Thesis 2
Thesis 2
Thesis 2
ABSTRACT
“ CORRELATION OF ECG,CHEST X-RAY AND 2D ECHO IN PATIENTS WITH VENTRICULAR HYPERTROPHY “
DR.B.SATYAKIRAN
1st YEAR RESIDENT,MD.GENERAL MEDICINE.
MNR MEDICAL COLLEGE AND HOSPITAL,FASALWADI,SANGAREDDY.
UNIVERSITY-KALOJI NARAYAN RAO UNIVERSITY OF HEALTH SCIENCES. WARANGAL.
GUIDE: DR.B.SIVA SUBRAHMANYAM. M.D.Gen.Med.
Professor,Dept. Of General Medicine
INTRODUCTION
• Ventricular hypertrophy is an independent risk factor for cardiovascular morbidity and 10 year
mortality as a risk factor for myocardial infarction, heart failure, arrhythmias, sudden cardiac death.
• Presence of left ventricular hypertrophy is used as indication for treatment of young patients having
borderline or labile hypertension.
• Right ventricular hypertrophy occurs due to chronic lung diseases or structural diseases of heart.
• Most common cause of Right ventricular hypertrophy is pulmonary hypertension which may be caused
due to copd, sleep apnea, restrictive lung diseases, embolism.
• Structural diseases of heart like tricuspid insufficiency ,pulmonary valve stenosis, tetralogy of fallot,
septal defects.
AIM OF STUDY
• Correlation between ecg , chest xray and 2d echo in diagnosing ventricular hypertrophy
OBJECTIVE OF STUDY
• To study the prevalence of ventricular hypertrophy in patients with clinical features of heart disease.
• To assess and compare the findings of ventricular hypertrophy using ecg, chest xray and echo in
evaluating hypertrophy or volume overload.
MATERIALS AND METHODS
Materials
• Source of data (study setting) : patients attending the outpatient department of MNR MEDICAL
COLLEGE AND HOSPITAL , Sangareddy.
• Equipment : ecg machine , echocardiography machine, xray machine available in the institution.
• Study population : patient with clinical features of heart disease, showing findings of ventricular
hypertrophy on ecg, chest xray.
ECHOCARDIOGRAPHY CRITERIA
Ecg criteria
Left/Right ventricular hypertrophy
Left/ right axis deviation
EXCLUSION CRITERIA
• Patient with very thin chest wall ( chest circumference <38 inches)
• Chest pain due to other causes like acid peptic disease/ musculoskeletal .
• obese individuals (BMI >30) with poor echogenic window.
REVIEW OF LITERATURE
1)Prevalence and determinants of left ventricular hypertrophy among elderly hypertensive patients attending tertiary health care
center in West Bengal, India
Poonam Kushwaha, Bijay Prakash Yadav
Annals of Geriatric Education and Medical Sciences. 2022; 9(1): 16
[Pubmed] | [DOI]
2)Comparison of Various ECG Criteria in the Diagnosis of Left Ventricular Hypertrophy Using Echocardiography as Gold Standard
Gailin B. Sebastian,Ish Kalra,Zameel A,Farha Ahmed Payyanil Karlath,Vivek S. Narayan Pillai
Journal of Evidence Based Medicine and Healthcare. 2020; 7(8): 377
[Pubmed] | [DOI]
3)Role of echocardiography in clinical hypertension
Jae-Hwan Lee & Jae-Hyeong Park
Clinical Hypertension volume 21, Article number: 9 (2015)
4)Efficacy of echocardiography for differential diagnosis of left ventricular hypertrophy: special focus on speckle-tracking
longitudinal strain
Hidekazu Tanaka Journal of Echocardiography volume 19, pages71–79 (2021)
5)ELECTROCARDIOGRAPHIC AND ECHOCARDIOGRAPHIC EVALUATION OF LEFT VENTRICULAR . HYPERTROPHY IN HYPERTENSIVE
PATIENTS- A HOSPITAL-BASED STUDY
Ashok Singh,Bhaskar Baruah,Chitralekha Baruah .Journal of Evolution of Medical and Dental Sciences. 2018; 7(10): 1189 [Pubmed] |
[DOI]
6)Electrocardiogram and echocardiographic study of left ventricular hypertrophy in patients with essential hypertension in a
teaching medical college
K Venugopal, Srikant R Gadwalkar, P Ramamurthy
Department of General Medicine, Vijayanagara Institute of Medical Sciences, Bellary, Karnataka, India .18-May-2016
7)Consistency of left ventricular hypertrophy diagnosed by electrocardiography and echocardiography: the Northern Shanghai
Study
Authors Zhang W, Zhou Y, Bai B, Yu S, Xiong J, Chi C, Teliewubai J, Li J, Blacher J, Zhang Y, Xu Y
Published 11 March 2019 Volume 2019:14 Pages 549—556
REFERENCES
1)Braunwald’s heart disease, a textbook of cardiovascular medicine.