Association of chronic obstructive pulmonary disease with coronary artery disease

Bin-Miao Liang1, Zhi-Bo Xu, Qun Yi

  • 1Department of Respiratory Medicine, West China Hospital of Sichuan University, Chengdu, Sichuan 610041, China.

Chinese Medical Journal
|September 17, 2013
PubMed

Insights

Chronic obstructive pulmonary disease (COPD) is more common in patients with coronary artery disease (CAD). COPD is a significant risk factor for multi-vessel CAD, possibly due to systemic inflammation.

Area of Science:

  • Cardiology
  • Pulmonology
  • Medical Imaging

Background:

  • The link between chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD) is not well understood.
  • This study investigates the association between COPD and CAD, particularly multi-vessel disease.

Purpose of the Study:

  • To determine the prevalence of COPD in patients with suspected CAD.
  • To explore the relationship between COPD and the extent of coronary artery disease, specifically multi-vessel disease.

Main Methods:

  • Analysis of multi-detector computed tomography (MDCT) data from 354 patients with suspected CAD.
  • Assessment of serum biochemistry, spirometry, and COPD diagnosis based on Global Initiative for Chronic Obstructive Lung Disease criteria.
  • Definition of luminal narrowing as >= 50% stenosis.

Main Results:

  • Patients with CAD had a significantly higher complication rate of COPD (11.8%) compared to those without CAD (3.7%).
  • COPD patients were more likely to have multi-vessel disease, a history of smoking, and elevated C-reactive protein (CRP).
  • Multivariate analysis showed multi-vessel disease was significantly correlated with COPD (P=0.012) and CRP (P=0.015).

Conclusions:

  • COPD is highly prevalent in patients with CAD and may be a critical risk factor for developing multi-vessel CAD.
  • CAD and COPD are closely associated, with systemic inflammation potentially mediating their relationship.
  • These findings highlight the importance of considering COPD in CAD patients and vice versa.
Abstract

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