The evaluation of cardiac functions according to chronic obstructive pulmonary disease groups.

Autor: Yazici O; Department of Chest Diseases, School of Medicine, Adnan Menderes University, Aydin, Turkey., Tas Gulen S; Department of Chest Diseases, School of Medicine, Adnan Menderes University, Aydin, Turkey., Eryilmaz U; Department of Cardiology, School of Medicine, Adnan Menderes University, Aydin, Turkey., Omurlu IK; Department of Biostatistics, School of Medicine, Adnan Menderes University, Aydin, Turkey.
Jazyk: angličtina
Zdroj: The aging male : the official journal of the International Society for the Study of the Aging Male [Aging Male] 2020 Jun; Vol. 23 (2), pp. 106-111. Date of Electronic Publication: 2019 Apr 30.
DOI: 10.1080/13685538.2019.1606191
Abstrakt: Objectives: We aimed to compare right and left ventricular functions by echocardiography (ECHO) according to chronic obstructive pulmonary disease (COPD) groups, and to determine their associations with functional parameters. Methods: Data of patients with COPD who underwent ECHO between 2015 and 2018 were analyzed retrospectively. The results of pulmonary function tests, 6-minute-walking test (6MWT), Modified Medical Research Council (mMRC), COPD assessment test (CAT), and BODE scores were recorded together with ECHO results showing right and left ventricular functions. Results: 126 COPD patients were evaluated. Of these, 37.3% was in group A, 28.6% in group B, 12.7% in group C, and 21.4% in group D. Most common comorbidities were cardiovascular diseases (CVD) and pulmonary hypertension (PH); these were most frequently seen in groups D and B. Regarding ECHO parameters, differences were present among groups in systolic pulmonary arterial pressure (sPAP) and left ventricle end-systolic diameter (LVEF) ( p  < 0.001 and 0.004, respectively). sPAP was highest in groups D and B whereas LVEF was lowest in group D. Conclusion: Our results suggest that patients' symptoms in symptomatic COPD groups B and D might be related to increased PAP and concomitant cardiovascular comorbidities. Therefore, a detailed cardiovascular investigation should be performed from early stages in COPD.
Databáze: MEDLINE
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