Study of cardiac involvement in 100 patients of interstitial lung disease
Journal Title: Medpulse International Journal of Medicine - Year 2019, Vol 10, Issue 2
Abstract
Background: The lungs and the heart are the two vital organs in our body which are so inter-related to each other that when the one organ is having some chronic irreversible disease other also invariably gets secondarily involved. Objective: To study cardiac involvement in interstitial lung disease. Methodology: All confirmed cases of Interstitial lung disease by HRCT and on clinical history, were further evaluated by ECG and 2D ECHO to see for cardiac involvement. Results: 100 Patients of HRCT proven ILD underwent cardiac evaluation by ECG and 2D ECHO to see for any cardiac involvement:1 )Males were 56 (56%) and females were 44 (44%) M:F = 1.27:1.2) Majority of patients 52 (52%) were in elderly age group of 61 to 80, followed by 40(40%) cases in 41 to 60 years. Only 8 (8%) patients were in younger age group of 21 to 40.3) Amongst 100 cases , cough was the commonest symptom present in all the cases(100%) followed by breathlessness seen in 96 (96%) cases, chest pain in 28(28%), fever in 12 (12%), hemoptysis in 4 (4%) and swelling over feet in 36 (36%).4) 42 (42%) were smokers and 58 (58%) were non-smokers. All smokers were male.5)46 (46%) had clubbing and 52 (52%) did not have clubbing. Of the cases who had clubbing 16 had Grade II clubbing and 30 had Grade III clubbing.6) 96 (96%) were having restrictive lung disease on Spirometry of which 42 had mild, 32 had moderate and 22 had severe restriction. Mixed pattern was seen in 44 (44%) and 4 cases had normal spirometry.7) Chest X-ray showed reticular shadow in 50 (50%), reticulonodular shadows in 32 (32%), nodular pattern in 32 (12%), consolidation in 6 (6%), cystic shadows in 16 (16%). Conclusions: In this study, cardiac involvement in patients of ILD was found to be common (66%). As the duration of symptoms increase cardiac involvement in patients of ILD increases and there is no significant change in gender
Authors and Affiliations
Prashant P Udgire, Abhinav Chhabra
Keywords
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- EP ID EP612600
- DOI 10.26611/10211025
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