A CROSS-SECTIONAL RESEARCH TO ASSESS THE LVDD (LEFT VENTRICULAR DIASTOLIC DYSFUNCTION) IN COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE) PATIENTS

Objective: Association amongst COPD and cardiovascular diseases intensely persist because diastolic dysfunction is generally diagnosed in patients with COPD 's problem. The purpose of the conduct of the study is to decide about the existence of left ventricular diastolic dysfunction in patients of COPD. Material and Methods: Relative study had conducted for a period of one year at Allied Hospital, Faisalabad (February to October 2017). In the study, the inclusion of confirmed 50 COPD's patients was sort. Patients were examined for pulmonary function tests, ECG, clinical positive signs and chest X-Ray (PA view) alongside taking the history of smoking. Additionally, patients were verified for left ventricular diastolic dysfunctions and get them through echocardiography. Outcomes: the Standard ratio of FEV1/FVC was (56.9 +/- 14.3) percent and Patient's mean age was (60.7 +/- 6.2) years. In the same way, typically turned out of patient's ejection fraction was (60.6 +/- 4.6). The mean peak velocity for the patient's mitral filling was (69.8 +/- 15.9) cm/s. The mean peak filling rate of the patients mitral was (57.2 +/- 30.9) cm/s and the standard ratio of E/A was (1.3 +/- 0.3). The patient's iso-volumetric relaxation time range was (84.2 +/- 14.7) m sec, standard mitral E deceleration time was (187.4 +/- 25.1) m sec and the standard range of atrial flow reversal was (0.28 +/- 0.04). Fourteen patients (28%) out of 50 were having LV diastolic dysfunction. Conclusion: LV diastolic dysfunction incidence was present in COPD patients and it has an association with an increased pulmonary artery pressure.