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: |
Spirometry
COPD medicine.medical_specialty medicine.diagnostic_test Systole business.industry Heart Ventricles Speckle tracking echocardiography Airway obstruction medicine.disease Ventricular Function Left Contractility Ventricular Dysfunction Left Pulmonary Disease Chronic Obstructive FEV1/FVC ratio Echocardiography Internal medicine Heart failure Internal Medicine medicine Cardiology Humans business Subclinical infection |
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 |
Externí odkaz: |