Study of Correlation of Clinical Profile, Electrocardiographic and Echocardiographic Profile in Patients of Chronic Obstructive Pulmonary Disease and Cor-Pulmonale
Journal Title: International Journal Of Research In Medicine - Year 2016, Vol 5, Issue 4
Abstract
BACKGROUND: Chronic Obstructive Pulmonary Disease (COPD) is a major cause of chronic morbidity and mortality throughout the world. COPD is currently the 4th leading cause of death in the world. This study was undertaken to study the electrocardiographic (ECG) and echocardiographic changes in COPD patients with different grades of severity of the disease, as assessed clinically and through pulmonary function testing. METHODS: The present study includes the Chronic Obstructive Pulmonary Disease and Cor-Pulmonale subjects in Indoor setting of Pulmonary Medicine Department in tertiary care hospital. The study pattern was Cross-sectional analytical study with statistical application of Chi-square test. The data was collected using pre tested questionnaire, which elicited demographic and clinical information. RESULT: In present study, 50 patients of COPD were studied clinically, spirometry, electrocardiography and echocardiography. Statistically significant correlation with severity was found in the incidence of P-Pulmonale, Right Axis Deviation (RAD), Right Ventricular Hypertrophy (RVH) and Right Bundle Branch Block (RBBB) among ECG findings and Right Ventricular (RV) dilatation, RV failure, Pulmonary hypertension, Cor-Pulmonale among echocardiography findings. CONCLUSION: COPD is a fairly common disease among the respiratory patients and it is more common in males and in the 5th and 6th decade. The incidence of ECG and echocardiographic findings are more common as the disease duration and severity increase and echocardiography is better than ECG in the diagnosis of RV dysfunction in COPD.
Authors and Affiliations
Satyam Ramesh Bhai Ghadiya, Arvind Daxini, Arvind S. Pandday, Himani Garasia
Keywords
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