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Chronic cor-pulmonale: the experience of a tertiary care teaching hospital in Gujarat

Rameshchandra M Thakker, Shashi Mundhra, Gunjan Upadhyay, Rima B Shah, Amit M Shah.


Abstract

Background: Cor-pulmonale is a condition due to chronic changes in lung parenchyma or its vasculature which leads to right ventricular hypertrophy and pulmonary hypertension. It is a common cardiovascular morbidity require varied investigations like ECG, 2D Echo, x-Ray chest for its proper management.

Aims & Objectives: To study the etiological factors of cor-pulmonale and its relation to clinical findings, chest x-ray, Electrocardiography (ECG) and 2D Echocardiography (2D-Echo).

Materials and Methods: A total of 60 patients diagnosed with cor-pulmonale were included in the study. Detail history, clinical examination, ECG, 2D-Echo and x-ray chest were carried out for all patients and the findings were analysed using SPSS version 20.

Results: Out of total 60 patients, 52 were male and 8 were female. Maximum number of patients 38 (63%) were above the age of 50 years. 12 (40%) were having chronic bronchitis, 18 (30%) were having pulmonary tuberculosis, 10 (16.7%) were having bronchial asthma. In ECG, P pulmonale was observed in 58 (99.66%) of cases. 48 (80%) were having right ventricular dilatation and right atrial dilation was observed in 30 (50%) of patients.

Conclusion: Chronic bronchitis and pulmonary tuberculosis were found to be most common causes for developing chronic cor- pulmonale. X-ray chest, ECG and 2D-echo are essential part of management of patient. Chest x-ray gives information on etiological factors, ECG provides information on RVD and 2D Echo provides information on pulmonary hypertension more effectively though all the tests may be required for work up of patients with cor-pulmonale.

Key words: Cor-pulmonale; Chest X-Ray; Electrocardiography; 2D-Echocardiogarphy






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