Influence of complicating chronic obstructive pulmonary disease on short-term prognosis in patients with acute myocardial infarction
XU Zhong-wu
Abstract：Objective To investigate the influence of complicating chronic obstructive pulmonary disease (COPD) on short-term prognosis in the patients with acute myocardial infarction (AMI).Methods The patients (n=92) were chosen from First People’s Hosptal of Yulin City affiliated to Guangxi Medical University from Jun. 2006 to Oct. 2012, and among them 59 with complicating COPD were included into AMI+COPD group and other 33 without COPD were included into AMI group. All patients were given intervention treatment for treating culprit vessels. The locations of AMI, count of culprit vessels and left ventricular systolic function (including LVEF and LVEDD) were compared between two groups. All patients were followed up for 3 months and the incidence of major adverse cardiovascular events (MACE) was observed in two groups (including pulmonary infection, arrhythmia, heart failure, cardiac shock, respiratory failure and death).Results There were no differences in proportion of different AMI locations and count of culprit vessels between two groups (P>0.05). LVEDD was higher [(59.6±6.4)mmvs. (42.8±3.7)mm], LVEF was lower [(46.16±8.3)%vs. (59.25±7.2)%] in AMI+COPD group compared with AMI group(P<0.05). In AMI+COPD group, the incidences of pulmonary infection (33.90%vs. 12.12%), arrhythmia (39.98%vs. 27.27%), heart failure (15.25%vs. 6.06), respiratory failure (22.03%vs. 9.09%), cardiogenic shock (10.17%vs. 3.03%) and death (8.47%vs. 3.03%) were all higher than those in AMI group (P<0.05).Conclusion COPD can induce cardiac dysfunction and poorer prognosis in AMI patients.
Keywords：Chronic obstructive pulmonary diseaseAcute myocardial infarctionShort-term prognosis
Publication Date：2013-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 639-640 )