Introduction: COPD Is Chronic Progressive Irreversible Airway Disease That Results In Restriction Of Physical Activities. Patients With COPD Complain Of Cough With Expectoration, Shortness Of Breath On Excretions, Wheezing. Cigarette smoking, exposure to dust, Smoke Pollutants, and occupational exposure is the usual cause of illness. Patient with COPD may develop long-term complications like Right sided heart failure and bronchogenic Carcinoma. Aims To assess the electrocardiography, echocardiography, hematological and radiological changes to reduce morbidity & mortality effects in COPD. Materials and Methods: The present study was a Randomized control trial. This Study was conducted from December 2020 to May 2022 at Medicine Department of Katihar Medical College. Result: In our study we classified patient with moderate, severe and very severe disease as per the severity of disease and P Pulmonale was found as a common abnormality. The studies responding lower incidence of P Pulmonale might have been done a large no. of Patient without taking into consideration the severity of the disease and R/S ratio > 1 in lead V1 correlated well with severely of COPD. This finding was present in 2(5.88%) in Moderate COPD, 2(6.45%) in severe COPD and 6(17.44%) in very severe COPD. Conclusion: COPD is one of the most prevalent diseases of world. Most of the people in fifth sixth decade usually have the disease. Disease starts earlier and with advancing age increases in severity and older patients usually have severe or very severe disease. Severity also depends on duration of smoking and age at which smoking begins. |