Pulmonary Hypertension
Conditions
Brief summary
To identify Predictors of pulmonary hypertension in COPD patients and its relation to different levels of smoking
Detailed description
COPD is a heterogeneous lung condition characterized by chronic respiratory symptoms (dyspnea, cough, expectoration and/or exacerbations) due to abnormalities of the airways (bronchitis, bronchiolitis) and/or alveoli (emphysema) that cause persistent, often progressive, airflow obstruction.It is also the most common cause of deaths in patients with chronic respiratory disease, the fatality rate in USA is 0.41%.Pulmonary Hypertension is the most common serious complication in COPD patients ; which occurs in up to 30% of patients and increases the mortality rate.Smoking is the leading cause of chronic obstructive pulmonary disease (COPD) Smoking is also a trigger for COPD flare-ups.Smoking damages the air sacs, airways, and the lining of your lungs. Injured lungs have trouble moving enough air in and out, so it's hard to breathe
Interventions
Echocardiography:is non invasive and easily accessible tool in the diagnosis of any patient with suspected PH.HRCT: is a non-invasive and easily accessible tool to detect pulmonary hypertension in COPD patients.
Sponsors
Study design
Eligibility
Inclusion criteria
* 1.All patients admitted to chest department or presented to our outpatient clinic with clinical and functional diagnosis of COPD among both sexes will be included 2.Age \>18 years Old
Exclusion criteria
* 1.Patients under 18 years old. 2.pregnant patients. 3.patients with history hypertension or valvular diseases 4.Cardiomyopathic patient 5.Patients with concomitant obstructive sleep apnea 6.Patients with collagen vascular disease 7.Patients with thrombo-embolic disease 8. Patients with any chronic chest disease other than COPD
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Predictors of pulmonary hypertension in COPD patients | 1 year | Predict pulmonary hypertension in COPD patients |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Relationship between different levels of smoking and predictors of degree of pulmonary hypertension | 1 year | Levels of smoking (mild.moderate.sever.non smoker) and it's relation to pulmonary hypertension in COPD patients |