A STUDY OF CARDIAC COMPLICATIONS IN THE PATIENTS OF COMPLETELY CURED AND HEALED TUBERCULOSIS ATTENDING AT TERTIARY HEALTH CENTRE

Abstract

Introduction: Pulmonary TB and Heart- when we hear both these terms together, the thing which crosses our mind immediately is pulmonary fibrosis and corpulmonale. Pulmonary TB and Cardiac dysfunctions are major causes of morbidity and mortality with overlapping symptomatology like cough, dyspnea. But whether there is any correlation between these remains largely unclear. Study aimed to assess any Cardiac dysfunction in Healed Pulmonary TB by means of 2D Echocardiography and to manage the both Lungs & Heart simultaneously in a better way.

Materials and methods: it was a cross sectional observational study. 200 Healed Pulmary TB patients were evaluated by 2D Echocardiography for LVH, LVEF%, PASP and left ventricular functions. LVDD was determined by ratio of E/E' (standard mitral inflow maximal velocity/ mitral annular relaxation velocity) which correlates with LV filling pressures. [Systolic function was assessed by LVEF (Left Ventricular Ejection Fraction). PASP (mmHg) was measured by Tricuspid regurgitation.

Result: Significant Left Ventricular Cardiac dysfunction is seen in patients of healed Pulmonary TB.

Conclusion: We generally forget to treat the heart when treating the pulmonary TB or healed TB. This study makes us focus on heart and lungs both simultaneously in healed Pulmonary TB patients. To avoid unnecessary medications for the overlapping symptoms like cough, dyspnea and also to focus the late cardiac complications in healed TB.

Study Design: Observational Study.

Keywords: Cardiac, Complications, cured & healed tuberculosis.