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Frequency of adverse consequences after spirography in patients with chronic obstructive pulmonary disease and concomitant ischemic heart disease

Daria Didenko, Lesya Rasputina, Yuriy Mostovoy, Nataliya Cherepii
European Respiratory Journal 2016 48: PA3777; DOI: 10.1183/13993003.congress-2016.PA3777
Daria Didenko
1Chair of Propadeutics of Internal Medicine, Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine
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Lesya Rasputina
1Chair of Propadeutics of Internal Medicine, Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine
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Yuriy Mostovoy
1Chair of Propadeutics of Internal Medicine, Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine
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Nataliya Cherepii
1Chair of Propadeutics of Internal Medicine, Vinnytsia National Pirogov Memorial Medical University, Vinnytsia, Ukraine
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Abstract

Urgency: Ischemic heart disease (IHD) is the common comorbid pathology in patients with chronic obstructive pulmonary disease (COPD). Combination of these diseases is related to diagnostic difficulties, particularly when conducting spirography.

Objective: To study the spirography safety in patients with COPD and concomitant IHD after revascularization.

Materials and methods: 65 patients with COPD and IHD after myocardial revascularization were studied, the average age being 65.9±3.9 years.There were 41 men (63.1%), mean age 64.2±4.2 years, and 24 women (36.9%), mean age 67.9±5.7 years. 16 patients underwent coronary artery bypass grafting (CABG), 17- percutaneous revascularization, 32 had postinfarction cardiosclerosis. Spirography and daily ECG monitoring was made to all patients. Frequency of dyspnea, chest pain, palpitation, arrhythmia, heart rate, blood pressure, signs of ischemia and arrhythmia on ECG was evaluated.

Results: 10 patients (15.4%) were found to have complications after spirography. 3 patients (30%) had paroxysm of atrial fibrillation during 6 hours after spirography,2 patients (20%) had supraventricular extrasystole, 6 patients (69%) had disturbances of repolarization of left ventricle. All patients, who were reported to have cardiovascular symptoms, had previously underwent CABG. No relationship between appearance of cardiac symptoms and concomitant arterial hypertension and severity of COPD was found.

Conclusion: The use of spirography is limited in patients with COPD and IHD, particularly after CABG, requiring introduction of reasonable recommendations as to the terms of spirography and contingents of patients.

  • COPD - diagnosis
  • Comorbidities
  • Spirometry
  • Copyright ©the authors 2016
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Frequency of adverse consequences after spirography in patients with chronic obstructive pulmonary disease and concomitant ischemic heart disease
Daria Didenko, Lesya Rasputina, Yuriy Mostovoy, Nataliya Cherepii
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3777; DOI: 10.1183/13993003.congress-2016.PA3777

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Frequency of adverse consequences after spirography in patients with chronic obstructive pulmonary disease and concomitant ischemic heart disease
Daria Didenko, Lesya Rasputina, Yuriy Mostovoy, Nataliya Cherepii
European Respiratory Journal Sep 2016, 48 (suppl 60) PA3777; DOI: 10.1183/13993003.congress-2016.PA3777
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