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[Cardiac arrhythmia in patients with chronic obstructive pulmonary disease]

J M Ramos Rincón1, E Borreguero Martínez, E Calvo Manuel

  • 1Servicio de Medicina Interna I, Hospital Universitario San Carlos, Madrid.

Anales De Medicina Interna (Madrid, Spain : 1984)
|November 1, 1991
PubMed

Insights

Patients with obstructive pulmonary disease (POD) frequently experience cardiac arrhythmia (CA). Theophylline use and severe disease correlate with higher CA incidence, suggesting a role in its development.

Area of Science:

  • Cardiology
  • Pulmonology
  • Clinical Medicine

Context:

  • Retrospective analysis of 101 patients admitted with obstructive pulmonary disease (POD) in 1989.
  • Investigated the correlation between cardiac arrhythmia (CA) and clinical/laboratory parameters.

Purpose:

  • To determine the incidence of cardiac arrhythmia (CA) in patients with obstructive pulmonary disease (POD).
  • To identify factors associated with CA in this patient population.

Summary:

  • 67.3% of patients with POD exhibited cardiac arrhythmia (CA), most commonly sinus tachycardia (54.4%).
  • Higher CA incidence was observed in patients with cardiorespiratory decompensation (71.9%) and severe baseline disease (III/IV, 72.8%).
  • Regular theophylline intake was significantly associated with CA (86%, p<0.01), suggesting a potential role in its etiopathogenesis.

Impact:

  • Highlights the significant prevalence of CA in POD patients.
  • Suggests that cardiorespiratory status and theophylline therapy are important considerations in managing CA in POD.
  • Provides insights into the potential etiopathogenesis of CA in the context of POD and its treatment.

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