A CLINICO-ETIOLOGICAL STUDY OF PULMONARY HYPERTENSION IN ADULTS IN A RURAL TERTIARY CARE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 10
Abstract
BACKGROUND Pulmonary hypertension (PH) is a devastating condition if left undiagnosed and untreated. It does not pertain to a single causative factor but represents a common pathway for various diseases. There are only a few studies on PH and hence the purpose of this study is to shed some light on the clinical profile and etiological factors of PH in adults. MATERIALS AND METHODS All patients who were between 21-60 years of age, who presented with symptoms and signs of PH were included in this study; later confirmed with transthoracic echocardiography (TTE). Relevant data was collected and analysed. RESULTS Adults (21-60 years), 57 patients were included in this study. The mean age was 49±7.9 years with male preponderance (64%). Dyspnoea was the most common complaint seen in all subjects, followed by oedema (87.7%) and jugular venous pressure rise (80.7%) being the common signs. The most common independent etiological factor was chronic obstructive pulmonary disease (COPD) (35.1%) followed by dilated cardiomyopathy (DCM) (33.3%) where as the most common group was group 2 (47.4%) according to World Health Organisation (WHO) classification. CONCLUSION PH, being uncommon is a challenging disease, requires sufficient experience of physicians for a clinical suspicion. Since its cause is multifactorial, it can be difficult to arrive at the dominant cause and hence needs a meticulous approach to reach a diagnosis. A physical examination with a simple non-invasive echocardiogram will give useful information about diagnosis and severity of the disease.
Authors and Affiliations
Kalyan U. , Lakshmi Visruja R. , Mallikarjuna Swamy H. , Srinivasa Rao
Keywords
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- EP ID EP555246
- DOI 10.14260/jemds/2019/152
- Views 73
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