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World J Cardiol. Oct 26, 2021; 13(10): 533-545
Published online Oct 26, 2021. doi: 10.4330/wjc.v13.i10.533
Electrocardiographic changes in Emphysema
Puneet Gupta, Hitangee Jain, Misbah Gill, Gurpreet Bharaj, Nauman Khalid, Waseem Chaudhry, Lovely Chhabra
Puneet Gupta, Department of Interventional Cardiology, Northeast Ohio Medical University, Canton, OH 44272, United States
Hitangee Jain, BA-MD, Brooklyn College, Brooklyn, NY 11210, United States
Misbah Gill, Department of Family Medicine, Memorial Hospital of Carbondale, Carbondale, IL 62901, United States
Gurpreet Bharaj, Psychiatry, Loretto Hospital, Chicago, IL 60644, United States
Nauman Khalid, Department of Interventional Cardiology, St. Francis Medical Center, Monroe, LA 71201, United States
Waseem Chaudhry, Lovely Chhabra, Department of Cardiology, Westchester Medical Center Network Advanced Physician Services, Poughkeepsie, NY 12601, United States
Author contributions: Gupta P performed the research and a major contribution to the manuscript draft; Jain H contributed to the manuscript draft, schematic illustrations copyright approvals and minor revisions; Gill M and Bharaj G contributed to draft revisions; Khalid N and Waseem C contributed to the analysis and revisions; Chhabra L conceptualized the project, supervised the research, contributed substantially to the manuscript draft, and performed major revisions.
Conflict-of-interest statement: Authors declare no conflict of interests for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Lovely Chhabra, FACC, MD, Doctor, Department of Cardiology, Westchester Medical Center Network Advanced Physician Services, 241 North Road, Poughkeepsie, NY 12601, United States. lovids@hotmail.com
Received: May 1, 2021
Peer-review started: May 1, 2021
First decision: June 7, 2021
Revised: June 25, 2021
Accepted: September 26, 2021
Article in press: September 26, 2021
Published online: October 26, 2021
Processing time: 172 Days and 15.8 Hours
Core Tip

Core Tip: Chronic obstructive pulmonary disease (COPD) remains a major cause of morbidity and mortality in the United States. With COPD, a timely diagnosis and treatment are crucial to prevent increasing severity. COPD can cause electrocardiographic changes due to factors including lung hyperinflation. These changes can be present on the electrocardiograms of patients without COPD; however, specific parameters not seen in those with COPD will be indicative of other diseases such as congenital heart disease. The present review focuses on the use of 12-lead electrocardiogram with an emphasis on vertical frontal plane P-wave axis, combined with other minor abnormalities, which can aid in the diagnosis of COPD.