Cardiac Co-morbidities in Patients with Chronic Obstructive Pulmonary Disease: Prospective Observational Study

Journal Title: Journal of Cardiovascular Medicine and Surgery - Year 2018, Vol 4, Issue 2

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) is a major global health issue. COPD affects pulmonary vasculature as well as heart leading to the development of pulmonary artery hypertension (PAH), cor­pulmonale (COR­P), right and left ventricular dysfunction. Echocardiography is a rapid, noninvasive, portable, and accurate method to evaluate cardiac function in these patients. We performed the echocardiographic evaluation of COPD patients to study the prevalence of heart diseases in these patients. Materials and Methods: Ours was observational study. Total 125 patients of moderate to severe COPD according to GOLD guidelines were included in the study. All patients were evaluated with detailed history, chest X­ray postero­anterior view, electrocardiography (ECG), spirometry and trans­thoracic echocardiography (Echo). Results: We investigated 89 males and 36 female patients with mean age of 52.54 ± 9.55 years. Fifteen patients had GOLD class I COPD, 45 patients had GOLD class II COPD and 65 patients had GOLD class III and IV COPD. Breathlessness (100%) was most common presenting symptom and tachypnea (73%) was most common presenting sign. ECG was abnormal in 80% patients with right ventricular hypertrophy (53.6%) as most common finding. Eighty percent patients had abnormal echocardiography with PAH (57.6%) and right ventricular dilatation (49.6%) as the most common findings. Conclusion: There is significant prevalence of cardiac co­morbidities in patients with COPD. Cardiac screening should be done early in the disease which will be helpful in the assessment of the prognosis and to identify the patients who are likely to suffer increase morbidity and mortality.

Authors and Affiliations

Nidhi Gupta

Keywords

Related Articles

Modifiable Life Style Risk Factors for CAD in Young Dyslipidemic Gujarati’s

Background and Objective: Earlier reports have mentioned a fourfold rise in coronary artery diseases (CAD) in the last four decades in India. Dyslipidemia is amongst the major modifiable risk factors for cardiovascular d...

On-pump Beating Heart Versus Arrested Heart Mitral Valve Replacement - Efficacy and Safety

Introduction: This study is aimed to determine the ef cacy and safety of beating heart mitral valve replacement (MVR) surgery without aortic cross clamping (ACC) and continuous coronary perfusion under normothermia. Me...

RITA – LITA ’Y’ Conduit in an Asymptomatic Left Subclavian Artery Stenosis: A Safe Alternative

Patients with symptomatic left subclavian artery stenosis (LSA), often undergo intervention. The need for intervention in incidentally detected LSA stenosis in patients undergoing coronary artery bypass grafting (CABG) i...

Clinical and Angiographic Profile of Coronary Artery Anomalies in Patients Undergoing Coronary Angiography

Introduction: Coronary artery anomalies are relatively rare congenital abnormalities that are often found incidentally during coronary catheterisation done for various indications.Aim of the study was to study clinical a...

Correlation of the Spirometric and Arterial Blood Gas Variables with Pulmonary Artery Systolic Pressure in Predicting Pulmonary Hypertension in Chronic Obstructive Pulmonary Disease Patients

Pulmonary Hypertension is the major cardio vascular complication of chronic obstructive pulmonary disease and long­standing, frequently undetected pulmonary hypertension leads to the development of right ventricular hype...

Download PDF file
  • EP ID EP563641
  • DOI 10.21088/jcms.2454.7123.4218.6
  • Views 117
  • Downloads 0

How To Cite

Nidhi Gupta (2018). Cardiac Co-morbidities in Patients with Chronic Obstructive Pulmonary Disease: Prospective Observational Study. Journal of Cardiovascular Medicine and Surgery, 4(2), 108-113. https://www.europub.co.uk/articles/-A-563641