Pulmonary Hypertension and Right Ventricular Dysfunction; An insight in the Magnitude of Problem among Patients of Bronchiectasis

Abstract

Objective: To determine the frequency of pulmonary hypertension and Right Ventricular Dysfunction in diagnosed cases of bronchiectasis by Doppler Echocardiography.

Study Design: Cross sectional study

Place and Duration of Study: This study was conducted at the Department of Pulmonology, Jinnah Hospital, Lahore from September 2013 to March 2014.

Materials and Methods: After taking an informed consent, 120 patients with HRCT diagnosis of bronchiectasis were included through consecutive sampling. Pulmonary Hypertension (a mean pulmonary artery pressure > 25 mm Hg) and Right Ventricular Dysfunction (Systolic excursion of tricuspid annulus of < 2cm) was labeled using Doppler Echocardiography. Data was collected using a predesigned proforma and analyzed using SPSS version 21.

Results: It was seen that 75 patients (72.5%) were male 45 (37.5%) were female. Right ventricular dysfunction was present in 19 (15.8%) individuals while pulmonary hypertension was found in 47 individuals (39.2%).

Conclusion: It is concluded that a considerable proportion of patients suffer Right ventricular dysfunction while the frequency of pulmonary hypertension is significantly high in patients with bronchiectasis.