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Scholars Journal of Applied Medical Sciences | Volume-8 | Issue-02
The Echocardiograph in COPD: Estimating Right Heart Function
Archana Gupta, Sanchit Chouksey
Published: Feb. 8, 2020 | 179 118
DOI: 10.36347/sjams.2020.v08i02.002
Pages: 371-375
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Abstract
Objective: To study the right ventricular function in patients of COPD by 2D echo Doppler. Material and Methods: This observational cross sectional study was carried out in G.R. Medical College, Gwalior from January 2018 to August 2019. 100 subjects were interviewed. All patients were subjected to pulmonary function test (categorised as per GOLD Criteria) and 2D ECHO Doppler examination. Right ventricular function was calculated with the help of Tricuspid Regurgitation (TR) jet, Pulmonary Regurgitation (PR) jet, Tricuspid Annular Plane Systolic Excursion (TAPSE) and Right Ventricular Dimension (RVD). Results: In present study, male: female ratio is 2.57:1 with mean age of 57.18±10.34 years. Out of 100 patients, 22%, 69% and 9% had mild, moderate and severe COPD respectively while 58% were smokers. Study of PASP by TR jet with the use of 2D ECHO showed mild, moderate, severe PASP in 61, 31 and 8 patients respectively, all 8 severe PASP cases had severe COPD. TAPSE by 2D ECHO showed 78 patients with abnormal while 22 patients had normal value. Conclusion: ECHO Doppler evaluation of COPD patients should be used as a risk stratification tool for assessing RV function and pulmonary artery pressure on a larger scale. Thus, improving the overall survival and quality of life.