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Right Heart Functional Changes in the Acute, Hypercapnic Exacerbations of COPD
Joint Authors
Pelliccia, Francesco
Vitarelli, Antonio
Terzano, Claudio
Gaudio, Carlo
Romani, Sofia
Serao, Mattia
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-06-23
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Objective.
To investigate the correlation between respiratory failure and the pulmonary circulation.
We focused on anatomical and functional changes of the right heart.
Design.
Clinical investigation.
Methods.
We evaluated 75 patients hospitalized in our respiratory ward for COPD exacerbation.
All patients underwent transthoracic echocardiography and measurements of right heart chambers.
Moreover all patients underwent blood tests, measurement of blood pressure, evaluation of body mass index (BMI), ECGs, pulmonary function tests, and the Saint George’s Respiratory Questionnaire (SGRQ).
Results.
Among 75 patients consecutively hospitalized, 56 patients with a COPD exacerbation were included in our study.
We have emphasized the higher value of PAPs and the increased size of right atrial area in severe COPD patients.
Significant correlation was observed between low values of PaO2 and larger area of the right atrium.
The measurement of TAPSE showed a right ventricular dysfunction in all patients but especially in severe COPD patients.
We have obtained a significant correlation between TAPSE and arterial blood gas.
Conclusions.
In patients with chronic respiratory failure, blood gas parameters should be considered as negative prognostic factors of right heart failure.
Respiratory failure shows a relationship with pulmonary hypertension and with the anatomy and function of the right heart sections.
American Psychological Association (APA)
Terzano, Claudio& Romani, Sofia& Gaudio, Carlo& Pelliccia, Francesco& Serao, Mattia& Vitarelli, Antonio. 2014. Right Heart Functional Changes in the Acute, Hypercapnic Exacerbations of COPD. BioMed Research International،Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-483767
Modern Language Association (MLA)
Terzano, Claudio…[et al.]. Right Heart Functional Changes in the Acute, Hypercapnic Exacerbations of COPD. BioMed Research International No. 2014 (2014), pp.1-6.
https://search.emarefa.net/detail/BIM-483767
American Medical Association (AMA)
Terzano, Claudio& Romani, Sofia& Gaudio, Carlo& Pelliccia, Francesco& Serao, Mattia& Vitarelli, Antonio. Right Heart Functional Changes in the Acute, Hypercapnic Exacerbations of COPD. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-6.
https://search.emarefa.net/detail/BIM-483767
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-483767