İLERİ EVRE KOAH HASTALARINDA SOL VENTRİKÜL FONKSİYONLARININ EKOKARDİYOGRAFİ BULGULARI İLE DEĞERLENDİRİLMESİ

Year 2010, Volume: 24 Issue: 3, 159 - 64, 01.12.2010

Melih Büyükşirin Filiz Güldaval Nigar Dirican Eylem Yıldırım Hüseyin Halilçolar

Abstract

KOAH hastalarında pulmoner hipertansiyon (PH) ve sağ kalp fonksiyonları sıkça değerlendirilmiş ancak sol ventrikül fonksiyonları üzerine çalışmalar daha az sayıdadır. KOAH ve solunum yetmezliği ile başvuran hastaların sol kalp fonksiyonları ekokardiyografi (EKO) ile değerlendirildi. KOAH ve solunum yetmezliği tanısı ile hastanede takip edilen 38 hasta çalışmaya dahil edildi. Hastaların 34'ü erkek, 4'ü kadın, yaş ortalaması 65 ± 9.9 yıl idi. Oguların hepsinde sigara içme öyküsü vardı. Hastalar klinik olarak stabil duruma gelince (yatışın ortalama olarak 5-7. günler) SFT, kan gazları ve 2 Boyutlu M-Mod EKO ile değerlendirildi. Hastaların dağılımı Kolmogorov Simirnov testi ile incelendi. Otuzsekiz hastanun 24'ünde (%63.15) Pulmoner hipertansiyon mevcuttu. 32 hastada (%84.2) sol ventrikül diyastolik disfonksiyonu, 11 hastada (%29) sol ventrikül konsantrik hipertrofi saptandı. KOAH ve solunum yetmezliğinde sol ventrikül diyastolik disfonksiyonu sık görülmektedir. Ek olarak kalp kapak hastalıklarının da bulunması takip ve tedaviyi etkilediğinden hastalar EKO ile değerlendirilmelidir.

Keywords

Kronik obstrüktif akciğer hastalığı, sol ventrikül, ekokardiyografi

EVALUATION OF ECHOCARDIOGRAPHY FINDINGS OF LEFT VENTRICLE FUNCTIONS IN ADVANCED COPD CASES

Abstract

In COPD cases, pulmonary hypertension (PH) and right heart functions have been frequently studied however, studies on the left ventricle functions have not been studied as extensively. 38 cases, who were followed at hospital with COPD and respiratory failure were included in this study. Of these cases, 34 were male and 4 were female, average age was 65±9.9 years. All cases were smokers. When the cases were clinically stabilized (average hospitalization 5-7 days), they were examined with pulmonary function test, blood gasses and 2 dimensional M-mod echocardiography. The outcomes were analyzed with a Kolmogorov Simirnov test. Of the 38 cases, 24 (63.1%) had pulmonary hypertension. 32 (84.2%) cases had left ventricle diastolic dysfunction and 11 (29%) cases had left ventricle concentrated hypertrophy. Left ventricle diastolic dysfunction is commonly seen in COPD and respiratory failure. Furthermore, as most of these cases also have heart valve diseases and these problems affect the diagnosis and treatment, all cases must be analyzed along with echocardiography.

Keywords

Chronic obstructive lung disease, left ventricle, echocardiography

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