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ISSN: 2394-4137 (E) 2394-6318 (P)

IJIMS.2020.107

Type of Article: Original Research

Volume 7; Issue 4: 2020

Page No.: 900-903

DOI: 10.16965/ijims.2020.107

AN OBSERVATIONAL STUDY OF CARDIAC INVOLVEMENT IN COPD PATIENTS AND IT’S CORRELATION WITH SEVERITY OF THE DISEASE

Prapti Shinde 1, A. B. Khare *2, Manoj Waghmare 3, Marcia Waran 4, Arun Tyagi 5.

1 Resident, DVVPF’s Medical College, Vadgaon Gupta, Post-MIDC, Ahmednagar, Maharashtra, India.

*2 Associate Professor, Department of Medicine, DVVPF’s Medical College, Vadgaon Gupta, Post-MIDC, Ahmednagar, Maharashtra, India.

3 Assistant Professor, Pulmonary Medicine, DVVPF’s Medical College, Vadgaon Gupta, Post-MIDC, Ahmednagar, Maharashtra, India.

4 Professor, Department of Medicine, DVVPF’s Medical College, Vadgaon Gupta, Post-MIDC, Ahmednagar, Maharashtra, India.

5 Professor and Head, Department of Medicine, DVVPF’s Medical College, Vadgaon Gupta, Post-MIDC, Ahmednagar, Maharashtra, India.

Corresponding Author: Brig (Dr) A.B. Khare (Retd), Associate Professor, Department of Medicine, DVVPF’s Medical College, Vadgaon Gupta, Post-MIDC, Ahmednagar – 414111, Maharashtra, India. Mobile no. +919451729669, E-Mail: dr.ab.khare@gmail.com

ABSTRACT:

Introduction: The course of Chronic Obstructive Pulmonary Disease (COPD) is marked by various systemic manifestations and complications. Cardiac involvement is one of those manifestations. Pulmonary vascular disease and its impact on right ventricular function, higher incidence of myocardial infarction and arrhythmias are well-known complications of COPD and correlate inversely with survival.

Aim: To study cardiac involvement in COPD patients and it’s a correlation with the severity of the disease.

Methods: This observational study was conducted in the medicine department of a tertiary care hospital in western Maharashtra. Data of 100 patients diagnosed and their cardiac status assessed on the basis of clinical findings, radiological changes and spirometry, electrocardiography and echocardiography. All patients were analyzed for cardiac involvement based on symptomatology, ECG and 2D-ECHO results.

Results: Of 100 COPD patients, 8 patients were GOLD class 1 (mild), 30 in class 2 (moderate), 50 in class 3 (severe) and 12 patients belonged to GOLD class 4 (very severe). Cardiovascular complications were found in 52 patients out of 100. Of these, pulmonary hypertension was found in 41%, IHD in 21%, cor pulmonale in 18% and arrhythmias were found in 9 % of which supraventricular arrhythmias were seen in 66.66% and ventricular arrhythmia in33.33%.

Conclusion: Our study showed that cardiac complications may be seen in mild to moderate COPD as well. They are difficult to diagnose because of common symptomatology. It is therefore prudent to carry out ECG and 2D-ECHO at the time of initial diagnosis for early detection and for better management of these patients.

KEY WORDS: Chronic Obstructive Pulmonary Disease (COPD), Pulmonary Hypertension,  Ventricular dysfunction, 2D-ECHO, ECG.

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