Assessment of subclinical left ventricular systolic dysfunction and structural changes in patients with chronic obstructive pulmonary disease

Autor: Saide Aytekin, Pinar Yildiz, Altemur Sarper, Şükrü Taylan Şahin, Selen Yurdakul, Betul Cengiz ElçioĞlu, Sadettin Kamat
Rok vydání: 2022
Předmět:
Zdroj: Internal Medicine Journal. 52:1791-1798
ISSN: 1445-5994
1444-0903
DOI: 10.1111/imj.15424
Popis: BACKGROUND Patients with chronic obstructive pulmonary disease (COPD) can develop left ventricular (LV) systolic dysfunction and geometric changes due to several reasons. We investigated subclinical LV systolic dysfunction and structural features in patients with COPD, and its correlation with the severity of airway obstruction, identified by GOLD classification. METHODS We studied 52 patients with COPD and 29 age and sex-matched controls, without any cardiac disease. In addition to conventional echocardiographic evaluation speckle tracking echocardiography (STE) based strain imaging were performed to analyze sub-clinical LV systolic dysfunction. Also LV volumes were measured by using three dimensional real time echocardiography (3DRTE). All patients underwent spirometry. RESULTS Conventional echocardiographic parameters (LV wall thickness and diameters, LV EF) and LV volume measurements were similar between the groups. LV global longitudinal peak systolic strain (-14.76 ± 2.69% to -20.27 ± 1.41%, p
Databáze: OpenAIRE