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Profile of Cardiovascular Disease Patients Who are Diagnosed with COPD in a Smoking-Cessation Unit

Juan A Riesco1, María Hidalgo2, David Chipayo3

  • 1Pulmonology Department, CIBER de Enfermedades Respiratorias (CIBERES), University Hospital of Cáceres, Cáceres, Spain. jantonio.riesco@gmail.com.

Advances in Therapy
|June 27, 2020
PubMed

Insights

Four in ten patients with cardiovascular disease (CVD) also have chronic obstructive pulmonary disease (COPD). Smoking cessation units help identify COPD in these patients, with factors like dyspnea and heart failure being significant indicators.

Area of Science:

  • Pulmonology
  • Cardiology
  • Internal Medicine

Background:

  • Cardiovascular diseases (CVD) and chronic obstructive pulmonary disease (COPD) share prevalence and risk factors, often co-occurring in patients.
  • Identifying COPD in CVD patients is crucial for comprehensive management.

Purpose of the Study:

  • To determine the prevalence of COPD among patients with CVD referred to a smoking cessation unit.
  • To analyze the demographic and clinical characteristics of these patients.
  • To identify independent factors associated with COPD in this population.

Main Methods:

  • An observational, prospective study was conducted.
  • 132 patients with smoking habits and CVD were recruited from a smoking cessation unit.
  • Data were collected between October 2015 and March 2017.

Main Results:

  • COPD was diagnosed in 58 patients (43.9%).
  • Significant independent factors associated with COPD included pack-years, reduced forced expiratory volume, chronic heart failure, and modified Medical Research Council (mMRC) dyspnea score.
  • Common CVDs included ischemic heart disease, chronic heart failure, peripheral arterial disease, and atrial fibrillation.

Conclusions:

  • Approximately 40% of CVD patients in smoking cessation units have undiagnosed COPD.
  • Dyspnea, airflow limitation, smoking history, and chronic heart failure are key indicators for COPD in CVD patients.
  • Smoking cessation units serve as valuable settings for COPD diagnosis and management in this cohort.
Abstract

Keywords:
COPDCardiovascular diseasePatientsProfile

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