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[Myocardial Revascularization in Patients With Chronic Ischemic Heart Disease Combined With Chronic Obstructive

V K Zafiraki1, K V Skaletsky1, E D Kosmacheva1

  • 11Kuban State Medical University, Krasnodar, Russia; 2Central Hospital of Oilworkers, Baku, Azerbaijan; 3Scientific and Research Institute of Cardiology and Internal Diseases, Almaty, Kazakhstan.

Kardiologiia
|March 16, 2017
PubMed

Insights

Chronic obstructive pulmonary disease (COPD) significantly impacts coronary artery disease prognosis and outcomes after myocardial revascularization procedures. This review analyzes studies assessing COPD's effect on surgical and interventional cardiac treatments.

Area of Science:

  • Cardiology
  • Pulmonology
  • Clinical Outcomes Research

Background:

  • Coronary artery disease (CAD) and chronic obstructive pulmonary disease (COPD) are prevalent conditions.
  • COPD is increasingly recognized as a significant comorbidity in patients with CAD.
  • The impact of COPD on cardiac procedures requires thorough investigation.

Purpose of the Study:

  • To review and analyze existing studies evaluating COPD as a prognostic factor in patients undergoing myocardial revascularization.
  • To assess the influence of COPD on perioperative risks and long-term outcomes of coronary artery bypass grafting (CABG) and percutaneous coronary interventions (PCI).

Main Methods:

  • Systematic review of literature.
  • Analysis of studies investigating the association between COPD and outcomes of myocardial revascularization.
  • Examination of perioperative complications and long-term results.

Main Results:

  • Accumulated data suggests COPD is a key factor in poor prognosis for CAD patients.
  • COPD may increase perioperative risks associated with CABG and PCI.
  • The presence of COPD can negatively affect long-term outcomes following revascularization procedures.

Conclusions:

  • COPD significantly influences the prognosis of patients with coronary artery disease.
  • Understanding COPD's impact is crucial for managing patients undergoing myocardial revascularization.
  • Further research is warranted to optimize perioperative and long-term care for these patients.

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