Prevalence and prognosis of chronic obstructive pulmonary disease among 5,839 consecutive patients with acute myocardial infarction

Behar, Solomon; Panosh, Asher; Reicher-Reiss, Henrietta; Zion, Monty M.; Schlesinger, Z; Goldbourt, Uri

doi:10.1016/0002-9343(92)90196-i

Cited by 56 publications

(59 citation statements)

References 6 publications

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“…27,28,[30][31][32][33][34] Behar et al, 33 using data from the Secondary Prevention Reinfarction Israel Nifedipine Trial (SPRINT) study, which was conducted between 1981 and 1983, reported a 7% prevalence of COPD among 5839 survivors of MI. The age group of the SPRINT study was comparable to that of the current study, and the investigators reported increased incidence of prior history of angina and smoking.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and Prognosis of Chronic Obstructive Pulmonary Disease Among 8167 Middle Eastern Patients With Acute Coronary Syndrome

Hadi

Zubaid²,

Mahmeed

et al. 2010

Clinical Cardiology

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Background: The purpose of this study was to report the prevalence and the significance of clinically recognized chronic obstructive pulmonary disease (COPD) during acute coronary syndrome (ACS). Hypothesis: COPD in patients with ACS is associated with worse outcome. Methods: Data were derived from a prospective, multicenter, multinationalstudy of 8167 consecutive patients hospitalized with ACS from February to June 2007 in 6 Middle Eastern countries. Data were analyzed according to the presence or absence of COPD. Demographic, management, and in-hospital outcomes were compared. Results: The prevalence of COPD was 5.3%. When compared with non-COPD patients, COPD patients were older and more likely to have diabetes, hypertension, and dyslipidemia. Atypical presentations were more common in COPD patients (P = 0.001). COPD patients were less likely to be treated with thrombolytic therapy (P = 0.001), β-blockers (P = 0.001), and glycoprotein IIb/IIIa inhibitors, and more likely to receive angiotensin-converting enzyme (ACE) inhibitors. Although there was no difference in in-hospital mortality between the 2 groups, patients with COPD were more likely to have heart failure (P = 0.001). Despite the fact that COPD patients with ST-segment elevation myocardial infarction were less likely to receive thrombolytic therapy, they suffered more bleeding complications (2.8% vs 1%, P = 0.04), resulting in prolonged hospitalization. COPD was not an independent predictor of increased in-hospital mortality. Conclusions: In this large cohort of patients with ACS, the prevalence of COPD was 5·3%. Atypical presentation is common among COPD patients, and this may result in delayed therapy. ACS in COPD patients was associated with higher risk of heart failure and major bleeding complications without increased risk of in-hospital mortality.

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Section: Discussionmentioning

confidence: 99%

Prevalence and Prognosis of Chronic Obstructive Pulmonary Disease Among 8167 Middle Eastern Patients With Acute Coronary Syndrome

Hadi

Zubaid²,

Mahmeed

et al. 2010

Clinical Cardiology

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“…Распространенность ХОБЛ у пациентов с острым ко-ронарным синдромом колеблется от 5 до 20% [6][7][8]11]. Такие неоднородные данные, вероятнее всего, отражают как различия в характеристиках пациентов, так и особен-ности географических регионов, в которых проводилось исследование.…”

Section: Discussionunclassified

“…лаб. ультразвуко-вых и электрофизиологических методов ФГБНУ НИИ КПССЗ; 650002 Кемерово, Сосновый бульвар, 6; e-mail: ompol@rambler.ru ми факторами, как более старший возраст, большая рас-пространенность курения и сопутствующих заболеваний, большее число больных с систолической дисфункцией, которые самостоятельно могут предопределять неблаго-приятные исходы у пациентов с ИМ [5,6].…”

Section: терапевтический архив 9 2015unclassified

“…В-четвертых, нам не удалось установить связь со всеми пациентами для оценки состоя-ния здоровья через 1 год. В этой связи необходимо отме-тить, что большинство крупных эпидемиологических ис-следований по изучению распространенности ХОБЛ вы-полнялись на основании анализа данных именно реги-стровых исследований, в которых верификация диагноза проводилась либо со слов пациентов, либо на основании специальных опросников, либо данных медицинской до-кументации [5][6][7]11].…”

Section: таблица 2 исходы у пациентов через 1 год после импSt с налиunclassified

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Impact of chronic obstructive pulmonary disease on one-year prognosis in patients with ST-segment elevation myocardial infarction

et al. 2015

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“…Ранее сообщалось о значительной вариабельности распространенности ХОБЛ среди пациентов с острым коронарным синдромом --от 5 до 20% [2][3][4][5]. Такие неоднородные данные, вероятнее всего, отражают как различия в характеристиках пациентов, так и осо-бенности географических регионов, участвующих в исследовании.…”

Section: таблица 2 характеристики пациентов с летальным исходом на гоunclassified

The Outcomes of Stemi in Patients With Copd in Kemerovo Region

et al. 2014

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Prevalence and prognosis of chronic obstructive pulmonary disease among 5,839 consecutive patients with acute myocardial infarction

Cited by 56 publications

References 6 publications

Prevalence and Prognosis of Chronic Obstructive Pulmonary Disease Among 8167 Middle Eastern Patients With Acute Coronary Syndrome

Prevalence and Prognosis of Chronic Obstructive Pulmonary Disease Among 8167 Middle Eastern Patients With Acute Coronary Syndrome

Impact of chronic obstructive pulmonary disease on one-year prognosis in patients with ST-segment elevation myocardial infarction

The Outcomes of Stemi in Patients With Copd in Kemerovo Region

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