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International Journal of Respiratory Medicine | Volume 3
LUNG CANCER AND COPD
5th International Congress on
J u n e 2 5 - 2 6 , 2 0 1 8 | A m s t e r d a m , N e t h e r l a n d s
Daniela Buklioska Ilievska et al., Int J Respir Med 2018, Volume 3
ECHOCARDIOGRAPHIC
ABNORMALITIES IN PATIENTS WITH
CHRONIC OBSTRUCTIVE PULMONARY
DISEASE (COPD) AND THEIR
CORRELATION WITH THE SEVERITY OF
THE DISEASE
Daniela Buklioska Ilievska and Minov J
Institute for Occupational Health of Republic of Macedonia, Macedonia
Introduction: Cardiovascular comorbidity is the main reason for hospital
admission and mortality in COPD patients, especially in mild-moderate
stage of the disease.
Aim: To evaluate both right ventricle (RV) and left ventricular (LV) function
in patient with COPD by echocardiography and its correlation with the
severity of the disease.
Material & Method: 60 patients with COPD and thirty healthy subjects
were assessed by echocardiography and pulmonary function test.
Results: LV parameters were similar in both groups, while RV parameters
were significantly higher in COPD patients. Mild, moderate, severe and
very severe COPD were seen in 6.66%, 35%, 36.67%, 21.67% respectively,
with mean forced expiratory volume in 1s (FEV1%pred) 47.52±17.92%.
RV systolic dysfunction in moderate, severe and very severe COPD was
present in 47.61%, 59.09%, 53.84% to the number of patients in that stage
accordingly. Pulmonary hypertension (PH) was observed in 33.33% of
all patients. The presence in different stages was 23.8%, 41%, 46.15%, in
moderate, severe and very severe COPD respectively. Impairment of LV
diastolic function in moderate, severe and very severe COPD was present
in 14.28%, 54.54%, 23.07%, according to the number of patients in that
stage. Enlarged left atrium was measured in 42%. Tricuspid regurgitation
was the most frequent valvular abnormality, observed in 66.67%. LV
systolic function was significantly higher in healthy subjects compared
to COPD patients 63.73±1.90% vs. 57.43±6.93%. PH was not detected in
the healthy subjects.
Conclusion: There is high prevalence of PH, RV systolic dysfunction and
tricuspid regurgitation in COPD patients and severity increases with level
of severity of COPD.
Daniela Buklioska Ilievska is currently working in
the Department of Pulmonology and Medicine
at General Hospital, Skopje. She has completed
her graduation fromMedical Faculty at Universi-
ty “Ss. Cyril and Methodius” and a specialist of
internal medicine. She is pursuing PhD with the
ongoing research about “cardiovascular comor­
bidity at patients with chronic impeding respi­
ratory organ disease”. She has the skills in the
field of diagnostic and therapeutic bronchosco-
py, Chest ultrasound, diagnostic and therapeutic
thoracentesis.
BIOGRAPHY