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Original Research

Speckle tracking echocardiography in chronic obstructive pulmonary disease and overlapping obstructive sleep apnea

, , , , , , & show all
Pages 1823-1834 | Published online: 03 Aug 2016

Figures & data

Table 1 Clinical data of study participants as a function of presence and severity of COPD

Table 2 Results obtained by screening for sleep-disordered breathing as a function of presence and severity of COPD

Figure 1 ODI, stratified by the presence of overlapping OSA in COPD patients.

Abbreviations: h, hour; ODI, oxygen desaturation index; OSA, obstructive sleep apnea.
Figure 1 ODI, stratified by the presence of overlapping OSA in COPD patients.

Table 3 Comparison of laboratory, electrocardiographic, as well as conventional and speckle tracking-based echocardiographic data according to presence and severity of COPD

Figure 2 Left ventricular longitudinal strain analysis, visualized by two-dimensional speckle tracking echocardiography.

Notes: Deformation imaging of the left ventricle was performed in both COPD patients (A) and controls (B), which showed significant differences in global and apical longitudinal deformation properties.

Abbreviations: Long, longitudinal; Max, maximum; Seg, segments; PK, peak; TPk, time to peak; GLS, global longitudinal strain; endo, endocardial.

Figure 2 Left ventricular longitudinal strain analysis, visualized by two-dimensional speckle tracking echocardiography.Notes: Deformation imaging of the left ventricle was performed in both COPD patients (A) and controls (B), which showed significant differences in global and apical longitudinal deformation properties.Abbreviations: Long, longitudinal; Max, maximum; Seg, segments; PK, peak; TPk, time to peak; GLS, global longitudinal strain; endo, endocardial.
Figure 2 Left ventricular longitudinal strain analysis, visualized by two-dimensional speckle tracking echocardiography.Notes: Deformation imaging of the left ventricle was performed in both COPD patients (A) and controls (B), which showed significant differences in global and apical longitudinal deformation properties.Abbreviations: Long, longitudinal; Max, maximum; Seg, segments; PK, peak; TPk, time to peak; GLS, global longitudinal strain; endo, endocardial.

Figure 3 Intercohortal comparison between COPD patients and control smokers for global (A) and apical septal and (B) longitudinal left ventricular strain.

Figure 3 Intercohortal comparison between COPD patients and control smokers for global (A) and apical septal and (B) longitudinal left ventricular strain.

Figure 4 Diagnostic accuracy of apical septal longitudinal LV strain for identification of patients with COPD.

Abbreviations: AUC, area under the curve; LV, left ventricular.
Figure 4 Diagnostic accuracy of apical septal longitudinal LV strain for identification of patients with COPD.

Figure 5 Both diurnal heart rate (A), measured by 12-lead electrocardiogram, and nocturnal heart rate (B), recorded by somnological screening, offer significant increase over COPD GOLD stages (P=0.01 and P=0.001, respectively).

Note: Controls are referred to as “GOLD 0”.
Abbreviation: GOLD, Global initiative for Chronic Obstructive Lung Disease.
Figure 5 Both diurnal heart rate (A), measured by 12-lead electrocardiogram, and nocturnal heart rate (B), recorded by somnological screening, offer significant increase over COPD GOLD stages (P=0.01 and P=0.001, respectively).