81-Year-Old Male Diagnosed Acute Exacerbation of Chronic Obstructive Pulmonary Disease (AECOPD) With Hpercapnic Respiratory Failure (T2RF): A Case Report

Small airway disease and lung parenchymal deterioration are the causes of Chronic Obstructive Pulmonary Disease (COPD), an irreversible restriction of airflow. Based on identifiable clinical and ABG findings and evidence of elevated pulmonary artery pressure titers against pedal edema in ECHO, the diagnosis of AECOPD with T2RF was determined. In this case, a male patient with AECOPD-induced Type 2 respiratory failure (T2RF) with pedal edema was admitted to the respiratory medicine unit at SMIH Dehradun. This was a rare incident of PAH. The results of the ABG analysis and ECG investigations revealed hypercapnic respiratory failure and acute myocardial infarction with ST elevation. A non-invasive ventilator (BiPAP) was used to stabilize the patient 1. Muruganandan S. Optimising care of individuals with malignant pleural effusion. 2021. 2. Liu L, Chen Y, He G, Lin B, Zhu Z, Wei R, et al. Exploring the impact of OSA on short-term survival in patients with AECOPD admitted to the ICU. Plos one. 2024;19(4):e0301646 3. Ong KC. Pulmonary Emphysema-Recent Updates: Recent Updates: BoD–Books on Demand; 2024. 4. Camp PG, Reid WD, Chung F, Hill K. Anatomy and Physiology of the Respiratory and Cardiovascular Systems. Cardiopulmonary Physical Therapy: Routledge; 2024. p. 25-52. 5. Wetzel JL. Individuals with Ventilatory Pump Disorders. Clinical Exercise Pathophysiology for Physical Therapy: Routledge; 2024. p. 283-317. 6. Jackman R. Dynamic hyperinflation and exertional dyspnea in COPD patients pre-and post-lung transplant: University of British Columbia; 2024. 7. Bedenice D. Section VIII Nonpulmonary Disease Processes Manifesting as Respiratory Disease. Equine Neonatal Medicine. 2024:216.