Arrhythmias in Patients with Chronic Obstructive Pulmonary Disease

Zaghla, Hanan; Atroush, Hatem Al; Samir, Ahmed; Kamal, Mohamed

doi:10.5176/2382-5669_ccmr13.26

Cited by 4 publications

(4 citation statements)

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“…Because both study used the same tool (Minnesota coding criteria) for classification of arrhythmia. But the magnitude of cardiac arrhythmia reported by the study of Kleiger et al [14] and Shih et al [32], H Zaghla et al [33] was higher than the present finding. This difference might be because they involved only patients with severe stage of COPD, but the present study involved COPD patients from all stages.…”

Section: Discussioncontrasting

confidence: 76%

Prevalence of Cardiac Arrhythmias among Chronic Obstructive Pulmonary Disease Patients Admitted to Jimma University Medical Center

Demissie¹,

Sharma²,

Rai³

et al. 2018

BJSTR

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Background: Cardiac arrhythmias are common in COPD patients and are a major cause of morbidity and mortality. Aim and Objective:The present study aimed to determine the prevalence of cardiac arrhythmias among patients with COPD Materials and Methods:The study was conducted on COPD patients visiting chest clinic of Jimma University Medical Center (JUMC) located at Jimma town, South west Ethiopia; from May 18 to August 18, 2017 G.C. A hospital based cross-sectional study was conducted among 80 sampled COPD patients; and an investigation for 12 Lead resting supine ECG was performed. The results of ECG patterns and other variables were entered into EPI data (3.1) and exported to SPSS (20) for further analysis. Results:The prevalence of arrhythmia accounted for 50% and the magnitude of its types were classified as Sinus origin arrhythmia (30%) specifically [Sinus bradycardia (16.3%), Sinus tachycardia (8.8%) and Sinus arrhythmia (5.0%)], Ectopic arrhythmia (20%) specifically [Premature ventricular Contraction (7.5%), Atrial fibrillation (6.3%), Premature atrial contraction (3.8%), Atrial flutter (1.3%) and Multi focal atrial tachycardia (1.3%)], Conduction block arrhythmia (23.8%) specifically[Bundle branch block (17.5%) for instance: Complete right bundle branch block (3.8%), Complete left bundle branch block (5%), Incomplete right bundle branch block (7.5%), Incomplete left bundle branch block (1.3%), Hemi fasicular block (5%)] and Atrioventricular block (1.3%)], and Other arrhythmia (11.4%) like Prolonged QTc interval (8.8%) and Preexcitation syndrome or Wolf Parkinson white syndrome (2.5%) as a single COPD patient presented with more than one arrhythmias. Conclusion:Routine ECG investigation should be performed at the setup to screen and initiate early management of Cardio vascular diseases including cardiac arrhythmias for better prognosis COPD patients which was inevitable and very common.

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Section: Discussioncontrasting

confidence: 76%

Prevalence of Cardiac Arrhythmias among Chronic Obstructive Pulmonary Disease Patients Admitted to Jimma University Medical Center

Demissie¹,

Sharma²,

Rai³

et al. 2018

BJSTR

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“…Given the overlap of COPD and CAD and the multiple shared risk factors for arrhythmias, patients in this study receiving β‐blockers experienced significantly fewer arrhythmias. Cardiovascular complications, like arrhythmias, can induce or be a complication of AECOPD …”

Section: Discussionmentioning

confidence: 99%

Evaluation of the protective effects of β-blockers in the management of acute exacerbations of chronic obstructive pulmonary disease

et al. 2018

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Summary What is known and objective The purpose of this study was to evaluate the association between early β‐blocker continuation and major inpatient events in patients hospitalized for an acute exacerbation of chronic obstructive pulmonary disease (AECOPD). Methods This single centre, retrospective, investigational review board approved cohort study evaluated patients admitted for a primary diagnosis of AECOPD. Patients were evaluated based on early continuation of a β‐blocker whether a β‐blocker was initiated within 24 hours of admission and continued for at least 72 hours. Patients with AECOPD who did not receive β‐blockers were assigned to the control group. Major inpatient events were a composite outcome composed of arrhythmias, myocardial infarction (MI) and death. Safety data were collected on the incidences of bradycardia, bronchospasms and hypotension. Results and discussion Of the 96 patients admitted for AECOPD, fifty‐five patients were included in the early β‐blocker group and forty‐one patients in the control group. Early β‐blocker utilization was associated with a significantly lower rate of major inpatient events compared with the control group (40% vs 80.5%; P < 0.001). Arrhythmias were significantly less common in the early β‐blocker group (30.9% vs 65.9%; P = 0.001); however, there were no significant differences in the rates of MI (9.1% vs 14.6%; P = 0.54), death (0 vs 0) or safety outcomes between groups. What is new and conclusion β‐blocker therapy could result in a paradigm shift in managing chronic obstructive pulmonary disease patients from a true cardiopulmonary approach. This retrospective cohort study demonstrated early β‐blocker continuation in patients admitted for an AECOPD was associated with less major inpatient events, primarily arrhythmias.

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“…In a study conducted by Zaghla H et al, mean disease duration was 5.4±3 years (ranging from 1 to 12 years). 10 Most common electrocardiography (ECG) abnormalities were low voltage and P pulmonale which were present in 52% and 38% patients respectively. Other abnormalities like multiple ventricular premature beats, RAD (right axis deviation), RBBB (right bundle branch block) and sinus tachycardia were present in 1 patient each.…”

Section: Resultsmentioning

confidence: 99%

A clinical study of cardiac rhythm disturbance in patients with chronic obstructive pulmonary disease using 24 hour Holter monitoring

et al. 2016

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Arrhythmias in Patients with Chronic Obstructive Pulmonary Disease

Cited by 4 publications

References 0 publications

Prevalence of Cardiac Arrhythmias among Chronic Obstructive Pulmonary Disease Patients Admitted to Jimma University Medical Center

Prevalence of Cardiac Arrhythmias among Chronic Obstructive Pulmonary Disease Patients Admitted to Jimma University Medical Center

Evaluation of the protective effects of β-blockers in the management of acute exacerbations of chronic obstructive pulmonary disease

A clinical study of cardiac rhythm disturbance in patients with chronic obstructive pulmonary disease using 24 hour Holter monitoring

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