Chronic Cor Pulmonale in the Structure of Fatal Outcomes of Pulmonary Tuberculosis

The objective: to determine the significance of chronic cor pulmonale (CCP) as a cause of death in pulmonary tuberculosis patients.Subjects and Methods. Out of 194 autopsies of tuberculosis patients who died in Hospital no. 1 of Ulyanovsk Regional Clinical TB Dispensary in 2017-2020, autopsy reports...

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Main Authors: L. N. Savonenkova, D. V. Kolchin, V. I. Ruzov, N. A. Slobodnyuk, O. Yu. Prokhorov, S. V. Anisimova
Format: Article
Language:Russian
Published: New Terra Publishing House 2023-12-01
Series:Туберкулез и болезни лёгких
Subjects:
Online Access:https://www.tibl-journal.com/jour/article/view/1774
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author L. N. Savonenkova
D. V. Kolchin
V. I. Ruzov
N. A. Slobodnyuk
O. Yu. Prokhorov
S. V. Anisimova
author_facet L. N. Savonenkova
D. V. Kolchin
V. I. Ruzov
N. A. Slobodnyuk
O. Yu. Prokhorov
S. V. Anisimova
author_sort L. N. Savonenkova
collection DOAJ
description The objective: to determine the significance of chronic cor pulmonale (CCP) as a cause of death in pulmonary tuberculosis patients.Subjects and Methods. Out of 194 autopsies of tuberculosis patients who died in Hospital no. 1 of Ulyanovsk Regional Clinical TB Dispensary in 2017-2020, autopsy reports of 87 patients with pathomorphological signs of chronic cor pulmonale were selected. The nature and prevalence of pathomorphological manifestations of tuberculosis and the causes of deaths were analyzed. Statistical analysis of the results was performed using the STATISTICA-10. The significance of differences in the frequency of events was determined using the χ2 criterion in a four-field 2х2 table.Results. Chronic cor pulmonale was confirmed pathomorphologically in 44.8% of deceased pulmonary tuberculosis patients. Chronic cor pulmonale was diagnosed in 67.8% of patients in their lifetime, and in 32.2%, it was diagnosed post mortem. Of 87 deceased patients with pulmonary tuberculosis complicated by chronic cor pulmonale, 28.7% had fibrous cavernous pulmonary tuberculosis, 26.4% had infiltrative form and 44.9% had disseminated form of the disease. Decompensated chronic cor pulmonale leading to death was detected in 42.5% of the deceased, and it was predominant in the structure of causes of death in fibrous cavernous tuberculosis (84%), and this pathology was also found in the patients with infiltrative (52.5%) and disseminated (10.3%) pulmonary tuberculosis.
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spelling doaj.art-8b5938385f804865a528568ccd9167c12025-03-02T11:22:36ZrusNew Terra Publishing HouseТуберкулез и болезни лёгких2075-12302542-15062023-12-011016131910.58838/2075-1230-2023-101-6-13-191769Chronic Cor Pulmonale in the Structure of Fatal Outcomes of Pulmonary TuberculosisL. N. Savonenkova0D. V. Kolchin1V. I. Ruzov2N. A. Slobodnyuk3O. Yu. Prokhorov4S. V. Anisimova5Ulyanovsk State UniversityUlyanovsk State UniversityUlyanovsk State UniversityUlyanovsk State UniversityS.D. Gryaznov Regional Clinical TB DispensaryCentral City Clinical HospitalThe objective: to determine the significance of chronic cor pulmonale (CCP) as a cause of death in pulmonary tuberculosis patients.Subjects and Methods. Out of 194 autopsies of tuberculosis patients who died in Hospital no. 1 of Ulyanovsk Regional Clinical TB Dispensary in 2017-2020, autopsy reports of 87 patients with pathomorphological signs of chronic cor pulmonale were selected. The nature and prevalence of pathomorphological manifestations of tuberculosis and the causes of deaths were analyzed. Statistical analysis of the results was performed using the STATISTICA-10. The significance of differences in the frequency of events was determined using the χ2 criterion in a four-field 2х2 table.Results. Chronic cor pulmonale was confirmed pathomorphologically in 44.8% of deceased pulmonary tuberculosis patients. Chronic cor pulmonale was diagnosed in 67.8% of patients in their lifetime, and in 32.2%, it was diagnosed post mortem. Of 87 deceased patients with pulmonary tuberculosis complicated by chronic cor pulmonale, 28.7% had fibrous cavernous pulmonary tuberculosis, 26.4% had infiltrative form and 44.9% had disseminated form of the disease. Decompensated chronic cor pulmonale leading to death was detected in 42.5% of the deceased, and it was predominant in the structure of causes of death in fibrous cavernous tuberculosis (84%), and this pathology was also found in the patients with infiltrative (52.5%) and disseminated (10.3%) pulmonary tuberculosis.https://www.tibl-journal.com/jour/article/view/1774chronic cor pulmonalepulmonary tuberculosislethality
spellingShingle L. N. Savonenkova
D. V. Kolchin
V. I. Ruzov
N. A. Slobodnyuk
O. Yu. Prokhorov
S. V. Anisimova
Chronic Cor Pulmonale in the Structure of Fatal Outcomes of Pulmonary Tuberculosis
Туберкулез и болезни лёгких
chronic cor pulmonale
pulmonary tuberculosis
lethality
title Chronic Cor Pulmonale in the Structure of Fatal Outcomes of Pulmonary Tuberculosis
title_full Chronic Cor Pulmonale in the Structure of Fatal Outcomes of Pulmonary Tuberculosis
title_fullStr Chronic Cor Pulmonale in the Structure of Fatal Outcomes of Pulmonary Tuberculosis
title_full_unstemmed Chronic Cor Pulmonale in the Structure of Fatal Outcomes of Pulmonary Tuberculosis
title_short Chronic Cor Pulmonale in the Structure of Fatal Outcomes of Pulmonary Tuberculosis
title_sort chronic cor pulmonale in the structure of fatal outcomes of pulmonary tuberculosis
topic chronic cor pulmonale
pulmonary tuberculosis
lethality
url https://www.tibl-journal.com/jour/article/view/1774
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AT naslobodnyuk chroniccorpulmonaleinthestructureoffataloutcomesofpulmonarytuberculosis
AT oyuprokhorov chroniccorpulmonaleinthestructureoffataloutcomesofpulmonarytuberculosis
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