Cardiac Evaluation of Patients with Chronic Obstructive Pulmonary Disease using Electrocardiogram with Special Reference to Severity and Duration in a Tertiary Care Centre
Journal Title: International Journal of Contemporary Medicine surgery and Radiology - Year 2018, Vol 3, Issue 3
Abstract
Introduction: Cardiovascular system involvement in chronic obstructive pulmonary disease is a well known fact. Among which right ventricular dysfunction and pulmonary vascular disease are common. These cardiovascular changes can be detected early with electrocardiogram and helps in reducing mortality and morbidity. Present study was aimed at studying the diagnostic values of Electrocardiographic findings in chronic obstructive pulmonary disease patient and to correlate the electrocardiographic changes with respect to duration and severity of the disease. Material and methods: In this study fifty patients clinically and spirometrically proven chronic obstructive pulmonary disease patients admitted between January 2013 to December 2013 in the Department of general medicine and Department of Pulmonary medicine at Vydehi institute of medical sciences were selected. All the patients selected were subjected to relevant investigations including electrocardiography and they were further classified based on GOLD guidelines. The Chisquare test is applied to find out the significance Results: Out of 50 patients majority of them were males 86% and females were 14% with predominant distribution in the age group of 51-60 years. Totally 46% of patients had ECG features suggestive of Right ventricular hypertrophy out of which all had right axis deviation. Other features were P pulmonale which indicates pulmonary hypertension was seen in 50%, poor R wave progression in 22% and low voltage complex in 18% of patients. P pulmonale, Right ventricular hypertrophy and Right axis deviation correlates significantly with severity of the disease and only P pulmonale varies significantly with duration of the disease. Conclusion: From this study we conclude that electrocardiographic changes like right ventricular hypertrophy, P pulmonale and right axis deviation correlate with severity of chronic obstructive pulmonary disease. Electrocardiogram being a simple, non invasive, relatively cheaper and widely available investigation, it is worthwhile to subject all the chronic obstructive pulmonary disease patients for the same to diagnose the complications early and reduce mortality and morbidity.
Authors and Affiliations
Lokesh S, Laxmish Naik
Keywords
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- EP ID EP424318
- DOI 10.21276/ijcmsr.2018.3.3.22
- Views 90
- Downloads 0
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