The incidence and significance of chronic obstructive pulmonary disease in patients with myocardial infarction and elevated st segment
Polikutina, O.M.; Slepynina, I.S.; Bazdyrev, E.D.; Katsiuba, M.V.; Karetnikova, V.N.; Barbarash, O.L.
Klinicheskaia Meditsina 91(4): 24-28
2013
ISSN/ISBN: 0023-2149 PMID: 23879049 Document Number: 665715
The aim of this work was to study the clinical picture and outcome of myocardial infarction in patients w'ith elevated STsegment and concomitant COPD. It involved 529 patients. Group I included 65 (12.3%) patients with previously diagnosed COPD. Group 2 was comprised of 464 (87.7%) patients without COPD. The study lasted 1 year. The patients of group 1 were older and smoked more heavily than in group 2. They had a higher clinical class of cardiac failure and more frequently showed reduced (by 40%) left ventricular ejection friction. Also, they required significantly longer hospital treatment, developed more complications, and showed higher inpatient mortality rate. The annual prognosis for them was less favourable than in group 2.