Chronic Obstructive Pulmonary Disease and Cardiac Comorbidities
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 11
Abstract
Introduction: Chronic obstructive pulmonary disease (COPD) is a global health issue with cigarette smoking being an important risk factor. COPD, defined by global initiative for chronic obstructive lung disease (GOLD) as a preventable and treatable disease with some significant extrapulmonary effects, is a very common clinical entity in clinical practice, COPD is associated with significant extrapulmonary (systemic) effects among which cardiac manifestations are most common, COPD affects pulmonary blood vessels, right ventricle, as well as left ventricle leading to the development of pulmonary hypertension (PH), cor pulmonale (COR-P), right and left ventricular dysfunction, echocardiography provides a rapid, non-invasive, portable, and accurate method to evaluate cardiac functions, and early diagnoses and intervention for cardiac comorbidities would reduce mortalities. Hence, the present study was undertaken with the following aims and objectives: (1) To assess the cardiac changes secondary to COPD by echocardiography and (2) to find the correlation between echocardiography findings and the severity of COPD using GOLD guidelines. Materials and Methods: A prospective study was conducted at the Department of Pulmonary Medicine, SVS Medical College, Mahabubnagar. A total of 45 patients of COPD according to GOLD guidelines were taken into the study; all patients underwent investigations such as chest X-ray posteroanterior view, electrocardiography, and spirometry followed by 2D echo. Results: We investigated 42 male and 3 female patients ranging from 50 to 75 years of age, of these cases, 2 among Category D had left ventricular diastolic dysfunction changes, 3 from Category C and 10 from Category D were diagnosed with PH, and 4 from Category D had changes of COR-P. Conclusion: Our study puts emphasis on early cardiac screening of all COPD patients which will be helpful in the assessment of the prognosis and will further assist in identifying the individual likely to suffer increased morbidity and mortality.
Authors and Affiliations
A N V Koteswar Rao, Mohammed Abdul Naseer, K Surendar Reddy, L Bhaskar, Pradyut Waghray
Keywords
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