Clinical and radiological profile among cor pulmonale patients in a tertiary care hospital
Journal Title: Medpulse International Journal of Medicine - Year 2019, Vol 9, Issue 1
Abstract
Background: Cor pulmonale is the cardiac disease caused by a lung dysfunction. This disease is severe and denotes the advanced stage of a pulmonary disease. Our study aimed to describe the clinical profile, radiological features electrocardiography (ECG) and Echocardiography (ECHO) changes in clinically proven cases of cor pulmonale. Materials and Methods: 150 patients who were diagnosed to have cor pulmonale based on the inclusion criteria were selected from medical wards of tertiary care hospital. The study was done for a period of 2 years and detailed history and physical examination was noted in all the selected patients along with chest x ray pa view, 12 leads ECG and ECHO Results: Among 150 patients 108(72%) were males and the peak incidence was found in 4th, 5th, 6th decades of life. Among 150 patients 96 (54%) were smokers. 60% were diagnosed to have chronic bronchitis with or without emphysema. Chest X ray showed details relevant to the clinical profile. ECG showed 52 % with Right Ventricular Hypertrophy (RVH), 62% with Right Axis Deviation (RAD), 32% with Right Bundle Branch Block (RBBB) and 71 % with P pulmonale. Every patient showed echo features suggesting of cor pulmonale. Conclusion: Our study found out that smoking attributed to pulmonary disease which either can be chronic bronchitis or COPD eventually leads to cor pulmonale. There are many definitive signs and radiological features which relates to cor pulmonale. But each signs and features differs according to the underlying pulmonary diseases. ECHO can be used as a definitive non invasive technique to determine cor pulmonale at an early stage
Authors and Affiliations
Senthil Kumar S, Shamsheer Khan P, Karanam Madhuri, Shanmuga Priya A, Duvvuru Susmitha Reddy
Keywords
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- EP ID EP517346
- DOI 10.26611/1021911
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