Clinical Characteristics and Prognostic Significance of Chronic Obstructive Pulmonary Disease in Patients With Atrial Fibrillation: Results From a Multicenter Atrial Fibrillation Registry Study

Huang, Bi; Yang, Yanmin; Zhu, Jun; Liang, Yan; Zhang, Han; Tian, Li; Shao, Xing‐hui; Wang, Juan

doi:10.1016/j.jamda.2014.04.009

Cited by 42 publications

(33 citation statements)

References 34 publications

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“…Previous researches reported that COPD had been present in more than one-tenth of the patients with AF and were associated with increased mortality and incidence of major adverse events. [23–25] Recent studies have demonstrated that reduced forced expiratory volume in 1 second (FEV1) and obstructive respiratory disease were associated with an increased risk of incident AF. [26,27] Li et al [26] analyzed the data of 15,004 middle-aged subjects enrolled in the Atherosclerosis Risk in Communities (ARIC) cohort study; the rate of incident AF was inversely associated with FEV1.…”

Section: Discussionmentioning

confidence: 99%

Usefulness of HATCH score in the prediction of new-onset atrial fibrillation for Asians

et al. 2017

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The HATCH score (hypertension <1 point>, age >75 years <1 point>, stroke or transient ischemic attack <2 points>, chronic obstructive pulmonary disease <1 point>, and heart failure <2 points>) was reported to be useful for predicting the progression of atrial fibrillation (AF) from paroxysmal to persistent or permanent AF for patients who participated in the Euro Heart Survey. The goal of the current study was to investigate whether the HATCH score was a useful scheme in predicting new-onset AF. Furthermore, we aimed to use the HATCH scoring system to estimate the individual risk in developing AF for patients with different comorbidities. We used the “Taiwan National Health Insurance Research Database.” From January 1, 2000, to December 31, 2001, a total of 670,804 patients older than 20 years old and who had no history of cardiac arrhythmias were enrolled. According to the calculation rule of the HATCH score, 599,780 (score 0), 46,661 (score 1), 12,892 (score 2), 7456 (score 3), 2944 (score 4), 802 (score 5), 202 (score 6), and 67 (score 7) patients were studied and followed for the new onset of AF. During a follow-up of 9.0 ± 2.2 years, there were 9174 (1.4%) patients experiencing new-onset AF. The incidence of AF was 1.5 per 1000 patient-years. The incidence increased from 0.8 per 1000 patient-years for patients with a HATCH score of 0 to 57.3 per 1000 patient-years for those with a HATCH score of 7. After an adjustment for the gender and comorbidities, the hazard ratio (95% confidence interval) of each increment of the HATCH score in predicting AF was 2.059 (2.027–2.093; P < 0.001). The HATCH score was useful in risk estimation and stratification of new-onset AF.

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Section: Discussionmentioning

confidence: 99%

Usefulness of HATCH score in the prediction of new-onset atrial fibrillation for Asians

et al. 2017

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“…In another study, the presence of COPD predicted higher recurrence after a single catheter ablation procedure in AF, but significant improvements in quality of life were observed in the postablation COPD population [119]. Moreover, the presence of COPD in patients with AF is an independent risk factor for 1-year all-cause mortality and cardiovascular mortality as well [120,121]. Finally, COPD predicts mortality in primary prevention ICD patients and may significantly influence the clinical decision making [122].…”

Section: Clinical Impact and Prognostic Significance Of Ecg Abnormalimentioning

confidence: 99%

Electrocardiographic abnormalities and cardiac arrhythmias in chronic obstructive pulmonary disease

Goudis¹,

Konstantinidis

Ntalas

et al. 2015

International Journal of Cardiology

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“…Some of the drugs commonly used in COPD (b 2 -agonists and theophylline) are known to increase the occurrence of AF. In a large registry of AF subjects, the presence of COPD correlated with worse prognosis (risk of death 26.9% vs. 12.3%; HR 1.49, p < 0.05), yet the prevalence of stroke was similar regardless of the lung disease [21]. Recently, COPD has been demonstrated to represent an independent predictor of mortality in a large registry of the European AF subjects [22].…”

Section: Copd and Cardiovascular Risk: Epidemiological Datamentioning

confidence: 99%

“…COPD subjects with AF (paroxysmal, persistent or permanent) due to frequent other comorbidities and/or advanced age usually fall into the high-risk category. In a large registry of AF subjects, those with COPD significantly more often had CHA 2 DS 2 -VASc score ≥ 2 (81% vs. 65%) [21]. Both, vitamin K antagonists (VKA) and non-vitamin K oral anticoagulants or novel oral anticoagulants (NOACs) effectively reduce the risk of ischemic stroke and systemic thromboembolism by about 80%, as compared to up to 30% reduction on aspirin alone [68].…”

Section: Oral Anticoagulants In Copdmentioning

confidence: 99%

Arterial and Venous Thromboembolism in Chronic Obstructive Pulmonary Disease: From Pathogenic Mechanisms to Prevention and Treatment

Mejza

Lamprecht

Niżankowska‐Mogilnicka

et al. 2015

Advances in Respiratory Medicine

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Chronic obstructive pulmonary disease (COPD) affects approximately 10% of adults older than 40 years and is an important causes of disability and death in elderly subjects. A large proportion of COPD patients suffer from cardiovascular comorbidities. Thromboembolic events contribute considerably to morbidity and mortality in these subjects. This review summarizes the current evidence regarding the association of COPD with increased thromboembolic risk. We discuss multiple mechanisms potentially linking these conditions and available pharmacological interventions reducing the risk of thrombotic arterial and venous events with special attention paid to new oral anticoagulants.

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Clinical Characteristics and Prognostic Significance of Chronic Obstructive Pulmonary Disease in Patients With Atrial Fibrillation: Results From a Multicenter Atrial Fibrillation Registry Study

Cited by 42 publications

References 34 publications

Usefulness of HATCH score in the prediction of new-onset atrial fibrillation for Asians

Usefulness of HATCH score in the prediction of new-onset atrial fibrillation for Asians

Electrocardiographic abnormalities and cardiac arrhythmias in chronic obstructive pulmonary disease

Arterial and Venous Thromboembolism in Chronic Obstructive Pulmonary Disease: From Pathogenic Mechanisms to Prevention and Treatment

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