Frequency of Cor-Pulmonale in Patients Presenting with Asthma at Saidu Group of Teaching Hospital Swat

Adnan Bahadar; Akhtar Ali Khan; Noman; Tauseef Wahab; Ihtisham Ahmad Khan; Anwer Ali

doi:10.70749/ijbr.v3i7.2470

Authors

Adnan Bahadar Department of Pulmonology, Saidu Group of Teaching Hospital, Swat, KP, Pakistan.
Akhtar Ali Khan Department of Pulmonology, Saidu Group of Teaching Hospital, Swat, KP, Pakistan.
Noman Department of Pulmonology, Saidu Group of Teaching Hospital, Swat, KP, Pakistan.
Tauseef Wahab Department of Pulmonology, Saidu Group of Teaching Hospital, Swat, KP, Pakistan.
Ihtisham Ahmad Khan Department of Pulmonology, Saidu Group of Teaching Hospital, Swat, KP, Pakistan.
Anwer Ali Department of Pulmonology, Saidu Group of Teaching Hospital, Swat, KP, Pakistan.

DOI:

https://doi.org/10.70749/ijbr.v3i7.2470

Keywords:

Asthma, Cor Pulmonale, Echocardiography, Hypertension, Pulmonary, Pulmonary Heart Disease, Right Ventricular Hypertrophy, Ventricular Dysfunction

Abstract

Background: Asthma is a chronic respiratory disorder of inflammatory nature presenting with recurrent dyspnea, wheezing, and cough. In poor control, it results in chronic hypoxemia with increased pulmonary artery pressure and right ventricular strain. Cor pulmonale as right ventricular failure with secondary hypertrophy due to chronic pulmonary hypertension is a significant cardiac complication of asthma. Early detection is essential for combined cardiopulmonary therapy. Objective: To determine the frequency of cor pulmonale in patients presenting with asthma at Saidu Group of Teaching Hospital, Swat. Study Design: Cross-sectional study. Duration and Place of Study: The study was conducted from February 2025 to May 2025 at the Pulmonology Department, Saidu Group of Teaching Hospital, Swat. Methodology: A total of 130 patients aged thirty to sixty-five years with confirmed asthma were enrolled using consecutive sampling. Cor pulmonale was diagnosed through clinical assessment and echocardiography showing right ventricular enlargement, tricuspid regurgitation, and reduced right ventricular function. Results: The mean age was 47.58 ± 10.53 years with 53.8% male representation. Cor pulmonale was detected in 32 patients, representing a frequency of 24.60%. No statistically significant associations were found between cor pulmonale and demographic or clinical factors. Conclusion: Cor pulmonale occurs in approximately one quarter of asthma patients, emphasizing the importance of cardiovascular assessment in asthmatic individuals.

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References

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