Volume : IX, Issue : I, January - 2019

A Study on Correlation of Electrocardiographic and Echocardiographic Profile of COPD Patients

Dr. B. Srinivas

Abstract :

Objective : To study the variations and severity in clinical presentations of COPD patients. To correlate ECG and EHCO findings with variable clinical presentation of disease. Methods: 50 patients admitted with signs and symptoms of COPD. Patients were randomly selected over two years and studied with a detailed history including symptoms, duration of smoking and physical examination. They were investigated with spirometry, ECG and echocardiography. Patients were graded into Mild, Moderate and severe categories according to BTS criteria. Results : Mean age was 62.28±7.7 years with male predominance. Mean duration of disease was 6 years. Patients had a mean duration of smoking of 21.9 ±8.7 pack years. ECG and Echo findings that showed significant correlation with severity were ‘p’ pulmonale, right axis deviation, right bundle anch block, right ventricular hypertrophy and poor ‘r’ wave progression, RA & RV dilatation, RV failure, pulmonary hypertension and cor–pulmonale. In COPD patients Corpulmonale was diagnosed, by clinical Method 30%, Electrocardiography 40% and Echocadiography 46%. Conclusion: COPD is more common in males in 5th to 7th decade with the smoking history of more than 20 pack years. Most patients have moderate to severe disease at presentation. The incidence of ECG and Echo findings increase as the severity and duration of the disease increases and echocardiography is better than ECG or clinical methods in detecting RV dysfunction.

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

A STUDY ON CORRELATION OF ELECTROCARDIOGRAPHIC AND ECHOCARDIOGRAPHIC PROFILE OF COPD PATIENTS, Dr. B. Srinivas INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-1 | January-2019

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