Chandra Shekhar Purohit

Abstract

Background: Present study was done with an aim to study the clinical profile and its relation to spirometry and 2D ECHO in COPD patients. Methodology: Sixty COPD patients with anonymous rigorousness attending department of respiratory medicine, G.K. General Hospital Bhuj, were incorporated in the study from 2017 onward. The patients were subjected to spirometry and classified according to GOLD guidelines. Whole history concerning the symptoms, past history, smoking history, occupational history and other linked illnesses were taken and noted in a proforma. Echocardiographic assessments of right ventricular and left ventricular function were done. Results: COPD was more common in males (88.33%) as compared to females (11.66%) because of smoking prevalence high in male patients. COPD patients were having most common chest x-ray finding of Emphysema (75%), followed by increase bronchovascular markings (28.33%), cardiomegaly (6.66%), consolidation or mass (3.33%), calcification (3.33%), reticular pattern (3.33%) and bronchiectasis (3.33%). COPD patient were had mainly common ECG finding of normal (50%), p- pulmonale in (40%), right ventricular hypertrophy in (25%), right axis deviation in (18.33%), RBBB in (6.66%) and AF in (3.33%). Conclusions: Severity of COPD has straight relation connection with occurrence of ECG changes in COPD. In the present study 50% of the patients had normal ECG. LV diastolic dysfunction was present in 38.33% of the patients. As the severity increases, frequency of LV diastolic dysfunction on 2 D and Doppler echocardiography goes on escalating. Keywords: Chronic obstructive pulmonary diseases; Smoking; Spirometry.

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