PREVALENCE OF RIGHT VENTRICULAR DYSFUNCTION AMONG COPD

PATIENTS IN PERSAHABATAN NATIONAL RESPIRATORY CENTER HOSPITAL:

A PRELIMINARY STUDY

H. Putrawan1, B. Antariksa 1, M. Basalamah 2, F. Yunus 1

1
Department of Pulmonology and Respiratory Medicine, Faculty of Medicine
Universitas Indonesia-Persahabatan Hospital, Jakarta Indonesia,
harryakzaputrawan@gmail.com
2
Department of Cardiovascular Persahabatan Hospital, Jakarta Indonesia,
drabas.mab@gmail.com
Background/Aim:
Cardiovascular disease is a frequent comorbidity and cause of death in chronic
obstructive pulmonary disease (COPD). Right ventricular dysfunction is one of
predictive of survival in COPD. Echocardiography provides accurate and rapid
information to evaluate cardiac function. The aim of this study is to elucidate the right
ventricle contraction in stable COPD patients in the Persahabatan Hospital
Jakarta
Methods:
This is a preliminary, cross-sectional study among stable COPD patients
in Persahabatan Hospital Jakarta who visit the COPD outpatient clinic and signed an
informed consent form and meet the criteria. Spirometry confirmed the pulmonary
function. COPD severity was defined according to the Global Initiative for Chronic
Obstructive Lung Disease (GOLD) criteria. Echocardiography performed to assess
right ventricle contraction among stable COPD patients. Right ventricle
contraction was measured with tricuspid annular plane systolic
excursion (TAPSE) values in echocardiography
Results:
A total 22 COPD patients were selected to performed spirometry and
echocardiography. Echocardiographic evaluation of COPD revealed 19/22
(86,4%) cases had normal right ventricular contraction. There were 3/22
(13,6%) subjects had decreased right ventricular contraction. Right ventricular
contraction was decreased in 2/13 (15,4%) and 1/9 (11,1%) cases among severe
COPD (C+D group) and mild COPD (A+B group). All subject with reduced right
ventricular contraction did not have a history of heart diseases
Conclusion:
The prevalence of right ventricular contraction dysfunction among stable COPD
patient in Persahabatan Hospital Jakarta was 13,6%.