COMPARATIVE STUDY BETWEEN BIVENTRICULAR DIASTOLIC DYSFUNCTION IN PATIENTS WITH COPD AND BRONCHIAL ASTHMA DURING EXACERBATION AND STABLE CONDITIONS
Inass M. Taha (MD), Ahmed Abdel Sadek (MD) and Tarek S.Z. Soliman (MD)
ABSTRACT
Objectives: To compare right and left ventricular diastolic dysfunction in patients with chronic obstructive pulmonary disease (COPD) and bronchial asthma patients during exacerbation and in between the attacks. Methods: Thirty patients, 22 males and 8 females, 56 ± 10 years old, with COPD: Group I, were compared to thirty asthmatic patients, 20 males and 10 females, 55 ± 8 years old, Group II. Complete echo-Doppler study and spirometry were done to all patients during exacerbation and in between the attacks. Results: In group I with COPD, right ventricular wall thickness (RVWT), right ventricular end diastolic area (RVEDA) and right atrial area (RAA) were increased significantly in addition to a significant decrease in pulmonary acceleration time (ACT) and ACT/ET ratio (ET: ejection time), compared to asthmatic group II, (P
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