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Electrocardiographic changes in Emphysema

World Journal of Cardiology 2021年第10期13卷 533-545页

作者： Puneet Gupta Hitangee Jain Misbah Gill Gurpreet Bharaj Nauman Khalid Waseem Chaudhry Lovely Chhabra Department of Interventional Cardiology Northeast Ohio Medical UniversityCantonOH 44272United States BA-MD Brooklyn CollegeBrooklynNY 11210United States Department of Family Medicine Memorial Hospital of CarbondaleCarbondaleIL 62901United States Psychiatry Loretto HospitalChicagoIL 60644United States Department of Interventional Cardiology St.Francis Medical CenterMonroeLA 71201United States Department of Cardiology Westchester Medical Center Network Advanced Physician ServicesPoughkeepsieNY 12601United States

Chronic obstructive lung disease(COPD),predominantly emphysema,causes several thoracic anatomical and hemodynamic changes which may cause changes in various electrocardiographic parameters.A 12-lead electrocardiogram(ECG),which is often a part of routine evaluation in most clinical settings,may serve as a useful screening modality for diagnosis of COPD or emphysema.Our current article aims to provide a comprehensive review of the electrocardiographic changes encountered in COPD/emphysema utilizing published PubMed and Medline literature database.Several important ECG changes are present in COPD/emphysema and may serve as a good diagnostic tool.Verticalization of Pvector,changes in QRS duration,pattern recognition of precordial R-wave progression and axial shifts can be considered some of the most valuable markers among other changes.In conclusion,12-lead surface electrocardiogram can serve as a valuable tool for the diagnosis of COPD and/or emphysema.An appropriate knowledge of these ECG changes can not only help in the diagnosis but can also immensely help in an appropriate clinical management of these patients.

关键词： Emphysema Chronic obstructive pulmonary disease Electrocardiogram pwave axis Sensitivity Specific

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