Echocardiographic right heart study in patients with chronic obstructive pulmonary disease
Journal Title: Nepalese Heart Journal - Year 2017, Vol 14, Issue 2
Abstract
Background and Aims: : Chronic obstructive pulmonary disease (COPD) is highly prevalent in the Nepalese population. It is associated with signifcant extrapulmonary effects among which cardiovascular complications are most common . Echocardiography evaluation mainly focused on effects on the right heart function is a salient tool to evaluate the presence of degree of pulmonary hypertension and also identify those group of patients who need more early aggressive therapy for the underling lung disease . We aimed to prospectively study the patients with diagnosed COPD with echocardiogram for evaluating the right heart . Methods: An observational , cross sectional study was done on 50 patients with COPD who were admitted at Bir Hospital and underwent echocardiographic evaluation from Dec 2015 –Dec 2016 . All echocardiogaphic parameters focused on right heart and its function were assessed . Results: Out of total 50 COPD patients studied , majority of them were female (32 patients ,64%). The mean age group of the studied patients was 60.9 ±11.4 years . Pulmonary hypertension defned as sPAP>30 mmHg was evident in all of the patients ; with 30 patients (60% ), 14 (28 %) and 6(12 %) patients having severe, moderate and mild pulmonary hypertension respectively . RV dysfunction was evident with reduced average TAPSE values (1.59± 0.38 cm) and elevated RIMP values (0.58±0.16). Conclusion: Majority of COPD patients had evidence of pulmonary hypertension. Echocardiogram can be a helpful tool to assess early changes on the right heart size and function in patients with COPD and also monitor these patients for rapid progression of the illness .
Authors and Affiliations
Anish Hirachan| Department of Cardiology, National Academy of Medical Sciences , Kathmandu, Arun Maskey| Department of Cardiology, Shahid Gangalal National Heart Centre , Kathmandu, Ram Kishore Shah| Department of Cardiology, National Academy of Medical Sciences , Kathmandu, Bishal K. C. | Department of Cardiology, National Academy of Medical Sciences , Kathmandu, Miqdaadh Shareef| Department of Cardiology, National Academy of Medical Sciences , Kathmandu, Madhu Roka| Department of Cardiology, Shahid Gangalal National Heart Centre , Kathmandu, Reeju Manandhar| Department of Cardiology, Shahid Gangalal National Heart Centre , Kathmandu, Kunjang Sherpa| Department of Cardiology, Shahid Gangalal National Heart Centre , Kathmandu, Rabindra Pandey| Department of Cardiology, Shahid Gangalal National Heart Centre , Kathmandu, Dharmanath Yadav| Department of Cardiology, Shahid Gangalal National Heart Centre , Kathmandu, Man Bahadur K. C| Department of Cardiology, Shahid Gangalal National Heart Centre , Kathmandu, Deewakar Sharma | Department of Cardiology, Shahid Gangalal National Heart Centre , Kathmandu
Keywords
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- EP ID EP15785
- DOI http://dx.doi.org/10.3126/njh.v14i2.18496
- Views 331
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