The role of electrocardiography in evaluation of severity of chronic obstructive pulmonary disease in daily clinical practice
| Autor: | Ahmet Arif Yalcin, Cuneyt Kocas, Caglar Cuhadaroglu, Aydin Yildirim, Ismail Biyik, Ayfer Utku Savaş, Firuzan Pınar Kuzer, Faruk Akturk, Nevzat Uslu, Fatih Uzun, Mehmet Erturk |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Atrial Function Right Critical Care and Intensive Care Medicine Severity of Illness Index Muscle hypertrophy Electrocardiography Pulmonary Disease Chronic Obstructive QRS complex Internal medicine Severity of illness medicine Humans Respiratory function Sinus rhythm Heart Atria Aged Ultrasonography COPD Ejection fraction medicine.diagnostic_test business.industry Arrhythmias Cardiac Middle Aged medicine.disease respiratory tract diseases Cardiology Female Surgery business |
| Zdroj: | Tuberkuloz ve Toraks. 61:38-42 |
| ISSN: | 0494-1373 |
| DOI: | 10.5578/tt.4101 |
| Popis: | Introduction Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of chronic morbidity and mortality. Bronchial obstruction and increased pulmonary vascular resistance impairs right atrial functions. In this study, we aimed to investigate the effect of bronchial obstruction on p wave axis in patients with COPD and usefulness of electrocardiography (ECG) in the evaluation of the severity of COPD. Patients and methods Ninety five patients (64 male and 31 female) included to the study. Patients were in sinus rhythm, with normal ejection fraction and heart chamber sizes. Their respiratory function tests and 12 lead electrocardiograms were obtained at same day. Correlations with severity of COPD and ECG findings including p wave axis, p wave duration, QRS axis, QRS duration were studied. Results The mean age was 58 ± 12 years. Their mean p wave axis was 62 ± 18 degrees. In this study, p wave axis has demonstrated significant positive correlations with stages of COPD and QRS axis but significant negative correlations with FEV1, FEF, BMI and QRS duration. P wave axis increases with increasing stages of COPD. Conclusion Verticalization of the frontal p wave axis may be an early finding of worsening of COPD before occurrences of other ECG changes of hypertrophy and enlargement of right heart chambers such as p pulmonale. Verticalization of the frontal p wave axis reflecting right atrial electrical activity and right heart strain may be a useful parameter for quick estimation of the severity of COPD in an out-patient cared. |
| Databáze: | OpenAIRE |
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