Electrocardiographic predictors of five-years mortality in chronic obstructive pulmonary disease patients

Lazović, Biljana; Jovicic, Nevena; Radlovic, Vladimir; Sarac, Sanja; Milic, Rade; Zugic, Vladimir; Soldatović, Ivan

doi:10.2298/sarh200506104l

Cited by 3 publications

(3 citation statements)

References 17 publications

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“…Both the left bundle-branch block (LBBB) and atrial fibrillation (AF) have a 6.98 percentage for each one. LBBB was suspected to be a risk factor for cardiovascular morbidity in patients with chronic obstructive pulmonary diseases [ 52 ], so that will be a risk factor for cardiac disorders in patients with overlap syndrome (bronchiectasis-COPD).…”

Section: Discussionmentioning

confidence: 99%

ECG Abnormalities in Patients with Acute Exacerbation of Bronchiectasis and Factors Associated with High Probability of Abnormality

Alduihi

2021

Pulmonary Medicine

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Background. Bronchiectasis is an important reason for morbidity and mortality according to the last records that referred to high incidence rate of disease. Cardiovascular problems are common in pulmonary diseases, in general, and it can symptom by ECG abnormalities. The objective of this study was to define the most ECG abnormalities in patients with acute exacerbation of bronchiectasis and to study the correlation between the cardiac disorder and the other risk factors of the exacerbation. Materials and Methods. A prospective single-center observational cohort study was done at Aleppo University Hospital for patients with AEB between October 2017 and September 2018. They were divided into 2 groups (normal ECG vs. abnormal). Patients with COPD, cystic fibrosis, new diagnosis of ischemic accident through the last 6 months of the study, and treatment with macrolides or fluoroquinolones through the last 3 months of the study were excluded. We study the percent of abnormalities through the AEB and the percentage of the most common abnormalities. Results. 67 patients were included in the study (44 males and 23 females) with a mean age of 52.85 ± 21.456 . ECG abnormalities were recorded in 43 patients, and it was more common in men (67.44% of cases). Advanced age and survival state had a statistical significance ( p = 0.003 , 0.023), respectively, between the 2 groups. Right axis deviation (RAD) is the most common abnormality (23.3%) followed by sinus tachycardia (20.9%), and it is close to T-depression (18.6%). AF was the most common arrhythmia from all recorded arrhythmias (6.98% from all cases). Positive sputum cultures were recorded in 55.8%, and the most common isolated pathogen factor was Pseudomonas aeruginosa. Recurrent pneumonia was seen in 30.2% of all patients with abnormal ECG. We find a high prevalence of ECG abnormalities in patients with Oximetry (90-95%, 39.5%), and the opportunity for abnormalities is equal in the 2 age groups (45–59 and more than 75) that reflexed the possibility of cardiac disorders in any age in patients with AEB. Conclusions. ECG abnormalities are common in AEB, and it can happen in any age and any value of Oximetry. It needs more attention because of the prognosis of the cardiac morbidity.

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Section: Discussionmentioning

confidence: 99%

ECG Abnormalities in Patients with Acute Exacerbation of Bronchiectasis and Factors Associated with High Probability of Abnormality

Alduihi

2021

Pulmonary Medicine

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“…Conversely, the presence of RBBB conferred a 1.6 times lower chance of death during the observation period. 128 , 129 …”

Section: Ecg Features In Pulmonary Diseasesmentioning

confidence: 99%

“…Conversely, the presence of RBBB conferred a 1.6 times lower chance of death during the observation period. 128,129 Other obstructive lung diseases usually have a similar ECG pattern due to lung hyperinflation as a common pathogenic mechanism and positional changes of the heart. In acute settings, such as asthma exacerbation, the main changes subject to close monitoring are ST segment depression, T wave inversion and sinus tachycardia.…”

Section: Ecg Features In Pulmonary Diseasesmentioning

confidence: 99%

Electrocardiogram Features in Non-Cardiac Diseases: From Mechanisms to Practical Aspects

Ceasovschih,

Șorodoc,

Covantsev

et al. 2024

JMDH

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Despite the noteworthy advancements and the introduction of new technologies in diagnostic tools for cardiovascular disorders, the electrocardiogram (ECG) remains a reliable, easily accessible, and affordable tool to use. In addition to its crucial role in cardiac emergencies, ECG can be considered a very useful ancillary tool for the diagnosis of many non-cardiac diseases as well. In this narrative review, we aimed to explore the potential contributions of ECG for the diagnosis of non-cardiac diseases such as stroke, migraine, pancreatitis, Kounis syndrome, hypothermia, esophageal disorders, pulmonary embolism, pulmonary diseases, electrolyte disturbances, anemia, coronavirus disease 2019, different intoxications and pregnancy.

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ECG abnormalities in chronic obstructive pulmonary disease exacerbation: can the ECG record still astound us? A prospective study

Biljana,

Ivan,

Radmila

et al. 2024

Egypt J Chest Dis Tuberc

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Introduction/objective Chronic obstructive pulmonary disease (COPD) is a pulmonary disease characterized by persistent respiratory difficulties and impaired airflow. COPD patients have a higher risk for lung infections, like the flu or pneumonia, lung cancer, heart problems, weak muscles, brittle bones, depression, and anxiety. The purpose of this study was to estimate the prevalence of ECG abnormalities in patients with COPD experiencing exacerbations. Patients and methods The research encompassed a cohort of 832 individuals diagnosed with COPD who encountered episodes of exacerbations. Five hundred seventy-five (69.11%) of the included participants were women, and 257 (30.89%) were men. The included participants ranged from 18 to 60 years old. It was ensured that none of the participants had received any treatment for their condition for more than 3 days. Results Based on the level of exacerbation severity, the patient population is categorized into three distinct groups: moderate, comprising 330 (39.66%) individuals; severe, encompassing 406 (48.79%) individuals; and extremely severe, consisting of 96 (11.53%) individuals. During episodes of exacerbation in patients with COPD, the following ECG alterations were observed: a QTc less than 0.40 s in 99.15% of cases, a transitional ECG zone in 74.33% of cases, a P more than 2.5 mm in 45.67% of cases, an axis deviation towards the second quadrant (axis II) in 28% of cases, an incomplete right bundle branch block in 26.32% of cases, and a full right bundle branch block in 25.60% of cases. Conclusion Regardless of prior cardiac pathology, ECG is a low-cost, quick, and dependable modality for detecting ischemic changes in people experiencing a flare-up of COPD.

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Electrocardiographic predictors of five-years mortality in chronic obstructive pulmonary disease patients

Cited by 3 publications

References 17 publications

ECG Abnormalities in Patients with Acute Exacerbation of Bronchiectasis and Factors Associated with High Probability of Abnormality

ECG Abnormalities in Patients with Acute Exacerbation of Bronchiectasis and Factors Associated with High Probability of Abnormality

Electrocardiogram Features in Non-Cardiac Diseases: From Mechanisms to Practical Aspects

ECG abnormalities in chronic obstructive pulmonary disease exacerbation: can the ECG record still astound us? A prospective study

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