The importance of breathing not properly: Chronic obstructive pulmonary disease as a risk factor for rehospitalization in heart failure

Heart failure (HF) and chronic obstructive pulmonary disease (COPD) are leading causes of death worldwide. Their prevalence is estimated as 1 –3% of the general population and 5–10% of adults, respectively [1]; these conditions often coexist, because smoking is a common risk factor, and low-grade systemic inflammation is a shared pathogenic mechanism. Prevalence estimates of comorbid HF and COPD vary widely according to cohort selecti on, age, risk factor exposure, and diagnostic criteria. When systematically employing spirometry, COPD was diagnosed in 36% of patients hospitalized for HF [2] and in 30% of stable HF patients [3].
Source: International Journal of Cardiology - Category: Cardiology Authors: Tags: Editorial Source Type: research

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The aim of this study was to determine the role of physiological measurements in the evaluation of postoperative risks before lung cancer surgery. Spirometry and ABG were performed for all patients with NSCLC before operation. Diffusion test and CPET were performed to patients with moderate-high risk for operation and the patient who required pneumonectomy. Postoperative complications, mortality and duration of stay in ICU and hospital were recorded.115 NSCLC patients who had limited lung capacity(22F,93M) with a mean age of 62.37±10.11 were included prospectively between Jan2015-Dec2018. 54(46.9%) patients were acc...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Thoracic surgery Source Type: research
Background: Heart diseases and COPD are leading causes for morbidity and mortality. High prevalence of heart diseases in COPD is well described, but the prevalence of COPD among adults with heart disease is not well studied.Aim: To study how common COPD is among adults with heart disease.Method: The study is based on two random population samples from WSAS and OLIN in Western and Northern Sweden (n=1839, ages 21-78y), clinically examined including structured interviews and spirometry in 2009-2012. Included heart diseases were heart failure, ischemic heart disease and arrhythmia, and COPD was defined as chronic airway obstr...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Epidemiology Source Type: research
Background: Chronic Obstructive Pulmonary Disease (COPD) is characterized by body composition alterations and cachexia. Cachexia is predictor of mortality and hospital stay in COPD. However, it is not known that COPD due to Biomass smoke, tobacco or mixed has major risk factor for have cachexiaObjective: To determine the COPD due to Biomass smoke, tobacco or mixed with major risk factor for have cachexia.Methods: Cross sectional study, subjects older than 40 years old, COPD diagnosis confirmed by spirometry were included. Asthma and cancer subjects were excluded. Body composition was assessed by bioelectrical impedance vec...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring airway disease Source Type: research
Introduction: Spirometric measures can be difficult in elderly patients with multimorbidity. Measurement of FEV1/FEV6 could be useful in these patients, but the actual evidence is scarce.Aims and Objectives: Our objective is to assess utility and reliability of FEV1/FEV6 in diagnosis of pulmonary obstruction among multimorbid hospitalized patients and the variables associated with inability to perform valid maneuvers for FEV1/FEV6 and spirometry.Methods: The study was performed between September 2017 and May 2018, including the first admission for exacerbation of chronic disease with 2 or more criteria of multimorbidity. P...
Source: European Respiratory Journal - Category: Respiratory Medicine Authors: Tags: Monitoring airway disease Source Type: research
Publication date: October 2019Source: JACC: Heart Failure, Volume 7, Issue 10Author(s): Marco Canepa, Frits M.E. Franssen, Horst Olschewski, Mitja Lainscak, Michael Böhm, Luigi Tavazzi, Stephan RosenkranzAbstractHeart failure (HF) and chronic obstructive pulmonary disease (COPD) coincide in a significant number of patients. Recent population-based registries suggest that spirometry is largely underused in patients with HF to diagnose comorbid COPD and that patients with COPD frequently do not receive the recommended beta-blocker (BB) treatment. This state-of-the-art review summarizes: 1) current challenges in the impl...
Source: JACC: Heart Failure - Category: Cardiology Source Type: research
Publication date: Available online 11 September 2019Source: JACC: Heart FailureAuthor(s): Marco Canepa, Frits M.E. Franssen, Horst Olschewski, Mitja Lainscak, Michael Böhm, Luigi Tavazzi, Stephan RosenkranzAbstractHeart failure (HF) and chronic obstructive pulmonary disease (COPD) coincide in a significant number of patients. Recent population-based registries suggest that spirometry is largely underused in patients with HF to diagnose comorbid COPD and that patients with COPD frequently do not receive the recommended beta-blocker (BB) treatment. This state-of-the-art review summarizes 1) current challenges in the imp...
Source: JACC: Heart Failure - Category: Cardiology Source Type: research
ConclusionA case-finding strategy applied in primary care to multimorbid older people with dyspnoea or reduced exercise tolerance resulted in a number of new diagnoses of HF and COPD, but did not result in short-term improvement of health status compared to usual care.Trial registration.ClinicalTrials.gov NCT01148719
Source: American Heart Journal - Category: Cardiology Source Type: research
Yafei Tan1,2, Omer Van den Bergh2, Jiang Qiu1* and Andreas von Leupoldt2* 1Faculty of Psychology, Southwest University, Chongqing, China 2Health Psychology, KU Leuven, Leuven, Belgium Dyspnea is a prevalent interoceptive sensation and the aversive cardinal symptom in many cardiorespiratory diseases as well as in mental disorders. Especially the unpredictability of the occurrence of dyspnea episodes has been suggested to be highly anxiety provoking for affected patients. Moreover, previous studies demonstrated that unpredictable exteroceptive stimuli increased self-reports and electrophysiological responses of an...
Source: Frontiers in Physiology - Category: Physiology Source Type: research
Publication date: May 2019Source: The Lancet Global Health, Volume 7, Issue 5Author(s): MyLinh Duong, Shofiqul Islam, Sumathy Rangarajan, Darryl Leong, Om Kurmi, Koon Teo, Kieran Killian, Gilles Dagenais, Scott Lear, Andreas Wielgosz, Sanjeev Nair, Viswanathan Mohan, Prem Mony, Rajeev Gupta, Rajesh Kumar, Omar Rahman, Khalid Yusoff, Johannes Lodewykus du Plessis, Ehimario U Igumbor, Jephat ChifambaSummaryBackgroundThe associations between the extent of forced expiratory volume in 1 s (FEV1) impairment and mortality, incident cardiovascular disease, and respiratory hospitalisations are unclear, and how these associations mi...
Source: The Lancet Global Health - Category: International Medicine & Public Health Source Type: research
CONCLUSION: The prevalence of airflow limitation in patients with HF is high, with a significant degree of underdiagnosis. It seems reasonable to recommend performing a screening spirometry in these patients. PMID: 30616915 [PubMed - as supplied by publisher]
Source: Medicina Clinica - Category: General Medicine Tags: Med Clin (Barc) Source Type: research
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