COMPARATIVE ROLE OF ECG AND ECHOCARDIOGRAPHY IN THE DIAGNOSIS OF CHRONIC COR PULMONALE IN PATIENTS WITHMODERATE AND SEVERE COPD

Maria Elena Scridon

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COMPARATIVE ROLE OF ECG AND ECHOCARDIOGRAPHY IN THE DIAGNOSIS OF CHRONIC COR PULMONALE IN PATIENTS WITHMODERATE AND SEVERE COPD

机译：心电图和超声心动图在诊断中度和重度COPD的慢性肺心病中的比较作用

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Objectives: The objective of this study was to highlight the correlations between ECG and echocardiographic changes with diagnostic role in right ventricular hypertrophy in patients with COPD GOLD stage II and III, as well as the correlations with respiratory functional impairment degree. Materials and methods: the study was conducted on a sample of 61 patients with COPD aged between 44 and 78 years old. Among them, 38 have been diagnosed with COPD GOLD stage II, and 23 with stage III. The patients underwent ECG and echocardiography with a view to detect any signs of right ventricular hypertrophy. Results: Patients with moderate and severe form of COPD often associate right ventricular hypertrophy on ultrasound, statistically uncorrelated with the degree of impaired respiratory function, but highlighting significant correlations of right ventricular hypertrophy with pulmonary artery systolic pressure (PASP) values. Electrocardiography shows a low sensitivity compared to echocardiographic method in the diagnosis of chronic cor pulmonale. Conclusions: The degree of respiratory functional impairment measured by maximum forced expiratory volume (FEV) in the first second, does not correlate with the risk of right ventricular hypertrophy. ECG method for the diagnosis of chronic cor pulmonale, although it is accessible, does not have a satisfactory sensitivity.

机译：目的：本研究的目的是强调心电图和超声心动图改变与COPD GOLD II期和III期患者右心室肥大的诊断作用之间的相关性，以及与呼吸功能损害程度的相关性。材料和方法：该研究是对61名44岁至78岁的COPD患者进行的。其中38例被诊断为COPD GOLD II期，23例被诊断为III期。患者进行了心电图和超声心动图检查，以发现任何右心室肥大的迹象。结果：患有中度和重度COPD的患者通常在超声检查中伴有右心室肥大，与呼吸功能受损程度在统计学上不相关，但突出显示了右心室肥大与肺动脉收缩压（PASP）值之间存在显着相关性。与超声心动图方法相比，心电图对慢性肺心病的诊断灵敏度低。结论：在第一秒内通过最大呼气量（FEV）测量的呼吸功能损害程度与右心室肥大的风险无关。心电图诊断慢性肺炎的方法虽然可行，但灵敏度不高。

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《Acta Medica Transilvanica》 |2015年第4期|共页
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Maria Elena Scridon;
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COMPARATIVE ROLE OF ECG AND ECHOCARDIOGRAPHY IN THE DIAGNOSIS OF CHRONIC COR PULMONALE IN PATIENTS WITHMODERATE AND SEVERE COPD

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