Echocardiographic Evaluation of Right Heart in Patients of Chronic Obstructive Pulmonary Disease

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dc.contributor.authorJeji, Pukhraj Singhen_US
dc.contributor.authorKapila, Savitaen_US
dc.contributor.authorGupta, Sunitaen_US
dc.contributor.authorMittal, Sauraven_US
dc.date.accessioned2020-11-18T10:18:10Z
dc.date.available2020-11-18T10:18:10Z
dc.date.issued2020-03
dc.description.abstractCardiac involvement in Chronic Obstructive Pulmonary Disease (COPD) is a significant cause of morbidity, mortality, and even death. We aimed to study the echocardiographic evaluation, especially of the right heart, in patients of COPD and to co-relate findings of echocardiography with the clinical profile and severity of COPD of such patients.METHODSWe performed a cross-sectional study for a period of 2 years. The patients were subjected to necessary investigations and transthoracic echocardiography for evaluating the right heart parameters. Data was entered in MS Excel spreadsheet and analysis was done using Statistical Package for Social Sciences (SPSS) version 21.0. A p value of <0.05 was considered statistically significant. RESULTSOf the 50 COPD cases studied, the majority (22) fulfilled GOLD stage IV criteria followed by 14 cases in GOLD stage II. Right atrial pressure was increased in 52% study subjects. Pulmonary artery systolic pressure had values of more than 25 mmHg in 68% of patients. RV thickness was >5 mm in 56% subjects. TAPSE was measured to be <17 mm in 50% COPD cases. A significant association was seen between severity of COPD and RA pressure, RV size, RV pressure/pulmonary artery pressure, RV thickness and TAPSE.CONCLUSIONSSignificant prevalence of right heart dysfunction is found in COPD and there was a significant association of cardiac parameters with severity of COPD. Thus it is recommended that all patients of COPD should undergo right heart evaluation by echocardiography so that treatment modalities can be changed to minimize morbidity and mortalityen_US
dc.identifier.affiliationsDepartment of Medicine, MMIMSR, MM(D)U, Mullana, Ambala, Haryana, India.en_US
dc.identifier.affiliationsDepartment of Medicine, MMIMSR, MM(D)U, Mullana, Ambala, Haryana, India.en_US
dc.identifier.affiliationsDepartment of Medicine, MMIMSR, MM(D)U, Mullana, Ambala, Haryana, India.en_US
dc.identifier.affiliationsDepartment of Medicine, MMIMSR, MM(D)U, Mullana, Ambala, Haryana, Indiaen_US
dc.identifier.citationJeji Pukhraj Singh, Kapila Savita, Gupta Sunita, Mittal Saurav. Echocardiographic Evaluation of Right Heart in Patients of Chronic Obstructive Pulmonary Disease. Journal of Evolution of Medical and Dental Sciences. 2020 Mar; 9(12): 974-979en_US
dc.identifier.issn2278-4802
dc.identifier.issn2278-4748
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/214761
dc.languageenen_US
dc.publisherAkshantala Enterprises Private Limiteden_US
dc.relation.issuenumber12en_US
dc.relation.volume9en_US
dc.source.urihttps://dx.doi.org//10.14260/jemds/2020/210en_US
dc.subjectChronic Obstructive Pulmonary Diseaseen_US
dc.subjectEchocardiographyen_US
dc.subjectEjection Fractionen_US
dc.subjectPulmonary Hypertensionen_US
dc.subjectRight Ventricle Outflowen_US
dc.titleEchocardiographic Evaluation of Right Heart in Patients of Chronic Obstructive Pulmonary Diseaseen_US
dc.typeJournal Articleen_US
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