Pulmonary arterial hypertension in patients of healed pulmonary Tuberculosis and its association with quality of life
Abstract
Background: pulmonary tuberculosis leads to pulmonary impairment after tuberculosis leads to pulmonary impairment (obstructive, restrictive, and mixed) which changed the quality of life of these patients.
Objective: To study Pulmonary arterial hypertension in patients of healed pulmonary tuberculosis and its association with quality of life.
Material and Methods: Sputum for AFB under NTEP, X-ray chest PA view, ECG, 2d-echocardiography, six-minute walk test, Saint George's Respiratory Questionnaire.
Results: Symptoms score, Activity score, Impact score, total score were compared among cases those developed PAH and those who not developed and interpretation was p-value of .018, .0349, .0969, .0369 respectively.
Conclusion: Pulmonary impairment after tuberculosis is a major health-related problem. We should not focus only on managing active cases of pulmonary tuberculosis but should consider pulmonary impairment after tuberculosis that means post tubercular lungs need a relook. These patients should undergo proper and early screening, diagnosis, and correct recognition of the pattern of pulmonary impairment (obstructive, restrictive, and mixed) which will provide proper guidance for comprehensive management of these patients and thereby improving quality of life.
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References
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