PREVALENCE OF PULMONARY HYPERTENSION IN PATIENTS TREATED FOR PULMONARY TUBERCULOSIS IN A TERTIARY HOSPITAL

Abstract

Background: Pulmonary tuberculosis may lead to parenchymal destruction of the lung tissue, which may affect the vascular structure and cause vasculitis and endarteritis, subsequently leading to a reduced cross-sectional area of the pulmonary vasculature and thereby pulmonary hypertension. The World Symposium on Pulmonary Hypertension (WSPH) recommends dening PH as a mean pulmonary artery pressure (mPAP) greater than 20 mm hg. To assess the prevalence and risk factors for pulm Aim : onary hypertension in patients treated for pulmonary tuberculosis in a tertiary care hospital It is a Retrospective study conducted in Trichy SRM m Methods : edical college hospital and research center from September 2021 to April 2022. 100 Patients who got treated for pulmonary tuberculosis, admitted with shortness of breath , investigated for pulmonary hypertension whose detailed medical history, including history of PTB, physical examination ndings, chest X-ray, 12- lead electro-cardiogram (ECG), and 2D echo-cardiography were recorded and those reports was analyzed. In the present study around Result : 53% of the pulmonary tb patients had mild to moderate pulmonary hypertension. The Echo ndings are associated with the spirometry changes which is statistically signicant with a p value of 0.02. Pulmonary hypertens Conclusion: ion is a signicant complication in treated pulmonary tuberculosis patients. This study highlights the need for early detection, treatment of pulmonary hypertension in treated pulmonary tuberculosis patients to prevent morbidity and mortality associated with pulmonary hypertension