Chronic bronchitis echocardiography or ultrasound: Difference between revisions
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Echocardiography is helpful to diagnose [[pulmonary hypertension]] in patients with long standing chronic bronchitis. | Echocardiography is helpful to diagnose [[pulmonary hypertension]] in patients with long standing chronic bronchitis. | ||
==Echocardiography== | ==Echocardiography== | ||
Patients with chronic bronchitis may develop pulmonary hypertension due to long standing disease and hypoxemia. The hypoxemia causes vascular remodeling eventually leading to right sided heart failure or cor pulmonale | Patients with chronic bronchitis may develop pulmonary hypertension due to long standing disease and hypoxemia. The hypoxemia causes vascular remodeling eventually leading to right sided heart failure or cor pulmonale. Although, the gold standard for diagnosis of [[cor pulmonale]] is right heart cathaterization, echocardiography is the first step to evaluate for pulmonary hypertension. If the echocardiography findings are normal you can rule out the [[pulmonary hypertension]]. | ||
*Chronic bronchitis may lead to [[LVH|Left ventricular hypertrophy]]<ref name="pmid2145135">{{cite journal |vauthors=Kohama A, Tanouchi J, Hori M, Kitabatake A, Kamada T |title=Pathologic involvement of the left ventricle in chronic cor pulmonale |journal=Chest |volume=98 |issue=4 |pages=794–800 |year=1990 |pmid=2145135 |doi= |url=}}</ref>. | *Chronic bronchitis may lead to [[LVH|Left ventricular hypertrophy]]<ref name="pmid2145135">{{cite journal |vauthors=Kohama A, Tanouchi J, Hori M, Kitabatake A, Kamada T |title=Pathologic involvement of the left ventricle in chronic cor pulmonale |journal=Chest |volume=98 |issue=4 |pages=794–800 |year=1990 |pmid=2145135 |doi= |url=}}</ref>. | ||
*[[LV]] diastolic dysfunction is another consequence of [[COPD]]<ref name="pmid8769491">{{cite journal |vauthors=Schena M, Clini E, Errera D, Quadri A |title=Echo-Doppler evaluation of left ventricular impairment in chronic cor pulmonale |journal=Chest |volume=109 |issue=6 |pages=1446–51 |year=1996 |pmid=8769491 |doi= |url=}}</ref><ref name="pmid10235106">{{cite journal |vauthors=Tutar E, Kaya A, Güleç S, Ertaş F, Erol C, Ozdemir O, Oral D |title=Echocardiographic evaluation of left ventricular diastolic function in chronic cor pulmonale |journal=Am. J. Cardiol. |volume=83 |issue=9 |pages=1414–7, A9 |year=1999 |pmid=10235106 |doi= |url=}}</ref>. | *[[LV]] diastolic dysfunction is another consequence of [[COPD]]<ref name="pmid8769491">{{cite journal |vauthors=Schena M, Clini E, Errera D, Quadri A |title=Echo-Doppler evaluation of left ventricular impairment in chronic cor pulmonale |journal=Chest |volume=109 |issue=6 |pages=1446–51 |year=1996 |pmid=8769491 |doi= |url=}}</ref><ref name="pmid10235106">{{cite journal |vauthors=Tutar E, Kaya A, Güleç S, Ertaş F, Erol C, Ozdemir O, Oral D |title=Echocardiographic evaluation of left ventricular diastolic function in chronic cor pulmonale |journal=Am. J. Cardiol. |volume=83 |issue=9 |pages=1414–7, A9 |year=1999 |pmid=10235106 |doi= |url=}}</ref>. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Overview
Echocardiography is helpful to diagnose pulmonary hypertension in patients with long standing chronic bronchitis.
Echocardiography
Patients with chronic bronchitis may develop pulmonary hypertension due to long standing disease and hypoxemia. The hypoxemia causes vascular remodeling eventually leading to right sided heart failure or cor pulmonale. Although, the gold standard for diagnosis of cor pulmonale is right heart cathaterization, echocardiography is the first step to evaluate for pulmonary hypertension. If the echocardiography findings are normal you can rule out the pulmonary hypertension.
- Chronic bronchitis may lead to Left ventricular hypertrophy[1].
- LV diastolic dysfunction is another consequence of COPD[2][3].
- Chronic bronchitis may results in heart failure and it causes higher mortality in this group[4].
References
- ↑ Kohama A, Tanouchi J, Hori M, Kitabatake A, Kamada T (1990). "Pathologic involvement of the left ventricle in chronic cor pulmonale". Chest. 98 (4): 794–800. PMID 2145135.
- ↑ Schena M, Clini E, Errera D, Quadri A (1996). "Echo-Doppler evaluation of left ventricular impairment in chronic cor pulmonale". Chest. 109 (6): 1446–51. PMID 8769491.
- ↑ Tutar E, Kaya A, Güleç S, Ertaş F, Erol C, Ozdemir O, Oral D (1999). "Echocardiographic evaluation of left ventricular diastolic function in chronic cor pulmonale". Am. J. Cardiol. 83 (9): 1414–7, A9. PMID 10235106.
- ↑ Boudestein LC, Rutten FH, Cramer MJ, Lammers JW, Hoes AW (2009). "The impact of concurrent heart failure on prognosis in patients with chronic obstructive pulmonary disease". Eur. J. Heart Fail. 11 (12): 1182–8. doi:10.1093/eurjhf/hfp148. PMID 19887495.