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Chronic obstructive pulmonary disease and cardiac comorbidities: A cross-sectional study
Mohit Kaushal1, Parth S Shah1, Arti D Shah1
1Department of Respiratory Medicine, Smt. B. K. Shah Medical Institute and Research Centre, Vadodara, Gujarat, India.
Lung India : Official Organ of Indian Chest Society
|September 1, 2016
Summary
Chronic obstructive pulmonary disease (COPD) significantly impacts heart function, often leading to pulmonary hypertension and ventricular dysfunction. Early cardiac screening in COPD patients is crucial for better prognosis and reduced mortality.
Area of Science:
- Cardiology
- Pulmonology
- Medical Imaging
Background:
- Chronic obstructive pulmonary disease (COPD) is a major global health concern, with smoking as a primary risk factor.
- COPD impacts cardiovascular health, contributing to pulmonary hypertension (PH), and right and left ventricular dysfunction.
- Echocardiography is a valuable, noninvasive tool for assessing cardiac function in COPD patients.
Purpose of the Study:
- To investigate the prevalence of cardiac comorbidities in patients with moderate to severe COPD.
- To assess the relationship between COPD severity and cardiac abnormalities such as left ventricular diastolic dysfunction (LVDD), PH, and cor-pulmonale (COR-P).
Main Methods:
- A cross-sectional study involving 50 patients with moderate to severe COPD.
- Patients underwent spirometry, chest X-ray, ECG, and two-dimensional echocardiography.
- Data analysis focused on identifying cardiac changes and their correlation with COPD severity.
Main Results:
- The study included 49 males and 1 female, aged 35-80 years.
- 29 patients had moderate COPD and 21 had severe COPD.
- Prevalence of cardiac issues included LVDD (29 patients), PH (24 patients), and COR-P (16 patients). A linear relationship was observed between COPD severity and the severity of LVDD, PH, and COR-P.
Conclusions:
- Early cardiac screening is essential for all COPD patients.
- Screening aids in prognosis assessment and identifies high-risk individuals for increased morbidity and mortality.
- Integrating echocardiography into routine COPD care can improve patient outcomes.
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