Influence of atrial fibrillation on cardiac prognosis in chronic obstructive pulmonary disease.

Influence of atrial fibrillation on cardiac prognosis in chronic obstructive pulmonary disease. Indian Heart J. 2019 Jan - Feb;71(1):7-11 Authors: Tomioka T, Fukui K, Tanaka S, Ito Y, Shioiri H, Koyama J, Inoue K Abstract BACKGROUND: Chronic obstructive pulmonary disease (COPD), a known risk factor for the development of congestive heart failure (CHF), was recently shown to predict the prevalence of atrial fibrillation (AF). Here, we explore the influence of AF on cardiac prognosis in COPD patients. METHODS: A total of 339 consecutive patients who underwent spirometry from 2010 to 2013 for various reasons were retrospectively examined. Based on the diagnostic criteria, patients were stratified into COPD and non-COPD groups, which were both further divided into those with AF (chronic AF or paroxysmal AF) or sinus rhythm (SR) based on previous electrocardiography results. Significances of differences in cardiac events were assessed by the chi-square test. Multivariate logistic regression analyses and Cox proportional hazard models were applied to evaluate the influence of AF on cardiac events. RESULTS: Of the 339 patients, 190 were diagnosed with COPD, with 42 of these were having AF. During the mean follow-up period of 7.4 ± 0.8 years, CHF developed more frequently in COPD patients with AF than in COPD patients without AF [50% vs 7%; odds ratio (OR) 12.4, 95% confidence interval (CI): 5.25-29.49, p 
Source: Indian Heart J - Category: Cardiology Authors: Tags: Indian Heart J Source Type: research

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In a blog post last week, I shared an excerpt from the new book that Paul Cerrato and I just completed,The Transformative Power of Mobile Medicine. Here is a second excerpt from Chapter 3,  “Exploring the Strengths and Weaknesses of Mobile Health Apps.”Even patients who are fully engaged in their own care still need access to medical apps they can trust. The IQVIA Institute for Human Data Science has performed a detailed analysis of the clinical evidence supporting mobile health apps, rating their maturity and relative quality. Its rating scale places a single observational study near the bottom of th...
Source: Life as a Healthcare CIO - Category: Information Technology Source Type: blogs
Authors: Zewari S, Hadi L, van den Elshout F, Dekhuijzen R, Heijdra Y, Vos P Abstract COPD and obesity often coexist and there is a complex interaction between them. Our aim was to evaluate the prevalence of obesity in a secondary care COPD population. Furthermore, the presence of comorbidities in obese (COPDOB) and non-obese COPD (COPDNO) individuals was studied. In 1654 COPD patients (aged ≥18 years) who visited a pulmonologist between January 2015 and December 2015, patient characteristics, pulmonary function tests and comorbidities were obtained from the medical records. Subjects were categorized according t...
Source: COPD: Journal of Chronic Obstructive Pulmonary Disease - Category: Respiratory Medicine Tags: COPD Source Type: research
Publication date: Available online 1 December 2018Source: Indian Heart JournalAuthor(s): Tomoko Tomioka, Kento Fukui, Syuhei Tanaka, Yoshitaka Ito, Hiroki Shioiri, Jiro Koyama, Kanichi InoueAbstractBackgroundChronic obstructive pulmonary disease (COPD), a known risk factor for the development of congestive heart failure (CHF), was recently shown to predict the prevalence of atrial fibrillation (AF). Here, we explore the influence of AF on cardiac prognosis in COPD patients.MethodsA total of 339 consecutive patients who underwent spirometry from 2010 to 2013 for various reasons were retrospectively examined. Based on the di...
Source: Indian Heart Journal - Category: Cardiology Source Type: research
Introduction: We analyse the hypoxia effect on the hepatic profile, glucose metabolism and cardiovascular risk in patients with COPD (Chronic Obstructive Pulmonary Disease), OSA (Obstructive Sleep Apnea) or both.Material and methods: Prospective study with control patients, COPD, OSA or overlap. A blood analysis(inflammatory and metabolic profile) was made. Anthropometric measures and cardiovascular risk factors were collected. We compared demographic and clinical characteristics.Results: 223 patients: COPD 17%, OSA 51%, Overlap 17%, control 14%. 54% overlap, 49% OSA, 34% COPD and 22% control (p
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Sleep and control of breathing Source Type: research
Conclusions: The incidence of death without stroke was 9-fold higher than that of stroke, leading to biased estimates of stroke risk with traditional time-to-event methods. Statistical methods that appropriately account for competing risks should be used to mitigate this bias.
Source: Circulation: Cardiovascular Quality and Outcomes - Category: Cardiology Authors: Tags: Atrial Fibrillation, Epidemiology, Primary Prevention, Cerebrovascular Disease/Stroke Original Articles Source Type: research
CONCLUSIONS: A minimally invasive right thoracotomy approach to primary or re-operative double valve surgery is feasible, may be utilized with acceptable peri-operative morbidity and mortality. PMID: 28740713 [PubMed]
Source: Journal of Thoracic Disease - Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Our brains can easily fool us. No experienced doctor would deny the power of the placebo effect. Today I want to discuss the nocebo effect, which occurs when negative expectations of something causes it to have a more negative effect than it otherwise would. Drugs can exert a strong nocebo effect. If your brain thinks you will have a side effect, you may actually get that effect. Nocebo brain trickery is relevant to statins. That’s why I used this wording in my last post: (Note the italics) The actual frequency of muscle symptoms is hotly debated. Randomized controlled trials (in which patients don’t know wheth...
Source: Dr John M - Category: Cardiology Authors: Source Type: blogs
CONCLUSIONS: We demonstrated that dementia is associated with shorter overall survival in elderly patients with solid tumors. PMID: 27978516 [PubMed - as supplied by publisher]
Source: Dementia and Geriatric Cognitive Disorders - Category: Psychiatry Tags: Dement Geriatr Cogn Disord Source Type: research
Conclusions: We demonstrated that dementia is associated with shorter overall survival in elderly patients with solid tumors.Dement Geriatr Cogn Disord 2017;43:38-44
Source: Dementia and Geriatric Cognitive Disorders - Category: Geriatrics Source Type: research
Introduction: While advancing with age and COPD severity, cardiovascular diseases are the most encountered comorbidities. Unlike hypertension (HT), ischaemic heart disease (IHD) and congestive heart failure (CHF), electrocardiographic abnormalities (ECG Ab) and cardiac arrhythmias (CA) are less studied, despite their serious implications.Aims and objectives: To evaluate the frequency of ECG Ab/CA in a lot of 742 pts, the correlations and to estimate the risk of ECG Ab/CA to be recorded in COPD patients.Methods: 2 groups of pts were assessed for age, gender, body mass index (BMI), HT, IHD, CHF, ECG Ab/CA, diabetes, dyslipid...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: 1.2 Rehabilitation and Chronic Care Source Type: research
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