Correlation of body mass index, degree of airflow obstruction, dyspnea scale, and exercise index with pulmonary hypertension
Journal Title: Asian Pacific Journal of Health Sciences - Year 2018, Vol 5, Issue 1
Abstract
Introduction: Cardiovascular disease is major comorbidity and most frequent disease coexisting with chronic obstructive and pulmonary disease (COPD). BODE (body mass index, degree of airflow obstruction, dyspnea scale and exercise) index is a multi-dimensional tool to assess severity of COPD. This study was undertaken to assess the BODE index as a predictor of development of pulmonary hypertension (PHT) in COPD patients. Aims: The aim of the study was to assess the corelation between the BODE index and PHT as diagnosed by 2DEcho. Materials and Methods: We conducted a prospective study over a period of 2 years on 60 stable COPD patients by evaluating the BODE index and categorizing into mild, moderate, and severe COPD cases on the basis of spirometry and into 4 quartiles on the basis of BODE index value (scores 0–2, 3–4, 5–6, and 7–10 ). PHT was defined in this study as pulmonary artery systolic pressure ≥30 mmHg. We investigated the prognostic value of BODE quartiles for prediction of development of PHT in COPD patients. Results: In our study, spirometry showed mild obstruction in 16.7%, moderate obstruction in 26.7%, severe obstruction in 38.3%, and very severe obstruction in 18.3% of patients. According to BODE score, 52% of patients were quartile 1, 21% quartile 2, 15% quartile 3, and 12% were quartile 4. In this study group, 46.7%, 31.7%, 11.7%, and 10.0% patients were with no, mild, moderate, and severe PHT, respectively. Conclusion: COPD patients with higher BODE index should also be looked for other causes of developing PHT, and such patients should undergo 2DEcho on regular intervals.
Authors and Affiliations
Namrata G Modi
Keywords
Related Articles
- EP ID EP518253
- DOI 10.21276/apjhs.2018.5.1.20
- Views 215
- Downloads 0
Evaluation of frequency, characteristics, and risk factors of neurotoxicity in patients on long-term amiodarone by nerve conduction studies
Background: Amiodarone is an iodine-rich drug that is a highly effective and widely used as an antiarrhythmic agent for the treatment of symptomatic supraventricular and ventricular tachyarrhythmias. Amiodarone is associ...
Assessment of Premarital Haemoglobin Genotype Counselling in the Control of Haemoglobinopathies in Osogbo, Southwestern Nigeria
Introduction: Premarital haemoglobin genotype counselling is gradually becoming popular for joining a man and a woman together as husband and wife in Southwestern Nigeria but there are still many couples who marry withou...
Study of dexmedetomidine and propofol for monitored anaesthesia care in patients undergoing cataract surgery
Aim: This study is to evaluate the efficacy of dexmedetomidine and propofol as an appropriate sedative drug for monitored anaesthesia care in patients undergoing cataract surgery. Materials and methods: A total of 60 pat...
Clinical - epidemiological profile and diagnosis of Influenza A H1N1 cases by real time RT-PCR at a tertiary care institute of India: the war is not over yet
Background: Influenza A virus is a common human pathogen that has caused serious respiratory illness and death over the past century. In April 2009, WHO declared pandemic influenza A H1N1 public health emergency of inter...
Emotional intelligence and clinical performance across practice areas: Implications for health professions educators and practitioners
Objective: The evaluation of student clinical competencies is multifactorial, with emotional intelligence (EI) considered as an essential component for success. Currently there is a lack of knowledge on whether distinct...