Electrocardiographic abnormalities and cardiac arrhythmias in chronic obstructive pulmonary disease

Goudis, Christos A.; Konstantinidis, Athanasios; Ntalas, Ioannis; Korantzopoulos, Panagiotis

doi:10.1016/j.ijcard.2015.06.096

Cited by 61 publications

(46 citation statements)

References 167 publications

(176 reference statements)

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“…Prevalence and incidence estimates of arrhythmic disorders in COPD are variable ( Table 1) and often lack detail regarding the type of arrhythmia. However, available evidence is strongest for the association between AF and COPD, albeit atrial tachycardia, atrial flutter, ventricular tachycardia, and conduction disorders have also been cited (172,173). The prevalence of AF in stable COPD ranges from 4.7 to 15% (174), with significantly higher rates in very severe COPD (about 20-30%) (29).…”

Section: The Size Of the Problemmentioning

confidence: 99%

Chronic Obstructive Pulmonary Disease and Cardiac Diseases. An Urgent Need for Integrated Care

Roversi

Fabbri

Sin³

et al. 2016

Am J Respir Crit Care Med

192

158

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Chronic obstructive pulmonary disease (COPD) is a global health issue with high social and economic costs. Concomitant chronic cardiac disorders are frequent in patients with COPD, likely owing to shared risk factors (e.g., aging, cigarette smoke, inactivity, persistent low-grade pulmonary and systemic inflammation) and add to the overall morbidity and mortality of patients with COPD. The prevalence and incidence of cardiac comorbidities are higher in patients with COPD than in matched control subjects, although estimates of prevalence vary widely. Furthermore, cardiac diseases contribute to disease severity in patients with COPD, being a common cause of hospitalization and a frequent cause of death. The differential diagnosis may be challenging, especially in older and smoking subjects complaining of unspecific symptoms, such as dyspnea and fatigue. The therapeutic management of patients with cardiac and pulmonary comorbidities may be similarly challenging: bronchodilators may have cardiac side effects, and, vice versa, some cardiac medications should be used with caution in patients with lung disease. The aim of this review is to summarize the evidence of the relationship between COPD and the three most frequent and important cardiac comorbidities in patients with COPD: ischemic heart disease, heart failure, and atrial fibrillation. We have chosen a practical approach, first summarizing relevant epidemiological and clinical data, then discussing the diagnostic and screening procedures, and finally evaluating the impact of lung-heart comorbidities on the therapeutic management of patients with COPD and heart diseases.

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Section: The Size Of the Problemmentioning

confidence: 99%

Chronic Obstructive Pulmonary Disease and Cardiac Diseases. An Urgent Need for Integrated Care

Roversi

Fabbri

Sin³

et al. 2016

Am J Respir Crit Care Med

192

158

View full text Add to dashboard Cite

show abstract

“…It has previously been observed in previous studies that atrial arrhythmia could be an independent predictor of increased mortality in patients with PE (45). On the other hand, COPD is independently associated with an increased burden of cardiovascular disease, and specific ECG abnormalities and cardiac arrhythmias seem to have a significant effect on cardiovascular prognosis of COPD patients (46). Screening for arrhythmia may still be of importance due to its clinical impact on a poor prognosis in this population.…”

Section: Discussionmentioning

confidence: 88%

Relationship between polycythemia and in-hospital mortality in chronic obstructive pulmonary disease patients with low-risk pulmonary embolism

Chughtai¹,

Jiang²,

Gao³

et al. 2016

J. Thorac. Dis.

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“…Furthermore, right ventricular dysfunction and pulmonary vascular disease are common in COPD patients and progress with time [61]. Of note, electrocardiographic abnormalities and cardiac arrhythmias were identified in COPD patients [62]. Taken together, it is mandatory to find pharmacological and non-pharmacological strategies to prevent chronic factor-associated POAF in cancer patients.…”

Section: Chronic Factors Facilitating Poaf In Cancer Therapymentioning

confidence: 99%

Pathophysiology of cancer therapy-provoked atrial fibrillation

Cheng

Kao

Chen

et al. 2016

International Journal of Cardiology

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Electrocardiographic abnormalities and cardiac arrhythmias in chronic obstructive pulmonary disease

Cited by 61 publications

References 167 publications

Chronic Obstructive Pulmonary Disease and Cardiac Diseases. An Urgent Need for Integrated Care

Chronic Obstructive Pulmonary Disease and Cardiac Diseases. An Urgent Need for Integrated Care

Relationship between polycythemia and in-hospital mortality in chronic obstructive pulmonary disease patients with low-risk pulmonary embolism

Pathophysiology of cancer therapy-provoked atrial fibrillation

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