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Endothelial dysfunction and increased platelet reactivity in patients with acute coronary syndrome and undiagnosed COPD: insights into the SCAP trial

Rita Pavasini, Francesco Vieceli dalla Sega, Francesco Gallo, Giulia Passarini, Alberto Papi, Marco Contoli, Gianluca Campo
European Respiratory Journal 2017 50: 1701183; DOI: 10.1183/13993003.01183-2017
Rita Pavasini
1Cardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy
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  • For correspondence: pvsrti@unife.it
Francesco Vieceli dalla Sega
2Laboratorio per le Tecnologie delle Terapie Avanzate (LTTA) Center, Ferrara, Italy
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Francesco Gallo
1Cardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy
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Giulia Passarini
1Cardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy
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Alberto Papi
3Research Centre on Asthma and COPD, Section of Internal and Cardio-Respiratory Medicine, Dept of Medical Sciences, University of Ferrara, Ferrara, Italy
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Marco Contoli
3Research Centre on Asthma and COPD, Section of Internal and Cardio-Respiratory Medicine, Dept of Medical Sciences, University of Ferrara, Ferrara, Italy
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Gianluca Campo
1Cardiovascular Institute, Azienda Ospedaliero-Universitaria di Ferrara, Cona, Italy
2Laboratorio per le Tecnologie delle Terapie Avanzate (LTTA) Center, Ferrara, Italy
4Maria Cecilia Hospital, GVM Care and Research, E.S.: Health Science Foundation, Cotignola, Italy
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Extract

Unknown/undiagnosed chronic obstructive pulmonary disease (UCOPD) frequently coexists and negatively impacts in the short- and long-term prognosis of patients with coronary artery disease (CAD) treated with percutaneous coronary intervention (PCI) [1]. In the Screening for COPD in Acute coronary syndromes Patients (SCAP) trial [2], we recently showed that COPD is frequently undiagnosed in ccute coronary syndrome (ACS) patients with smoking history. Furthermore, we found that a simple screening procedure including peak expiratory flow measurement and respiratory health status questionnaire (RHSQ) might be administered before hospital discharge to discriminate those at risk of UCOPD. In the SCAP study, it was pre-specified that an ancillary analysis aimed to clarify if UCOPD was related to abnormalities in platelet reactivity and endothelial function.

Abstract

Endothelial dysfunction and increased platelet reactivity in acute coronary syndrome with unknown/undiagnosed COPD http://ow.ly/SVEg30eExbK

Acknowledgements

Author contributions are as follows. R. Pavasini is the guarantor of the content of the manuscript, including the data and analysis. R. Pavasini, G. Campo, F. Vieceli dalla Sega: conception, design, analysis and interpretation of data. R. Pavasini, G. Campo, M. Contoli, A. Papi: data analysis and interpretation. All authors: drafting of the manuscript and revising it critically for important intellectual content. All authors: final approval of the manuscript submitted.

Footnotes

  • This study is registered at ClinicalTrials.gov (number: NCT02324660).

  • Conflict of interest: None declared.

  • Received June 14, 2017.
  • Accepted July 4, 2017.
  • Copyright ©ERS 2017
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Endothelial dysfunction and increased platelet reactivity in patients with acute coronary syndrome and undiagnosed COPD: insights into the SCAP trial
Rita Pavasini, Francesco Vieceli dalla Sega, Francesco Gallo, Giulia Passarini, Alberto Papi, Marco Contoli, Gianluca Campo
European Respiratory Journal Oct 2017, 50 (4) 1701183; DOI: 10.1183/13993003.01183-2017

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Endothelial dysfunction and increased platelet reactivity in patients with acute coronary syndrome and undiagnosed COPD: insights into the SCAP trial
Rita Pavasini, Francesco Vieceli dalla Sega, Francesco Gallo, Giulia Passarini, Alberto Papi, Marco Contoli, Gianluca Campo
European Respiratory Journal Oct 2017, 50 (4) 1701183; DOI: 10.1183/13993003.01183-2017
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