THE STUDY OF ELECTROCARDIOGRAPHIC AND ECHOCARDIOGRAPHIC CHANGES IN COPD
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 2
Abstract
BACKGROUND Chronic Obstructive Airways Disease or Chronic Obstructive Pulmonary Disease is acknowledged by the WHO as the fourth commonest cause of death worldwide. The aim of the study is to analyse various cardiovascular manifestations of “COPD” with the help of Electrocardiography and Echocardiography. MATERIALS AND METHODS This is a prospective observational study. Patients admitted in Department of Pulmonary Medicine, MediCiti Institute of Medical Sciences, Ghanpur with symptoms suggestive of airway obstruction of more than 2 years duration and in whom clinical diagnosis of COPD is made. They were subjected to investigations. Patients with FEV1/FVC ≤0.7 and FEV1< 80% of the predicted, which does not change significantly (<200 mL) after bronchodilator therapy with 0.3 mg of salbutamol nebulisation were included. The included patients would undergo Electrocardiography and Echocardiography for analysis. RESULTS Total number of patients assessed (n): 50. Mean age of the patients in this study was 50.7. The common ECG changes seen in the present study were- Right axis deviation (28%), Incomplete RBBB (12%) and P Pulmonale (34%). The Echocardiography assessment showed that 44% of patients had evidence of elevated pulmonary artery pressure, 4 patients had right atrial dilatation, and 1 patient had pericardial effusion. CONCLUSION Electrocardiography has high sensitivity in detecting pulmonary hypertension in chronic obstructive pulmonary disease patients as evidenced by P Pulmonale, right axis deviation, right ventricular hypertrophy. Majority of the patients with electrocardiographic evidence of pulmonary hypertension also had Echocardiographic evidence of elevated pulmonary artery pressure.
Authors and Affiliations
Talari Swathi, Dasari Nishanth Vudela, Deepika Kucherlapati, Goutam B
Keywords
Related Articles
- EP ID EP284516
- DOI 10.14260/jemds/2018/30
- Views 82
- Downloads 0
VESICOVAGINAL FISTULA: OUR EXPERIENCE OF 47 CASES IN A TERTIARY CARE HOSPITAL OF WEST BENGAL
d embarrassing health problem for the ladies. The present observational study was planned to inquire into the demographic and aetiologic pattern of vesicovaginal fistula and the long-term success rate of its surg...
THE ROLE OF SYNOVECTOMY IN TOTAL KNEE ARTHROPLASTY: A PROSPECTIVE ANALYSIS OF 30 CASES
AIM AND OBJECTIVES Aim and objective of this study is to assess role of synovectomy during TKR on joint effusion, haemarthrosis, patellar clunk, recurrent synovitis, and histopathological diagnosis in patients u...
ADENOID CYSTIC CARCINOMA OF THE LARYNX: AN UNIQUE PRESENTATION
A 40 year male patient presented to us with the history of having coughed out moderate quantities of blood on two occasions during the preceding week. During one episode he had coughed out a piece of tissue as well....
COMPARISON BETWEEN DEXMEDETOMIDINE AND A COMBINATION OF MIDAZOLAM AND FENTANYL FOR SEDATION DURING AWAKE FIBEROPTIC INTUBATION - A PROSPECTIVE RANDOMIZED PARALLEL GROUP DOUBLE-BLINDED STUDY
BACKGROUND Peter Murphy, in England, in 1965 used a fiberoptic choledocosope to intubate nasally a patient with Still’s disease. Fiberoptic nasotracheal intubation is one of the techniques available for the management of...
PREVENTION OF HYPOTENSION DURING PROPOFOL INDUCTION: A COMPARISON OF PRELOADING WITH RINGER LACTATE AND INTRAVENOUS EPHEDRINE
The induction of general anaesthesia with propofol, however, has been associated with a decrease in systolic arterial blood pressure. Various measures to prevent hypotension include preloading with fluids (coll...