Prevalence Of Cardiac Arrhythmias Among Chronic Obstructive Pulmonary Disease Patients Admitted To Jimma Medical Center | 108244
Journal of Pulmonary & Respiratory Medicine
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Background: Cardiac arrhythmias are common in COPD patients and are a major cause
of morbidity and mortality.
Aim & Objective: The present study aimed to determine the prevalence of cardiac
arrhythmias among patients with COPD
Materials & Methods: The study was conducted on COPD patients visiting chest clinic
of Jimma Medical Center (JMC) located at Jimma town, South west Ethiopia; from May
18 to August 18, 2017 G.C. A hospital based cross-sectional study was conducted among
80 sampled COPD patients; and an investigation for 12 lead resting supine ECG was
performed. The results of ECG patterns and other variables were entered into EPI data
(3.1) and exported to SPSS (20) for further analysis.
Results: The prevalence of arrhythmia accounted for 50% and the magnitude of its
types were classified as Sinus origin arrhythmia (30%) specifically [Sinus bradycardia
(16.3%), Sinus tachycardia (8.8%) and Sinus arrhythmia (5.0%)], Ectopic arrhythmia
(20%) specifically [Premature ventricular contraction (7.5%), Atrial fibrillation (6.3%),
Premature atrial contraction (3.8%), Atrial flutter (1.3%) and Multi focal atrial tachycardia
(1.3%)], Conduction block arrhythmia (23.8%) specifically [Bundle branch block (17.5%)
for instance: Complete right bundle branch block (3.8%), Complete left bundle branch
block (5%), Incomplete right bundle branch block (7.5%), Incomplete left bundle branch
block (1.3%), Hemi fascicular block (5%)] and Atrioventricular block (1.3%)], and other
arrhythmia (11.4%) like Prolonged QTc interval (8.8%) and Preexcitation syndrome or
Wolf Parkinson white syndrome (2.5%) as a single COPD patient presented with more
than one arrhythmias.
Conclusion: Routine ECG investigation should be performed at the setup to screen and
initiate early management of cardio vascular diseases including cardiac arrhythmias for
better prognosis COPD patients which was inevitable and very common.
Wondu Reta was graduated from Jimma University, Institute of Health in BSc degree in Junior Anesthesiology professional in June 2012 GC and Master’s degree in Medical Physiology in October 2017 G.C. He was currently serving Jimma University, Institute of health as Anesthesia care provider, researcher and lecturer of Medical Physiology and Anesthesiology. He was also reviewing different papers related to his professionals on different journals.