A Study to Evaluate the Role of Electrocardiographic Changes in Chronic Obstructive Pulmonary Disease

T, Jagadeesh; Metha, Santhosh; Salah, Haroon Ahamed

doi:10.14260/jemds/2015/368

Cited by 2 publications

(1 citation statement)

References 12 publications

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“…38 The frequency of underweight BMI category (56.25%) was dominant over other groups as it is in harmony with study of Tariku et al 22 but the pattern of severity of COPD was against the study of Tariku et al 22 because different approach of severity classification was used while the prevalence of COPD by its stages was matched with the study conducted by Lokendra et al 41 where the frequency of patients were increased through the stages from mild to very severe (13.8%-37.5%) and (12%-36%) in the present study and Lokendra et al study respectively. 41 The dominance of smokers (63.75%) than nonsmokers was also in line Abnormal ECG pattern was interpreted among 67(83.75%) of COPD patients which is consistent with other studies 32,36, 41,46,48,[58][59][60][61][62] that reported the prevalence of abnormal ECG among COPD patients >50% ranges 50% 46,62 -81.5%. 60 But, the prevalence of abnormal ECG <50% was only reported by study of Agarwal R (35.7%).…”

Section: Discussionsupporting

confidence: 84%

Changes on Electrocardiographic Patterns and Associated Factors among Chronic Obstructive Pulmonary Disease Patients

Demissie¹,

Tadessa²,

Tegene³

et al. 2019

Heart Res Open J

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Background Chronic obstructive pulmonary disease (COPD) is a preventable and treatable disease characterized by airflow limitation that is not fully reversible. The lungs and the heart are so closely interrelated organs that diseases of the one results in impaired functioning of the other. COPD induced cardiovascular diseases (CVDs) are diagnosed by electrocardiogram (ECG) and other instruments. ECG is one of the basic diagnostic tools that uses in early screening of COPD associated systemic effect of CVDs. However, concomitant CVDs among COPD patients are not usually assessed by ECG in routine medical practice at the setup. Objective The present study aimed to explore and detect changes of ECG pattern, and determine the associated risk factors among COPD patients. Materials and Methods The study was conducted among COPD patients visiting chest clinic of Jimma Medical Center (JMC), Southwest Ethiopia; from May 18 to August 18, 2017 G.C. A hospital based cross-sectional study was conducted among 80 COPD patients; and investigations for 12 lead resting supine ECG as well as measurements of other variables were performed. The results of ECG patterns and other variables were entered into Epidata (3.1) and exported to statistical package for the social sciences (SPSS) 20 for further analysis. Results Eighty COPD patients were enrolled in the study and the prevalence of abnormal ECG was 83.75% where arrhythmia accounted for 50%, atrial enlargement 48.8%, myocardial infarction (MI) 41.3%, axis deviation 35%, other ECG abnormalities (poor R-wave progression and low QRS amplitude) 35% and ventricular hypertrophy 15%. The identified associated factors with the abnormal ECG were less monthly income, smoking, hypoxia, male gender and severity of COPD with their specific adjusted odds ratio (AOR) and 95% CI of 2.1(1.6-7.9), 2.2(1.5-8.6), 2.9(1.2-6.9), 3.1(1.5-23) and 3.2(2.0-8.4) respectively. Conclusion Routine ECG investigation should be performed at the setup to initiate early management of CVDs comorbidity for better prognosis among COPD as abnormal ECG is inevitable among them.

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Section: Discussionsupporting

confidence: 84%

Changes on Electrocardiographic Patterns and Associated Factors among Chronic Obstructive Pulmonary Disease Patients

Demissie¹,

Tadessa²,

Tegene³

et al. 2019

Heart Res Open J

View full text Add to dashboard Cite

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Electrocardiographic characteristics in chronic obstructive pulmonary disease patients: An observational study

Tanwar,

Singh,

Sharma

et al. 2024

Journal of Clinical and Scientific Research

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Background: Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death worldwide. It causes alteration in the cardiac performance that can be recorded by electrocardiogram (ECG) and echocardiography noninvasively. Methods: In this observational study, we studied ECG changes and their relation with the disease severity and disease duration amongst 100 COPD patients. Results: Their mean age was 58.1 ± 12.0 years, and the mean disease duration was 7.9 ± 4.1 years. ECG was found normal in 31% and abnormal in 69% of subjects. Right axis deviation (RAD), right ventricular hypertrophy, right bundle branch block and P-pulmonale were noted in 38%, 28%, 20% and 17% of study subjects, respectively. Left bundle branch block, ventricular premature contractions (VPC) and second and third-degree block were seen in none of the subjects. ECG was found abnormal in 78% of patients with Stage 4 COPD, whereas only 17% of patients with Stage 1 COPD had their ECGs abnormal (P < 0.01). ECG was abnormal in 91% of patients with a disease duration of more than 10 years and 39% of patients with a disease duration of <5 years (P < 0.001). Conclusions: RAD appeared to be the most common ECG finding in patients with COPD. Patients with advanced disease and longer disease duration have a high risk for ECG to be abnormal.

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A Study to Evaluate the Role of Electrocardiographic Changes in Chronic Obstructive Pulmonary Disease

Cited by 2 publications

References 12 publications

Changes on Electrocardiographic Patterns and Associated Factors among Chronic Obstructive Pulmonary Disease Patients

Changes on Electrocardiographic Patterns and Associated Factors among Chronic Obstructive Pulmonary Disease Patients

Electrocardiographic characteristics in chronic obstructive pulmonary disease patients: An observational study

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