A study of the clinical profile of 50 patients of COPD with correlation between clinical, radiological and spirometric evaluation

Kamdar, Deepali J.; Patel, Dharmesh K.

doi:10.18203/2320-6012.ijrms20171539

Cited by 3 publications

(6 citation statements)

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“…Similar findings were reported by Gupta et al (2015) in Rajasthan (8) and by R Ramakrishna et al in Guntur. (2) The current study also shows that COPD patients with low FEV1/FVC % values have more ECG changes in comparison to those with higher FEV1/FVC % values. And as the severity of airflow obstruction increases (fall in FEV1), ECG changes also becomes more common.…”

Section: Discussionsupporting

confidence: 69%

“…On the contrary a study by Kamdar DJ et al (2017) in Gujarat (2) reported that P-pulmonale was observed only in 20% of the COPD patients. A study by Chappell AG (10) reports that 70% of cases showed right axis deviation of QRS complex (Beyond +90 degrees).…”

Section: Discussionmentioning

confidence: 87%

“…air pollution from biomass cooking and heating in poorly ventilated dwellings is an important risk factor for COPD. (2) Cough is often the first and most common symptom of COPD. Cough may be productive or unproductive.…”

mentioning

confidence: 99%

“…Spirometry gives an objective measurement of airflow limitation. (2) On the basis of GOLD criteria, COPD is graded into 4 grades (Mild, Moderate, Severe and Very Severe disease) according to spirometric parameters. (4) The major morbidity of COPD is due to its effect on cardiovascular system, which is mainly due to pulmonary arterial hypertension ultimately leading to cor pulmonale.…”

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confidence: 99%

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A Correlational Study of Electrocardiogram Findings With Severity of Copd in a Tertiary Care Centre

Singhal¹,

Kaur²,

Sisodia³

2018

jemds

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BACKGROUND Chronic obstructive pulmonary disease is a common and preventable disease, which has great implications on health. It is a major cause of morbidity and mortality worldwide, especially in rural areas. Aim-To study correlation between ECG changes and spirometric parameters in patients with COPD. MATERIALS AND METHODS A prospective observational study was conducted in our tertiary care centre. We have studied 50 (N= 50) patients diagnosed as COPD admitted in medical ward. Diagnosis of COPD was made on the basis of history, chest x-ray findings and GOLD criteria based on spirometry. We categorised them into Mild (FEV1/FVC < 0.7 and FEV1 is > 80% predicted), Moderate (FEV1/FVC < 0.7 and FEV1 is between 50-80% predicted), Severe (FEV1/FVC < 0.7 and FEV1 between 30-50% of predicted) and Very Severe (FEV1/FVC < 0.7 and FEV1 is < 30% predicted). Mild group included 2 patients, moderate group 14 patients, severe group consisted of 23 patients and very severe group consisted of 11 patients. We studied the electrocardiographic profile of the moderate, severe and very severe group patients, which includes 48 patients. RESULTS The study includes 50 (N= 50) patients diagnosed as COPD in our tertiary care centre. Out of 50 patients, 43 were male and 7 were female patients. The most frequent ECG changes were P-pulmonale and Right Axis Deviation of QRS complex seen in grade II and III severity, which is statistically significant. However, Right Ventricular Hypertrophy (RVH) pattern, RBBB and low voltage complexes were seen less commonly and thus were statistically not significant. More ECG changes were seen in COPD patients with low FEV1/FVC % values (probably due to increase in residual volume with reduction in FEV1/FVC ratio). CONCLUSION Diagnosis of COPD is established on the basis of history and spirometric examination. Electrocardiographic changes are commonly seen as the severity of the COPD increases. The most frequent ECG change observed is P-pulmonale and Right Axis Deviation of QRS complex seen in grade II and III severity. So, ECG can be considered as an alternative parameter when spirometry is not available.

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Section: Discussionsupporting

confidence: 69%

Section: Discussionmentioning

confidence: 87%

mentioning

confidence: 99%

mentioning

confidence: 99%

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A Correlational Study of Electrocardiogram Findings With Severity of Copd in a Tertiary Care Centre

Singhal¹,

Kaur²,

Sisodia³

2018

jemds

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“…On Spirometry, 38.33% of patients had Moderate obstruction and severe obstruction in 30% of patients. 13,14…”

Section: Resultsmentioning

confidence: 99%

Etiology and clinical profile of COPD in non-smoker in urban area

Pazare

Mehta

2018

Int J Adv Med

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Background: Smoking is established as a causative risk factor for COPD as early as 1950. However, in the past decade it is shown that, other risk factors like indoor and outdoor air pollutants, workplace exposure to dust and fumes, poor nourishment and poor socioeconomic status are also associated with COPD. COPD is a disease associated poor quality of life due to recurrent exacerbations. Till to date focus has been on smoking as a risk factor for COPD, but other factors also need to be taken into consideration.Methods: Study was conducted in 60 eligible patients from urban area for a period of 18 months. Individual patient was asked detailed personal demographic data, respiratory symptoms, exposure to passive smoking, family history of COPD. Detailed physical examination including Anthropometric measurements and other relevant general and systemic examination was carried out. Biochemical investigations, ECG, Chest X-ray, CT chest, spirometry and 2D echocardiography were carried out in all patients.Results: The mean age of the patient was 65.7±7.95 with male preponderance. Common symptoms were dyspnea and cough and common signs were rhonchi and hyper resonance note on percussion. Common risk factors were indoor air pollution and low socioeconomic class. Most of the patients has hypoxia and hypercapnia. X-ray chest and CT chest showed hyperinflation, air trapping. Majority of patients had moderate FEV/FVC ratio on spirometry.Conclusions: Non-smoker COPD patients usually present in old age. Common presentation is dyspnea followed by cough and rhonchi on examination. Most common risk factor for non- smoker COPD is indoor air pollution, low socioeconomic class and cotton mill workers. Amongst indoor pollution, LPG, kerosene and wood are the risk factors for non-smokers COPD in urban population.

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A study of clinical profile of patients with chronic obstructive pulmonary disease

Mourya

Jadon

Yadav

2022

ijhs

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Background: Chronic obstructive pulmonary disease (COPD) is a common, preventable and treatable disease. Tobacco, smoking, occupational exposure to organic and inorganic dusts, chemical agents and fumes and biomass cooking are the risk factors for COPD. Chronic dyspnoea, cough, sputum production, wheezing and chest tightness are the common symptoms of COPD. Aim: The present study was undertaken to evaluate the clinical profile of COPD patients in central India. Methods: This was a prospective study of 250 patients of COPD who presented to out- patient department. Spirometry was performed to confirm the diagnosis. Detailed history of risk factors, age, socio-economic status and clinical examination was done for every patient. Results: Out of the 250 patients, majority was between 40-60 years of age, with male predominance (75.6%). Prevalence of COPD was more in rural and low socio-economic status patients. History of smoking was present in 65.2% patients. Commonest symptom was dyspnoea (in 96.4% patients) followed by cough (76.8%), sputum production (59.9%), wheezing (42.8%), chest tightness and fever (26.8%) and weight loss (19.2%). Hypertension was present in 18.8% patients. Conclusions: Prevalence of COPD was seen predominantly in male patients. Tobacco smoking was the commonest etiological factor.

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A study of the clinical profile of 50 patients of COPD with correlation between clinical, radiological and spirometric evaluation

Cited by 3 publications

References 14 publications

A Correlational Study of Electrocardiogram Findings With Severity of Copd in a Tertiary Care Centre

A Correlational Study of Electrocardiogram Findings With Severity of Copd in a Tertiary Care Centre

Etiology and clinical profile of COPD in non-smoker in urban area

A study of clinical profile of patients with chronic obstructive pulmonary disease

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