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Category: Volume 07 Issue 06 June 2019
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Title: A Cross Sectional Study of clinical and Electrocardiographic profile in Chronic Obstructive Pulmonary Disease Patients and Its co-relation with the Severity of Disease

Authors: Dr Lokesh Verma, Dr Sanidhaya Tak, Dr Govind Desai, Dr Neetu Maurya

 DOI: https://dx.doi.org/10.18535/jmscr/v7i6.04

Abstract

Background: COPD is associated with significant extra pulmonary (systemic) effects among which cardiovascular disease are most common. COPD is the 4th leading cause of death worldwide. Early diagnoses and intervention for cardiac comorbidities would reduce mortalities in COPD patients. Electrocardiography (ECG) give information about cardiac disease and severity and prognosis in COPD patients.

Methodology: It is a cross-sectional descriptive type of study conducted in 69 patients of stable COPD in the department of pulmonary medicine, Kamla Nehru Chest Hospital, Jodhpur. They were staged by Pulmonary function test (PFT) and evaluated by electrocardiography.

Results: Mean age was 58.52± 10.02 years, with male preponderance, male to female ratio7:3. Mean duration of disease was 10.89±3.85 years, mean exposure to smoking of 28.46 pack years. Most common ECG finding was RVH which was present in 55.07% of cases, other ECG findings are P. pulmonale (30.43%), low voltage complex (50.72%), RAD (39.13%), poor R wave progression (27.53%). All ECG findings significantly correlated with disease severity (‘p’ value<0.05)

Conclusion: Diagnostic values of ECG among patients with respiratory problems suggest that COPD patients should be screened electrocardiographically in addition to other clinical investigations. COPD is more common in male in 5th to 7th decade of life, with a smoking history of more than 30 pack years. The occurrence of ECG findings increase as severity and duration of disease increase. It can be inferred that ECG is a useful bedside test to assess the severity of COPD.

Keywords: Chronic obstructive pulmonary disease (COPD), Electrocardiography (ECG).

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Corresponding Author

Dr Sanidhaya Tak

Senior Resident, Department of Pulmonary Medicine, AIIMS Jodhpur, Rajasthan, India