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Chronic bronchitis echocardiography or ultrasound

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Echocardiography is helpful to diagnose pulmonary hypertension in patients with long standing chronic bronchitis.

Echocardiography

Patients with chronic bronchitis may develop pulmonary hypertension due to long standing disease and hypoxemia. The hypoxemia causes vascular remodeling eventually leading to right sided heart failure or cor pulmonale. Although, the gold standard for diagnosis of cor pulmonale is right heart catheterization, echocardiography is the first step to evaluate for pulmonary hypertension. If the echocardiography findings are normal, pulmonary hypertension may be ruled out.

References

  1. Kohama A, Tanouchi J, Hori M, Kitabatake A, Kamada T (1990). “Pathologic involvement of the left ventricle in chronic cor pulmonale”. Chest. 98 (4): 794–800. PMID 2145135.
  2. Schena M, Clini E, Errera D, Quadri A (1996). “Echo-Doppler evaluation of left ventricular impairment in chronic cor pulmonale”. Chest. 109 (6): 1446–51. PMID 8769491.
  3. Tutar E, Kaya A, Güleç S, Ertaş F, Erol C, Ozdemir O, Oral D (1999). “Echocardiographic evaluation of left ventricular diastolic function in chronic cor pulmonale”. Am. J. Cardiol. 83 (9): 1414–7, A9. PMID 10235106.
  4. Boudestein LC, Rutten FH, Cramer MJ, Lammers JW, Hoes AW (2009). “The impact of concurrent heart failure on prognosis in patients with chronic obstructive pulmonary disease”. Eur. J. Heart Fail. 11 (12): 1182–8. doi:10.1093/eurjhf/hfp148. PMID 19887495.

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