[Impact of chronic obstructive pulmonary disease on one-year prognosis in patients with ST-segment elevation myocardial infarction].

Autor:	Polikutina OM; Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia., Slepynina YS; Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia., Bazdyrev ED; Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia., Karetnikova VN; Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia., Barbarach OL; Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia.
Jazyk:	ruština
Zdroj:	Terapevticheskii arkhiv [Ter Arkh] 2015; Vol. 87 (9), pp. 52-57.
DOI:	10.17116/terarkh201587952-57
Abstrakt:	Aim: To assess the role of chronic obstructive pulmonary disease (COPD) in the development of unfavorable outcomes of long-term (one-year) prognosis of ST-elevation myocardial infarction (STEMI). Subjects and Methods: A total of 529 patients diagnosed with STEMI and no age limits were examined. Group 1 included 65 (12.3%) patients with previously diagnosed COPD; Group 2 consisted of 464 (87.7%) patients without COPD. One-year prognosis was studied in 384 (81.5%) patients. The investigators evaluated the following endpoints: evolving recurrent myocardial infarction (MI), progressive angina pectoris, decompensated chronic heart failure (CHF), repeat percutaneous coronary interventions, stroke, and death. Results: The prevalence of COPD was 12.3% in the patients with STEM]. Unfavorable one-year prognosis was significantly more often registered in the comorbidity group regardless of age, gender, and smoking status. COPD increased the risk of combined endpoints by 1.9 times within a year after MI and that of decompensated CHD by 2.6 times during a year after STEM. Conclusion: COPD may be an independent risk factor for unfavorable outcomes during a year after MI.
Databáze:	MEDLINE
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