The BODE Index, a Multidimensional Grading System, Reflects Impairment of Right Ventricle Functions in Patients with Chronic Obstructive Pulmonary Disease: A Speckle-Tracking Study
Background: Chronic obstructive pulmonary disease (COPD) is not only characterized by chronic airflow limitation, but is also a systemic disease. There is no information about alterations in right ventricle (RV) functions precipitated by systemic manifestations of COPD. Objectives: We aimed to evalu...
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| Veröffentlicht in: | Respiration 2014-01, Vol.88 (3), p.223-233 |
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| creator | Gökdeniz, Tayyar Kalaycıoğlu, Ezgi Boyacı, Faruk Aykan, Ahmet Çağrı Gürsoy, Mustafa Ozan Hatem, Engin Börekçi, Abdurrezak Karabag, Yavuz Altun, Selma |
| description | Background: Chronic obstructive pulmonary disease (COPD) is not only characterized by chronic airflow limitation, but is also a systemic disease. There is no information about alterations in right ventricle (RV) functions precipitated by systemic manifestations of COPD. Objectives: We aimed to evaluate the relationship between the BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) index that evaluates systemic manifestations of COPD and RV functions by means of 2-dimensional speckle-tracking echocardiography (2D-STE) in COPD patients. Methods: The study involved 135 COPD patients and 37 control subjects. All patients underwent 2D-STE, pulmonary function tests and 6-min walk tests, and were divided into quartiles according to their calculated BODE index score. Results: COPD patients had impaired RV and left-ventricle diastolic functions compared to controls. There was a decreasing trend from quartile 1 (Q 1 ) to Q 4 in RV functional parameters, i.e. RV free wall strain (RVFW-S, p < 0.001), tricuspid annular plane systolic excursion (p < 0.001), systolic myocardial velocity (p < 0.001), RV fractional area change (p < 0.001), RV myocardial performance index (p < 0.001) and pulmonary artery systolic pressure (p < 0.001). The transmitral Doppler E wave/lateral mitral annular tissue Doppler E wave ratio was similar in the 4 BODE index quartiles (p = 0.159). Multivariate analysis was performed to find independent predictors of decreased RVFW-S (≤19.06), and the BODE index (in quartiles; OR 4.61 and 95% CI 1.85-11.63) was found to be an independent predictor. In a partial correlation analysis adjusted for forced expiratory volume in 1s % predicted, RVFW-S was correlated with the 6-min walk distance (r = 0.498). Conclusion: The BODE index, which can be easily evaluated in office settings, may provide information about reduced RV functions as well as guiding treatment and helping to predict prognosis in COPD patients. |
| doi_str_mv | 10.1159/000365222 |
| format | Article |
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There is no information about alterations in right ventricle (RV) functions precipitated by systemic manifestations of COPD. Objectives: We aimed to evaluate the relationship between the BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) index that evaluates systemic manifestations of COPD and RV functions by means of 2-dimensional speckle-tracking echocardiography (2D-STE) in COPD patients. Methods: The study involved 135 COPD patients and 37 control subjects. All patients underwent 2D-STE, pulmonary function tests and 6-min walk tests, and were divided into quartiles according to their calculated BODE index score. Results: COPD patients had impaired RV and left-ventricle diastolic functions compared to controls. There was a decreasing trend from quartile 1 (Q 1 ) to Q 4 in RV functional parameters, i.e. RV free wall strain (RVFW-S, p < 0.001), tricuspid annular plane systolic excursion (p < 0.001), systolic myocardial velocity (p < 0.001), RV fractional area change (p < 0.001), RV myocardial performance index (p < 0.001) and pulmonary artery systolic pressure (p < 0.001). The transmitral Doppler E wave/lateral mitral annular tissue Doppler E wave ratio was similar in the 4 BODE index quartiles (p = 0.159). Multivariate analysis was performed to find independent predictors of decreased RVFW-S (≤19.06), and the BODE index (in quartiles; OR 4.61 and 95% CI 1.85-11.63) was found to be an independent predictor. In a partial correlation analysis adjusted for forced expiratory volume in 1s % predicted, RVFW-S was correlated with the 6-min walk distance (r = 0.498). Conclusion: The BODE index, which can be easily evaluated in office settings, may provide information about reduced RV functions as well as guiding treatment and helping to predict prognosis in COPD patients.]]></description><identifier>ISSN: 0025-7931</identifier><identifier>EISSN: 1423-0356</identifier><identifier>DOI: 10.1159/000365222</identifier><identifier>PMID: 25139573</identifier><language>eng</language><publisher>Basel, Switzerland: S. Karger AG</publisher><subject>Aged ; Aged, 80 and over ; Body Mass Index ; Case-Control Studies ; Chronic obstructive pulmonary disease ; Clinical Investigations ; Dyspnea - etiology ; Echocardiography ; Exercise Tolerance ; Female ; Humans ; Male ; Medical prognosis ; Medical tests ; Middle Aged ; Pulmonary Disease, Chronic Obstructive - complications ; Pulmonary Disease, Chronic Obstructive - physiopathology ; Respiratory Function Tests ; Severity of Illness Index ; Ultrasonic imaging ; Ventricular Dysfunction, Right - diagnostic imaging ; Ventricular Dysfunction, Right - etiology</subject><ispartof>Respiration, 2014-01, Vol.88 (3), p.223-233</ispartof><rights>2014 S. Karger AG, Basel</rights><rights>Copyright (c) 2014 S. Karger AG, Basel</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c439t-f18af481ba50bd881a67cc38a03dff83e484085962ba0fa627bba92d774d269c3</citedby><cites>FETCH-LOGICAL-c439t-f18af481ba50bd881a67cc38a03dff83e484085962ba0fa627bba92d774d269c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,2429,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25139573$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gökdeniz, Tayyar</creatorcontrib><creatorcontrib>Kalaycıoğlu, Ezgi</creatorcontrib><creatorcontrib>Boyacı, Faruk</creatorcontrib><creatorcontrib>Aykan, Ahmet Çağrı</creatorcontrib><creatorcontrib>Gürsoy, Mustafa Ozan</creatorcontrib><creatorcontrib>Hatem, Engin</creatorcontrib><creatorcontrib>Börekçi, Abdurrezak</creatorcontrib><creatorcontrib>Karabag, Yavuz</creatorcontrib><creatorcontrib>Altun, Selma</creatorcontrib><title>The BODE Index, a Multidimensional Grading System, Reflects Impairment of Right Ventricle Functions in Patients with Chronic Obstructive Pulmonary Disease: A Speckle-Tracking Study</title><title>Respiration</title><addtitle>Respiration</addtitle><description><![CDATA[Background: Chronic obstructive pulmonary disease (COPD) is not only characterized by chronic airflow limitation, but is also a systemic disease. There is no information about alterations in right ventricle (RV) functions precipitated by systemic manifestations of COPD. Objectives: We aimed to evaluate the relationship between the BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) index that evaluates systemic manifestations of COPD and RV functions by means of 2-dimensional speckle-tracking echocardiography (2D-STE) in COPD patients. Methods: The study involved 135 COPD patients and 37 control subjects. All patients underwent 2D-STE, pulmonary function tests and 6-min walk tests, and were divided into quartiles according to their calculated BODE index score. Results: COPD patients had impaired RV and left-ventricle diastolic functions compared to controls. There was a decreasing trend from quartile 1 (Q 1 ) to Q 4 in RV functional parameters, i.e. RV free wall strain (RVFW-S, p < 0.001), tricuspid annular plane systolic excursion (p < 0.001), systolic myocardial velocity (p < 0.001), RV fractional area change (p < 0.001), RV myocardial performance index (p < 0.001) and pulmonary artery systolic pressure (p < 0.001). The transmitral Doppler E wave/lateral mitral annular tissue Doppler E wave ratio was similar in the 4 BODE index quartiles (p = 0.159). Multivariate analysis was performed to find independent predictors of decreased RVFW-S (≤19.06), and the BODE index (in quartiles; OR 4.61 and 95% CI 1.85-11.63) was found to be an independent predictor. In a partial correlation analysis adjusted for forced expiratory volume in 1s % predicted, RVFW-S was correlated with the 6-min walk distance (r = 0.498). Conclusion: The BODE index, which can be easily evaluated in office settings, may provide information about reduced RV functions as well as guiding treatment and helping to predict prognosis in COPD patients.]]></description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Mass Index</subject><subject>Case-Control Studies</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Clinical Investigations</subject><subject>Dyspnea - etiology</subject><subject>Echocardiography</subject><subject>Exercise Tolerance</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical prognosis</subject><subject>Medical tests</subject><subject>Middle Aged</subject><subject>Pulmonary Disease, Chronic Obstructive - complications</subject><subject>Pulmonary Disease, Chronic Obstructive - physiopathology</subject><subject>Respiratory Function Tests</subject><subject>Severity of Illness Index</subject><subject>Ultrasonic imaging</subject><subject>Ventricular Dysfunction, Right - diagnostic imaging</subject><subject>Ventricular Dysfunction, Right - etiology</subject><issn>0025-7931</issn><issn>1423-0356</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNpd0ctuEzEYBWALgWgoLNgj9EtsQOqA7-NhV9ILkYpStYHtyOPxJG7mEmwPkPfqA9YlIQtWluXPx5eD0GuCPxIiik8YYyYFpfQJmhBOWYaZkE_RBGMqsrxg5Ai9COEOYyKUos_RERWEFSJnE3S_WFn4Mj87h1lf2z8noOHb2EZXu872wQ29buHS69r1S7jdhmi7E7ixTWtNDDDrNtr5BCMMDdy45SrCjzTzzrQWLsbexJQQwPVwraNLKwF-u7iC6coPvTMwr0L0Y1K_LFyPbZeO81s4c8HqYD_DKdxurFm3Nlt4bdZ_7xDHevsSPWt0G-yr_XiMvl-cL6Zfs6v55Wx6epUZzoqYNUTphitSaYGrWimiZW4MUxqzumkUs1xxrEQhaaVxoyXNq0oXtM5zXlNZGHaM3u9yN374OdoQy84FY9tW93YYQ0mEZFgSUqhE3_1H74bRp99LShLOqeT8UX3YKeOHELxtyo13XXpzSXD5WGV5qDLZt_vEsepsfZD_ukvgzQ6stV9afwD7_Q8KY6My</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Gökdeniz, Tayyar</creator><creator>Kalaycıoğlu, Ezgi</creator><creator>Boyacı, Faruk</creator><creator>Aykan, Ahmet Çağrı</creator><creator>Gürsoy, Mustafa Ozan</creator><creator>Hatem, Engin</creator><creator>Börekçi, Abdurrezak</creator><creator>Karabag, Yavuz</creator><creator>Altun, Selma</creator><general>S. Karger AG</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>The BODE Index, a Multidimensional Grading System, Reflects Impairment of Right Ventricle Functions in Patients with Chronic Obstructive Pulmonary Disease: A Speckle-Tracking Study</title><author>Gökdeniz, Tayyar ; Kalaycıoğlu, Ezgi ; Boyacı, Faruk ; Aykan, Ahmet Çağrı ; Gürsoy, Mustafa Ozan ; Hatem, Engin ; Börekçi, Abdurrezak ; Karabag, Yavuz ; Altun, Selma</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c439t-f18af481ba50bd881a67cc38a03dff83e484085962ba0fa627bba92d774d269c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Mass Index</topic><topic>Case-Control Studies</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Clinical Investigations</topic><topic>Dyspnea - etiology</topic><topic>Echocardiography</topic><topic>Exercise Tolerance</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical prognosis</topic><topic>Medical tests</topic><topic>Middle Aged</topic><topic>Pulmonary Disease, Chronic Obstructive - complications</topic><topic>Pulmonary Disease, Chronic Obstructive - physiopathology</topic><topic>Respiratory Function Tests</topic><topic>Severity of Illness Index</topic><topic>Ultrasonic imaging</topic><topic>Ventricular Dysfunction, Right - diagnostic imaging</topic><topic>Ventricular Dysfunction, Right - etiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gökdeniz, Tayyar</creatorcontrib><creatorcontrib>Kalaycıoğlu, Ezgi</creatorcontrib><creatorcontrib>Boyacı, Faruk</creatorcontrib><creatorcontrib>Aykan, Ahmet Çağrı</creatorcontrib><creatorcontrib>Gürsoy, Mustafa Ozan</creatorcontrib><creatorcontrib>Hatem, Engin</creatorcontrib><creatorcontrib>Börekçi, Abdurrezak</creatorcontrib><creatorcontrib>Karabag, Yavuz</creatorcontrib><creatorcontrib>Altun, Selma</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Respiration</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gökdeniz, Tayyar</au><au>Kalaycıoğlu, Ezgi</au><au>Boyacı, Faruk</au><au>Aykan, Ahmet Çağrı</au><au>Gürsoy, Mustafa Ozan</au><au>Hatem, Engin</au><au>Börekçi, Abdurrezak</au><au>Karabag, Yavuz</au><au>Altun, Selma</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The BODE Index, a Multidimensional Grading System, Reflects Impairment of Right Ventricle Functions in Patients with Chronic Obstructive Pulmonary Disease: A Speckle-Tracking Study</atitle><jtitle>Respiration</jtitle><addtitle>Respiration</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>88</volume><issue>3</issue><spage>223</spage><epage>233</epage><pages>223-233</pages><issn>0025-7931</issn><eissn>1423-0356</eissn><abstract><![CDATA[Background: Chronic obstructive pulmonary disease (COPD) is not only characterized by chronic airflow limitation, but is also a systemic disease. There is no information about alterations in right ventricle (RV) functions precipitated by systemic manifestations of COPD. Objectives: We aimed to evaluate the relationship between the BODE (body mass index, airflow obstruction, dyspnea, and exercise capacity) index that evaluates systemic manifestations of COPD and RV functions by means of 2-dimensional speckle-tracking echocardiography (2D-STE) in COPD patients. Methods: The study involved 135 COPD patients and 37 control subjects. All patients underwent 2D-STE, pulmonary function tests and 6-min walk tests, and were divided into quartiles according to their calculated BODE index score. Results: COPD patients had impaired RV and left-ventricle diastolic functions compared to controls. There was a decreasing trend from quartile 1 (Q 1 ) to Q 4 in RV functional parameters, i.e. RV free wall strain (RVFW-S, p < 0.001), tricuspid annular plane systolic excursion (p < 0.001), systolic myocardial velocity (p < 0.001), RV fractional area change (p < 0.001), RV myocardial performance index (p < 0.001) and pulmonary artery systolic pressure (p < 0.001). The transmitral Doppler E wave/lateral mitral annular tissue Doppler E wave ratio was similar in the 4 BODE index quartiles (p = 0.159). Multivariate analysis was performed to find independent predictors of decreased RVFW-S (≤19.06), and the BODE index (in quartiles; OR 4.61 and 95% CI 1.85-11.63) was found to be an independent predictor. In a partial correlation analysis adjusted for forced expiratory volume in 1s % predicted, RVFW-S was correlated with the 6-min walk distance (r = 0.498). Conclusion: The BODE index, which can be easily evaluated in office settings, may provide information about reduced RV functions as well as guiding treatment and helping to predict prognosis in COPD patients.]]></abstract><cop>Basel, Switzerland</cop><pub>S. Karger AG</pub><pmid>25139573</pmid><doi>10.1159/000365222</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Respiration, 2014-01, Vol.88 (3), p.223-233 |
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| subjects | Aged Aged, 80 and over Body Mass Index Case-Control Studies Chronic obstructive pulmonary disease Clinical Investigations Dyspnea - etiology Echocardiography Exercise Tolerance Female Humans Male Medical prognosis Medical tests Middle Aged Pulmonary Disease, Chronic Obstructive - complications Pulmonary Disease, Chronic Obstructive - physiopathology Respiratory Function Tests Severity of Illness Index Ultrasonic imaging Ventricular Dysfunction, Right - diagnostic imaging Ventricular Dysfunction, Right - etiology |
| title | The BODE Index, a Multidimensional Grading System, Reflects Impairment of Right Ventricle Functions in Patients with Chronic Obstructive Pulmonary Disease: A Speckle-Tracking Study |
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