Volume : IX, Issue : III, March - 2019

STUDY OF NON INVASIVE INVESTIGATIONS IN EARLY DETECTION OF COR PULMONALE DUE TO CHRONIC OBSTRUCTIVE LUNG DISEASE

Dr. P. Raja Sekhar, Dr. A. Ravindra Babu

Abstract :

Objective : Cor pulmonale is an important complication and cause of mortality in patients with Chronic Obstructive Pulmonary Disease. Its detection by various clinical methods is often delayed until overt right heart failure develops, because of pulmonary hyperinflation. This study was conducted to estimate the value of Non–Invasive investigations in early detection of cor pulmonale and to compare its sensitivity with physical, radiological and electrocardiographic examination Methods: 50 cases of COPD were taken for the study. All the patients were subjected to ECG, Chest X–ray in addition to routine investigations. All patients were evaluated by echocardiography for evidence of right ventricular dilatation, hypertrophy and pulmonary hypertension. Results: Out of 50 patients of COPD, cor pulmonale was detected in 48 patients by Echocardiography. Mean age was 59.9 ± 12.45 yrs. All male patients had a history of smoking for ≥ 5 yrs. By physical examination, cor pulmonale was detected in 19 out of 50 patients (38%). By chest X–ray, cor pulmonale was found in 14 out of 50 patients (28%). 20 out of 50 patients (40%) had evidence of cor pulmonale on ECG, pulmonale were: ECG – 42%, Physical examination –40%, Chest radiography – 29%, By all clinical methods – 65%. Overall cor pulmonale was detected in 62% of patients by all clinical methods and in 96%. Interpretation: In the light of findings of the present study we opine that echocardiography is a useful diagnostic method for early detection of cor pulmonale in patients with COPD and better management of cases

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

STUDY OF NON INVASIVE INVESTIGATIONS IN EARLY DETECTION OF COR PULMONALE DUE TO CHRONIC OBSTRUCTIVE LUNG DISEASE, Dr.P.Raja Sekhar, Dr.A.Ravindra Babu INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-3 | March-2019

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