Interpretation of clinical, radiological, electrocardiographic and echocanliographic findings in pulmonary hypertension

ABSTRACT

10 make correlation between clinical radiological electrocardiographic and echocardiographic finding in cases of Pulmonary Hypertension. 140 patients referred to the medical departments, Haghdad Teaching Hospital [90 of them admitted in this study were as follow]; [52 [47%] cases having Ischemic heart disease, 28 [25%] cases having C.O.P.D., 10 [9%] cases having connective tissue diseases, 9 [8%] eases of Rheumatoid Arthritis, 1 case S.L.E.]. The remaining 50 cases were excluded from the study because they have another chronic disorder like Diabetus mellitus, Renal failure, Malignancy, Skeletal deformity. Forty normal volunteers were admitted in this study both groups were assessed clinically, radiologically, electrocardiographically, echoeardiographically plus the routine blood tests including F.B.S, B. urea, lipid profile. 90 cases of patients admitted in this study showed variable findings the prominent finding was loud pulmonary sound "p2" in 100% of cases, 19.6% of cases showed cardiomegaly, 33% prominent pulmonary marking, 11.4% percardial effusion, 28% Right Ventricular Hypertrophy. It is not necessary to find all the clinical, radiological, electrocardiographic and the echocardiographic changes in any patient with pulmonary hypertention>30 mm Hg