In this study total 42 patients of chronic cor pulmonale were studied in the Department of Medicine in Bharatpur Hospital. Most common age group was 50-64 years and females were more affected than males. Mean age of the patients was 55 years +/- 11.28 years. Most of them were smokers. Most of the patients were in advanced stage of cardiac involvement at their admission to the hospital. Common symptoms were cough with varying degree of expectoration and breathlessness. Swelling of the body was pr
A STUDY OF PULMONARY FUNCTION TESTS, ARTERIAL BLOOD GAS ANALYSIS AND ECHOCARDIOGARPY IN PATIENTS WITH CHRONIC COR - PULMONALE
DR.VIJAYA PRASAD PAUDEL M.D. SENIOR CONSULTANT PHYSICIAN HOD MEDICAL DEPARTMENT BHARATPUR HOSPITAL, CHITWAN
. ‹#›
ICU -BHARATPUR HOSPITAL
MEDICAL WARD OF BHARATPUR HOSPITAL
WHY STUDY HAS BEEN DESIGNED?
In our ICU we have medical cases of 93.70% of which 23.67% are due to respitarory causes. Similar are the datas in medical OPD, emergency and medical ward.
TOTAL NUMBER OF ADMISSION (DIAGNOSIS)
MEDICAL CASES : 372 (93.70%) RESPIRATORY SYSTEM : 94 (23.67%) CARDIOVASCULAR SYSTEM : 62 (15.61%) OP POISOINING : 47 (11.83%) SNAKE BITE : 41 (10.32%) OTHERS : 41 (10.32%) CENTRAL NERVOUS SYSTEM : 34 (8.56%) HEPATOBILIARY WITH GI SYSTEM : 19 (4.78%) SEPTICEMIA : 17 (4.28%) DIABETES MELLITUS : 11 (2.77%) DENGUE FEVER : 5 (1.25%) LEPTOSPIROSIS : 1
Similarly 38.67% of death in ICU were due to respiratory causes.
Mortality by causes
TOTAL NUMBER IN ONE YEAR : 57 (14.35%) MALE : 30 (7.55%),FEMALE : 27 (6.80%) CAUSES: COPD/ CHRONIC COR PULMONALE : 14 CVA : 6 HEPATOBILIARY : 6 SNAKE BITE : 6 OP POISOINING : 5 SEPTICEMIA :5 ARDS : 4 CCF/DCM : 3 MUSHROOM POISOINING : 3 MI : 2 PULMONARY EDEMA : 2 PNEUMONIA : 1
CASES UNDER VENTILATOR
TOTAL NUMBER : 33 (8.31%) INDICATION OUTCOME SNAKE BITE : 12 EXPIRED-4, GOOD-5 REFER-1, LAMA-1, DOR-1 ARDS : 5 EXPIRED-3, GOOD-2 COAD/CH. COR PULMONALE: 5 EXPIRED-2, LAMA-3 OP : 4 EXPIRED-3, REFER-1 RHD : 1 EXPIRED MI : 1 GOOD PUL. EDEMA : 1 GOOD
AIMS AND OBJECTIVES
To study the clinical profile of the chronic cor-pulmonale patients. To relate the severity of the diseases with pulmonary function tests, arterial blood gas analysis and pulmonary arterial pressure measured by Doppler Ecocardiography. To find out correlation among pulmonary function test, arterial blood gas analysis and pulmonary arterial pressure.
SUBJECTS AND METHOD
This was cross-sectional study involving 46 consecutive patients who presented in the Emergency , Medical Ward and ICU. Study period was 1 year duration. The screening process included :- Through history and clinical examination E.C.G Chest X-ray PA view Hematology –Hb, TC,DC, blood sugar(R), urea ,creatinine electrolytes, total protein and albumin. All patient were studied in stable clinical state, after control of respiratory infection and heart failure. Ecocardiography had been done to conform the diagnosis. Lastly , arterial blood gas analysis and pulmonary function tests were performed.
INCLUSION CRITERIA
CLINIALLY, RADIOGRAPHICALLY AND ELECTROGRAPHICALLY SUSPECTED CASES OF CHRON IC COR -PULMONALE OF BOTH SEXES AND ABOVE THE AGE OF TWENTY YEARS, FULFILLING CRITERIA OF RIGHT VENTRICULAR DILATION AND HYPERTROPHY BY ECHOCARDIOGRAPHY WERE TAKEN UP IN THE STUDY AN INFORMED CONSENT WAS OBTAINED FROM ALL PATIENTS FOR THE STUDY
RS, ‹#›
EXCLUSION CRITERIA
PATIENTS WITH DISEASES THAT PRIMARILY AFFECTING THE LEFT SIDE OF THE HEART OR CONGENTIAL HEART DISEASES WERE EXCLUDED AFTER ECHOCARDIOGRAPHY. CASES BELOW THE AGE OF TWENTY YEARS. CRITICALLY ILL PATIENTS WHO COULD NOT PERFORM PULMONARY FUNCTION TESTS.
RESULTS
AGE AND SEX DISTRIBUTION : AGE GROUP MALE FEMALE TOTAL 20-34 1 0 1 35-49 2 10 12 50-64 3 14 17 65-75 5 7 12 TOTAL 11 31 42
SMOKING STATUS
9.50% 90.50% NON SMOKER (4) SMOKER(38)
Smoking Status of the patients who took part in this study.
Comments