COPD and heart failure: differential diagnosis and comorbidity

Güder, Gülmisal; Störk, Stefan

doi:10.1007/s00059-019-4814-7

Cited by 38 publications

(30 citation statements)

References 61 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Other researchers have found variable COPD pulmonary hypertension and right ventricle remodeling prevalence, increased by disease progression [15,16], which is in concordance with our results. Although the exact prevalence is unknown, right ventricular hypertrophy appears to be a common complication of chronic lung disease, and more frequently complicates advanced lung disease [14,16].…”

Section: Resultssupporting

confidence: 94%

“…It is common that patients with chronic obstructive lung disease may show low ORS complex (LQRSV), particularly in the limb leads, because of an increased heart/chest wall distance from the lung hyperinflation, which, if not offset, would be expected to augment QRS potentials by the increased electrical impedance [6,15,16]. The amplitude of the QRS complexes may be small in patients with chronic obstructive pulmonary disease as lung hyperinflation lead to poor electrical conductors.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

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

et al. 2021

View full text Add to dashboard Cite

Introduction/Objective. Cardiovascular disease is one of the most common comorbidities among subjects with chronic obstructive pulmonary disease (COPD). The aim of this study is to evaluate ECG parameters and mortality predictors in COPD patients. Methods. A total of 835 consecutive patients were included. Patients were classified to suffer from COPD if in three consecutive postbronhodilatator measurements FEV1/FVC was <70%. Following ECG changes were observed: axis, p wave, low ORS complex, transitional zone, left bundle branch block (LBBB), right bundle branch block (RBBB), incomplete right bundle branch block, S1S2S3 configuration, negative T in V1-V3. Patients were followed up for mortality in a five years period. Results. Both survivors and non-survivors were similar age, gender and COPD status. FVC and FEV1 as well as GOLD stadium are significantly higher in surviving group (p<0.016, p<0.001, p<0.001 respectively). Normal axis was in significantly higher percentage in non-survived patients (p=0.020). Right RBBB and incomplete RBB are more frequent finding in patients who died as (p?0.001, p?0.05, respectively). LBBB, S1S2S3 configuration is in significantly higher percent in non survivors (p<0.016, p<0.001, respectively). In multivariable logistic model, patients with LBBB have two times higher chance of mortality compared to patients without LBBB. Contrary, patients with RBBB have 1.6 times lower chance to have death outcome. Conclusion. Main ECG predictors of COPD patients? five-year mortality are LBBB and RBBB, but according to statistical model, electrocardiogram should be further explored and possibly obligatory involved in a routine clinical practice as an easy and low-cost screening method.

show abstract

Section: Resultssupporting

confidence: 94%

Section: Resultsmentioning

confidence: 99%

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

et al. 2021

View full text Add to dashboard Cite

show abstract

“…По-видимому, можно согласиться с авторами [4,10,17], считающими функциональное состояние ПЖ связанным в бóльшей степени с выраженностью артериальной гипоксемии и гиперкапнии, характером и длительностью инфекционно-токсических и аутоиммунных воздействий на миокард, чем непосредственно с уровнем давления в МКК.…”

Section: таблицаunclassified

Cardiopulmonary hemodynamics and respiratory function in patients with chronic obstructive pulmonary disease according to doppler echocardiography data

Titova¹,

Кузубова²,

Aleksandrov³

et al. 2020

Regional blood circulation and microcirculation

View full text Add to dashboard Cite

“…Pulmonary function test is a non-invasive test method, which is the main basis for diagnosis and evaluation of COPD. After inhaling bronchodilator FEV1/FVC (forced expiratory volume in 1 s/ forced vital capacity) < 0.70, indicating continuous airflow obstruction, which is the diagnostic criterion for COPD [5].…”

Section: Introductionmentioning

confidence: 99%

The CT pulmonary vascular parameters and disease severity in COPD patients on acute exacerbation: a correlation analysis

Yang

Chen

2021

BMC Pulm Med

View full text Add to dashboard Cite

Background It is necessary to analyze the CT pulmonary vascular parameters and disease severity in chronic obstructive pulmonary disease (COPD) patients to provide evidence support for the management of COPD. Methods COPD patients on acute exacerbation admitted to our hospital from COPD patients from January 2019 to March 2020 was selected. The characteristics and ratio of the cross-sectional area (CSA) of small pulmonary vessels to the total area of the lung field, and the ratio of pulmonary artery and aorta (PA/A) cross-sectional diameter in patients with COPD were analyzed. Results A total of 128 COPD patients were included. There were significant differences in the duration of COPD, smoking history, the PaO2, PaCO2, pH, and FEV1, FVC and FEV1/FVC among COPD patients with different severity (all p < 0.05). The duration of COPD, smoking, PaO2, PaCO2, CSA and PA/A were correlated with the COPD severity (all p < 0.05). Both CSA, PA/A were correlated with post BD FEV1 (all p < 0.05). The cutoff value of CSA and PA/A for the diagnosis of severe COPD was 0.61 and 0.87 respectively, and the AUC of CSA and PA/A for the diagnosis of severe COPD was 0.724 and 0.782 respectively. Conclusions Patients with CSA ≤ 0.61 and PA/A ≥ 0.87 may have higher risks for severe COPD, and more studies are needed in the future to further elucidate the management of COPD.

show abstract

COPD and heart failure: differential diagnosis and comorbidity

Cited by 38 publications

References 61 publications

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

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

Cardiopulmonary hemodynamics and respiratory function in patients with chronic obstructive pulmonary disease according to doppler echocardiography data

The CT pulmonary vascular parameters and disease severity in COPD patients on acute exacerbation: a correlation analysis

Contact Info

Product

Resources

About