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.
- Copyright ©the authors 2016
