Assessment of Left Ventricular Diastolic Function Morbidity in Chronic Obstructive Lung Disease in Population of West Bengal
Jayanta Kr. Mallick
Department of Pulmonary Medicine, Nilratan Sircar Medical College, Kolkata, W.B. PIN- 700014, India.
Kaushik Ghosh *
Department of Medicine, Burdwan Medical College, Burdwan, W.B., India
Sanat Kumar Jatua
Department of Medicine, Nilratan Sircar Medical College, Kolkata, W.B. PIN- 700014, India
Ambarish Bhattacharya
Visiting Consultant, Charnock Hospital, Kolkata 7000157, India.
Sisir Chakraborty
Department of Medicine, College of Medicine and Sagore Dutta Hospital, Kolkata, India
Kabita Dabadi
Consultant Pathologist, Dr. Lals Path Lab, Kolkata, India.
Susmita Ghosh
Department of Anaesthesiology, Murshidabad Medical College, Berhampore, India.
Mrinal Pal
Department of Biochemistry, Burdwan Medical College, Burdwan, W.B., India.
*Author to whom correspondence should be addressed.
Abstract
Introduction: Right ventricular dysfunction is a well known complication or association of Chronic obstructive pulmonary disease (COPD). Only recently the association of Left ventricular dysfunction with COPD has gained importance. Whether this is an independent co-morbidity or a consequence of the COPD is yet to be clearly ascertained but more and more studies are showing Left ventricular dysfunction to be present in patients with COPD.
Materials and Methods: We conducted a pilot study in our institutes with 50 patients in our institution. This was an observational Cross sectional study where patients were diagnosed and classified according to GOLD criteria.
Results: We found Left Ventricle (LV) dysfunction in about 84% of these patients. Systolic and diastolic dysfunctions were present in 2% cases. Patient’s presenting age, duration and stage of the disease has significant positive correlation with left ventricular diastolic dysfunction.
Conclusion: Treatment of this Left ventricular dysfunction was absolutely necessary in the holistic treatment of the patient as left ventricular dysfunction has an independent detrimental effect in COPD patients. As such, we recommend that all COPD patients should have an Echocardiography on first presentation.
Keywords: COPD, GOLD criteria, LV dysfunction, Co-morbidity