ASSESSMENT OF THE RIGHT HEART FUNCTION USING TISSUE DOPPLER-ECHOCARDIOGRAPHY IN PATIENTS WITH CHRONIC OBSTRUCTIVE LUNG DISEASE
https://doi.org/10.18093/0869-0189-2014-0-2-78-83
Abstract
The aim of this study was to investigate the right heart function in patients with moderate-to-severe chronic obstructive lung disease (COPD).
Methods. The study involved 25 patients with moderate COPD, 11 patients with severe COPD and 20 healthy controls. Lung function testing and echocardiography were performed in all the patients.
Results. Reliable features of the right heart structural remodeling were found in both patient groups. Doppler spectrum of the tricuspid flow demonstrated the right ventricle diastolic dysfunction, evaluation of amplitude and tricuspid annulus motion velocity showed a reduction in the right heart global productivity, analysis of haemodynamic parameters diagnosed moderate pre-capillary pulmonary hypertension in both patient groups.
Conclusion. The global longitudinal (systolodiastolic) right heart dysfunction was found in COPD patients with moderate capillary pulmonary hypertension. The most reliable diagnostic method was tissue Doppler-echocardiography
Methods. The study involved 25 patients with moderate COPD, 11 patients with severe COPD and 20 healthy controls. Lung function testing and echocardiography were performed in all the patients.
Results. Reliable features of the right heart structural remodeling were found in both patient groups. Doppler spectrum of the tricuspid flow demonstrated the right ventricle diastolic dysfunction, evaluation of amplitude and tricuspid annulus motion velocity showed a reduction in the right heart global productivity, analysis of haemodynamic parameters diagnosed moderate pre-capillary pulmonary hypertension in both patient groups.
Conclusion. The global longitudinal (systolodiastolic) right heart dysfunction was found in COPD patients with moderate capillary pulmonary hypertension. The most reliable diagnostic method was tissue Doppler-echocardiography
About the Authors
B. Ya. Bart
ГБОУ ВПО "Российский научно-исследовательский медицинский университет им. Н.И.Пирогова" Минздрава России: 117997, Москва, ул. Островитянова, 1
Russian Federation
Russian Federation
O. M. Kulbachinskaya
ГУЗ "Диагностический клинический центр № 1" УЗ ЮЗАО: 117485, Москва, ул. Миклухо Маклая, 29, корп. 2
Russian Federation
Russian Federation
E. N. Dergunova
ГУЗ "Диагностический клинический центр № 1" УЗ ЮЗАО: 117485, Москва, ул. Миклухо Маклая, 29, корп. 2
Russian Federation
Russian Federation
E. A. Vartanyan
ГБОУ ВПО "Российский научно-исследовательский медицинский университет им. Н.И.Пирогова" Минздрава России: 117997, Москва, ул. Островитянова, 1
Russian Federation
Russian Federation
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Review
For citations:
Bart B.Ya., Kulbachinskaya O.M., Dergunova E.N., Vartanyan E.A. ASSESSMENT OF THE RIGHT HEART FUNCTION USING TISSUE DOPPLER-ECHOCARDIOGRAPHY IN PATIENTS WITH CHRONIC OBSTRUCTIVE LUNG DISEASE. PULMONOLOGIYA. 2014;(2):78-83. (In Russ.) https://doi.org/10.18093/0869-0189-2014-0-2-78-83
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