Chronic Obstructive Pulmonary Disease, Cor Pulmonale, Pulmonary Hypertension
Conditions
Keywords
COPD, PVR
Brief summary
Many studies have evaluated the viability of measuring the pulmonary vascular resistance (PVR) by non-invasive methods in patients with pulmonary hypertension, pulmonary thromboembolism, ischemic cardiopathy and valvular disease. The investigators have not found other studies which evaluate the PVR in elderly patients with COPD. The hypothesis is that in patients with COPD, the severity of obstruction, expressed by GOLD class, is associated with an increase of PVR.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* diagnosis of COPD stage II, III or IV according to the GOLD guidelines * signed the informed consent
Exclusion criteria
* ischemic cardiopathy * severe valvular disease * atrial fibrillation * left bundle branch block
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| right ventricular function and GOLD stages | cross sectional | To compare right ventricular function, evaluated by a non-invasive method such as echocardiography, with the GOLD stages in chronic obstructive pulmonary disease (COPD) patients. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Right ventricular function and FEV1. | cross sectional | Compare right ventricular function, evaluated by a non-invasive method such as echocardiography, tricuspid annulus plane systolic excursion (TAPSE),pulmonary artery systolic pressure (PAPs) and fractional area change (FAC), with the GOLD stages in chronic obstructive pulmonary disease (COPD) patients. |
| ECG and echocardiography parameters of cor pulmonale | cross sectional | The correlation between right ventricular function and the electrocardiographic parameters of cor pulmonale. |
| Right ventricle function and 6M-WT. | cross sectional | Evaluate the correlation between the hemodynamic indices of right ventricle and the six minute walking test (6M-WT). |
Countries
Italy