INFLUENCE OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE ON THE COURSE AND PROGNOSIS OF PAROXYSMAL ATRIAL FIBRILLATION IN HOSPITALIZED PATIENTS
Abstract
Purpose. Analysis of risk factors for an unfavorable progress of chronic obstructive pulmonary disease exacerbations associated with paroxysmal rhythm disorders in hospitalized patients. Materials and methods. It is analyzed data of observational retrospective cohort study of 372 hospitalized patients over the age of 35 years with acute diseases of the circulatory system that did not have indications for surgical treatment. The study group included 151 patients with a concomitant exacerbation of chronic obstructive pulmonary disease in the comparison group were included 221 patients. Results. Exacerbation of chronic obstructive pulmonary disease is associated with an increased relative risk of death in patients with acute diseases of the circulatory system. The relative risk of death increases with chronic obstructive pulmonary disease combined with paroxysmal atrial fibrillation on a background of pulmonary hypertension. Age older than 60 years, chronic obstructive pulmonary disease, pulmonary hypertension are associated with an increased relative risk of saving cardiac arrhythmias in patients with paroxysmal atrial fibrillation.
About the Authors
Irina Ya. Tseymakn
Altai State Medical University
Russian Federation
Russian Federation
Sergey V. Dronov
Altai State University
Russian Federation
Russian Federation
Aleksandr V. Timofeev
Regional Clinical Ambulance Hospital
Russian Federation
Russian Federation
Tatyana A. Tolstikhina
Regional Clinical Ambulance Hospital
Russian Federation
Russian Federation
Yakov N. Shoykhet
Altai State Medical University
Russian Federation
Russian Federation
References
1. Авдеев С.Н. Хроническая обструктивная болезнь легких: обострения. Пульмонология. 2013. №3. С.5-19.
2. Акрамова Э.Г., Хамитова Р.Я. Сопутствующая кардиальная патология у больных хронической обструктивной болезнью легких: диагностика и экономика // Тер. арх. 2014. Т.86, №3. С.24-27.
3. Глобальная стратегия диагностики, лечения и профилактики хронической обструктивной болезни легких (пересмотр 2011 г.): пер. с англ. / под ред. А.С.Белевского. М.: Российское респираторное общество, 2012. 80 с.
4. Дронов С.В., Шепелев С.А. Сравнение подходов к оценке степени связи нечисловых факторов в четырехпольных таблицах // Известия АлтГУ. 2014. №1-2(81). С.31-34.
5. Колосов В.П., Павленко В.И. Прогнозирование частоты обострения хронической обструктивной болезни легких, сочетанной с ишемической болезнью сердца // Бюл. физиол. и патол. дыхания. 2012. Вып.45. С.35-37.
6. Павленко В.И., Нарышкина С.В. Особенности проявления безболевой ишемии миокарда у больных хронической обструктивной болезнью легких // Кардиология. 2012. Т.52, №2. С.36-40.
7. Диагностика и лечение фибрилляции предсердий. Рекомендации РКО, ВНОА и АСС // Рос. кардиол. журн. 2013. №4(102). Приложение 3. C.1-100.
8. Хроническая обструктивная болезнь легких / под ред. А.Г.Чучалина. М.: Атмосфера, 2008. 568 с.
9. FAQs about the GOLD 2011 assessment proposal of COPD: a comparative analysis of four different cohorts / Agusti A. [et al.] // Eur. Respir. J. 2013. Vol.42, №5. P.1391-1401.
10. Reduced lung function and risk of atrial fibrillation in the Copenhagen City Heart Study / Buch P. [et al.] // Eur. Respir. J. 2003. Vol.21, №6. P.1012-1016.
11. COPD and Comorbidity: European Respiratory Society Monographs / K.F.Rabe, J.A.Wedzicha, E.F.M.Wouters (eds.). ERS Monograph., 2013. Vol.59. URL: http://erspublications.com/content/copd-and-comorbidity. DOI: 10.1183/1025448x.erm5913.
12. Clinical characteristics and prognostic significance of chronic obstructive pulmonary disease in patients with atrial fibrillation: results from a multicenter atrial fibrillation registry study / B.Huang [et al.] // J. Am. Med. Dir. Assoc. 2014. Vol.15, №8. P.576-581.
13. Unrecognised ventricular dysfunction in COPD / A.Macchia [et al.] // Eur. Respir. J. 2012. Vol.39, №1. P.51-58.
14. Singanayagam A., Schembri S., Chalmers J.D. Predictors of Mortality in Hospitalized Adults with Acute Exacerbation of Chronic Obstructive Pulmonary Disease. A Systematic Review and Meta-analysis // Ann. Am. Thorac. Soc. 2013. Vol.10, №2. P.81-89.
15. Atrial fibrillation in the acute, hypercapnic exacerbations of COPD / C.Terzano [et al.] // Eur. Rev. Med. Pharmacol. Sci. 2014. Vol.18, №19. P.2908-2917.
16. Third universal definition of myocardial infarction / K.Thygesen [et al.] // Eur. Heart J. 2012. Vol. 33, №20. P.2551-2567.
Review
For citations:
Tseymakn I.Ya., Dronov S.V., Timofeev A.V., Tolstikhina T.A., Shoykhet Ya.N. INFLUENCE OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE ON THE COURSE AND PROGNOSIS OF PAROXYSMAL ATRIAL FIBRILLATION IN HOSPITALIZED PATIENTS. Bulletin Physiology and Pathology of Respiration. 2015;(57):49-56. (In Russ.)
Views:
116
Email this article 