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Asthma and COPD in patients with coronary artery disease
PDPI Lampung & Bengkulu, 03 Okt 2017 13:22:20
Asthma and COPD in patients with coronary artery disease

penyakit paru
image: cdc.gov

Marta Kolacinska-Flont1, Jaroslaw Drozdz2, Marzenna Zielinska3, Izabela Kuprys-Lipinska1 and Piotr Kuna1
1Clinic of Internal Medicine, Asthma and Allergy, Medical University of Lodz, Lodz, Poland, 2Clinic of Cardiology, Medical University of Lodz, Lodz, Poland, 3Clinic of Intensive Cardiac Therapy, Medical University of Lodz, Lodz, Poland

Background: Respiratory diseases often coincide with cardiac problems. However, airway obstruction is frequently overlooked in patients with heart complaints.

Aim: The aim of this study was to evaluate chronic obstructive pulmonary disease (COPD) and asthma prevalence in patients with coronary artery disease.

Methods: We performed a cross-sectional, cohort study of 206 patients with angiographically confirmed coronary artery disease (>50% narrowing of coronary artery lumen) receiving optimal and regular cardiac care. The patients were evaluated for COPD and asthma by means of a structured questionnaire, basic physical examination, allergy skin tests and spirometry. All procedures were performed at the study site by the medical staff experienced in allergy and respiratory diseases diagnosis and management. Written informed consent was provided by each study participant prior to the study procedures implementation.

Results: In the study group COPD was found in 33 (16%) and asthma in 20 persons (10%). In the majority of cases respiratory disorder was newly diagnosed (19/33 for COPD and 9/20 for asthma). In the COPD cases the degree of airflow limitation according to GOLD classification was most often moderate (18/33) and mild (11/33), and seldom severe (4/33).

Conclusions: Despite their high prevalence, COPD and asthma in patients with coronary artery disease are often underdiagnosed and the patients do not receive complex medical care. Altogether, up to 26% of cardiac patients could benefit from adequate respiratory management. Screening for obstructive respiratory disorders should become a standard of care in this population.

Source : http://erj.ersjournals.com/content/48/suppl_60/OA256
Image : https://www.cdc.gov/heartdisease/...
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