in patients with preserved right ventricular function.

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“…VI was correlated with the severity of pulmonary arterial pressure. 20,21 Besides, Aldemir et al showed increase of venous insufficiency in patients with primary pulmonary hypertension despite having preserved right ventricle function. 22 Apart from anatomical factors, there are several physiological mechanisms affecting venous return.…”

Section: Discussionmentioning

confidence: 99%

Association between lower extremity venous insufficiency and duration of atrial fibrillation

Emren

Ada

et al. 2021

Phlebology

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Objective Physiologic studies have shown that atrium has an active role in venous blood return from lower extremity. In this context we investigated the association between AF and chronic venous disease (CVD). Methods In this observational study we included 392 AF patients which were divided into two groups (chronic AF, 218 (56%)) and non-chronic. AF, 174 (44%)). These two groups were compared in terms of CVD after matching conventional risk factors for CVD. Results CEAP classification was different between chronic and non-chronic patients (C0–C2: 72% vs 47%; C3–C6: 28% vs 53% <0.001). Chronic AF patients had also higher rate of venous reflux on Doppler ultrasound (38% vs 16% P < 0.05). There was a correlation between AF duration, right atrial volume index and CEAP classification respectively (rho:0.314 p < 0.001), (rho:0.258, p < 0.001). Conclusion Prevalence of CVD is higher in patients with chronic AF. In addition, atrial volume is directly correlated with CVD.

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Venöse Insuffizienz bei Patienten mit chronisch obstruktiver Lungenerkrankung

Abstract: VI of the lower extremity appears more frequent in patients with COPD. We suggest ruling out COPD in patients with otherwise unexplained "primary" VI.

Cited by 5 publications

References 19 publications

Factors Related To Venous Ulceration

Factors Related To Venous Ulceration

Primary pulmonary arterial hypertension with preserved right ventricular function leads to lower extremity venous insufficiency

Association between lower extremity venous insufficiency and duration of atrial fibrillation

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