Echocardiographic Right Heart Study in Patients with Chronic Obstructive Pulmonary Disease

Authors

  • Kazi Shamim Al Mamun Consultant of Cardiology, 17, Amirbag R/A, Chattogram
  • Mohammad Ibrahim Chowdhury Associate Professor, Department of Cardiology, Chittagong Medical College Hospital, Chattogram
  • Muhammad Khurshed Alam Assistant Professor, Department of Cardiology, Chittagong Medical College Hospital, Chattogram
  • Syedul Alam Khuryshi D-card, Senior Consultant of Cardiology, Department of Cardiology, General Hospital, Khagrachari
  • SM Ifteakharul Islam Consultant, Department of Cardiology, General Hospital, Bandarbon

DOI:

https://doi.org/10.3329/medtoday.v33i2.56057

Keywords:

COPD- Chronic obstructive pulmonary disease, PH- Pulmonary Hypertension, RV dysfunction, CMCHChittagong Medical College Hospital.

Abstract

Introduction: Chronic obstructive pulmonary disease (COPD) has considerable effects on cardiac functions, including those of the right ventricle, left ventricle, and pulmonary blood vessels. Most of the increased mortality associated with COPD is due to cardiac involvement. Echocardiography provides a rapid, noninvasive, portable, and accurate method to evaluate the cardiac changes. Aims: We aimed to prospectively study the patients with diagnosed COPD with echocardiogram for evaluating the right heart.

Materials & Methods: Our study was an observational, cross sectional study was done on 50 patients with COPD who were admitted at Department of Cardiology, CMCH and underwent echocardiographic evaluation from November 2017 –October 2018. All echocardiogaphic parameters focused on right heart and its function were assessed.

Results: Out of total 50 COPD patients studied, majority of them were male (46 patients ,92%). The mean age group of the studied patients was 58.4 ±7.7 years. Pulmonary hypertension defined as sPAP>30 mmHg was evident in all of the patients; with 30 patients (60%), 14 (28 %) and 6(12 %) patients having severe, moderate and mild pulmonary hypertension respectively. RV dysfunction was evident with reduced average TAPSE values (1.59± 0.38 cm) and elevated RIMP values (0.58±0.16).

Conclusion: Majority of COPD patients had evidence of pulmonary hypertension. Echocardiogram can be a helpful tool to assess early changes on the right heart size and function in patients with COPD and also monitor these patients for rapid progression of the illness.

Medicine Today 2021 Vol.33(2): 123-128

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Published

2021-11-07

How to Cite

Al Mamun, K. S. ., Chowdhury, M. I. ., Alam, M. K. ., Khuryshi, S. A. ., & Islam, S. I. . (2021). Echocardiographic Right Heart Study in Patients with Chronic Obstructive Pulmonary Disease. Medicine Today, 33(2), 123–128. https://doi.org/10.3329/medtoday.v33i2.56057

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Original Articles