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May 1, 1968Journal of Clinical InvestigationOpen Access

Left ventricular function in patients with chronic obstructive pulmonary disease

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Why the study?

Does chronic obstructive pulmonary disease impair left ventricular function in response to an increased pressure load?

Population

27 patients undergoing cardiac catheterization, comprising 16 with chronic obstructive pulmonary disease, 6…

Comparison

Intravenous infusion of methoxamine to increase… vs Responses compared between COPD patients, normal…

Design

Cross-sectional

Key result

Methoxamine infusion in patients with chronic obstructive pulmonary disease produced normal increases in stroke work index (from 40 to 63 g-m/m2) and stroke volume index, demonstrating preserved left ventricular function.

Authors

JWJohn F. WilliamsRCRICHARD H. CHILDRESSDBDaniel L. Boyd

Discussion

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Overview

COPD does not appear to cause chronic impairment of left ventricular function, as the left ventricle responds normally to an increased pressure load in these patients.

Study Design

Type

Cross-Sectional (n=27)

Multicenter

No

Structured PICO

Does chronic obstructive pulmonary disease impair left ventricular function in response to an increased pressure load?

P
Population
27 patients, including 16 with chronic obstructive pulmonary disease, 5 with primary myocardial disease, and 6 controls, underwent cardiac catheterization to assess left ventricular function.
I
Intervention
Intravenous infusion of methoxamine to increase resistance to left ventricular ejection during cardiac catheterization.
C
Comparator
Responses compared between COPD patients, normal controls, and patients with primary myocardial disease.
O
Outcome
Left ventricular response to increased resistance to ejection, measured by stroke volume index (SVI), stroke work index (SWI), stroke power index (SPI), and left ventricular end-diastolic pressure (LVEDP).surrogate

COPD does not appear to cause chronic impairment of left ventricular function, as the left ventricle responds normally to an increased pressure load in these patients.

Limitations

  • Small sample size
  • Potential for unrecognized coronary artery disease in older male patients
  • Reliance on LVEDP changes rather than direct end-diastolic volume measurements
  • Differences in heart rate response between groups

Cite This Study

Williams et al. (1968) conducted a cross-sectional in Chronic obstructive pulmonary disease (n=27). Methoxamine infusion vs. Control patients with normal cardiopulmonary function and patients with primary myocardial disease was evaluated on Change in stroke work index (SWI) and stroke volume index (SVI) in response to increased afterload. Methoxamine infusion in patients with chronic obstructive pulmonary disease produced normal increases in stroke work index (from 40 to 63 g-m/m2) and stroke volume index, demonstrating preserved left ventricular function.

synapsesocial.com/papers/6aa2945e990ebc48faa585fehttps://doi.org/10.1172/jci105803
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