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Published on: June 15, 2020
Impact of bronchiectasis on right and left ventricular functions
Mehmet Gencer1, Erkan Ceylan, Remzi Yilmaz
1The Department of Chest Disease, Faculty of Medicine, Harran University, Sanliurfa, Turkey. drmehmetgencer@yahoo.com
Patients with bronchiectasis show impaired right and left ventricular functions. Right ventricular dysfunction is linked to disease severity and oxygen levels, while left ventricular dysfunction correlates with right ventricular function.
Area of Science:
- Cardiology
- Pulmonology
- Medical Imaging
Background:
- Bronchiectasis can lead to increased workload on the heart due to systemic-pulmonary shunts and chronic hypoxemia.
- Assessing ventricular function is crucial for understanding the cardiac impact of bronchiectasis.
Purpose of the Study:
- To evaluate right ventricular (RV) and left ventricular (LV) function in bronchiectasis patients.
- To utilize the myocardial performance index (MPI) derived from tissue Doppler imaging as a sensitive parameter for assessing ventricular function.
Main Methods:
- A study involving 25 patients diagnosed with bronchiectasis.
- Comparison of RV and LV MPI values with 22 age- and gender-matched healthy control subjects.
- Calculation of MPI, a combined index of systolic and diastolic function, for both ventricles.
Main Results:
- Significant differences in RV and LV MPI were observed between bronchiectasis patients and controls.
- RV MPI correlated with the number of involved lung lobes, arterial oxygen pressure, and pulmonary flow characteristics (acceleration time/ejection time).
- LV MPI showed a correlation only with RV MPI, not with clinical parameters.
Conclusions:
- Ventricular dysfunction is present in patients with bronchiectasis.
- RV dysfunction is associated with disease extent and hypoxemia.
- LV dysfunction appears secondary to or associated with RV dysfunction in this patient group.
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