TY - JOUR
T1 - Airflow limitation in patients with heart failure: Prevalence and associated factors
AU - Muñoz-Ferrer, Aida
AU - Rodriguez-Pons, Laura
AU - Garcia-Olivé, Ignasi
AU - Lupón, Josep
AU - de Antonio, Marta
AU - Domingo, Mar
AU - Moliner, Pedro
AU - Zamora, Elisabet
AU - Santiago, Evelyn
AU - Bayes-Genis, Antoni
AU - Abad, Jorge
PY - 2019/9/13
Y1 - 2019/9/13
N2 - © 2018 Elsevier España, S.L.U. Background: Chronic obstructive pulmonary disease and heart failure (HF) are 2 diseases with high morbidity and mortality. The coexistence of these two diseases is estimated to be frequent, but has been poorly studied. Aim: To study the prevalence of airflow limitation in a sample of patients diagnosed with HF in follow-up in an HF unit and to assess their characteristics and comorbidities. Methods: This is a prospective observational study. The patients who visited the HF Unit of the Hospital Universitari Germans Trias i Pujol between January 2014 and June 2015 were included consecutively. Respiratory functional tests were performed and clinical data were obtained. Results: 118 patients were included in the study (age 67.2 years, 77.1% men). The prevalence of non-reversible airflow obstruction was 36.4%, with an underdiagnosis percentage of 67.4%. Patients with airflow limitation had an increase in comorbidities, but no worse prognosis. Conclusion: The prevalence of airflow limitation in patients with HF is high, with a significant degree of underdiagnosis. It seems reasonable to recommend performing a screening spirometry in these patients.
AB - © 2018 Elsevier España, S.L.U. Background: Chronic obstructive pulmonary disease and heart failure (HF) are 2 diseases with high morbidity and mortality. The coexistence of these two diseases is estimated to be frequent, but has been poorly studied. Aim: To study the prevalence of airflow limitation in a sample of patients diagnosed with HF in follow-up in an HF unit and to assess their characteristics and comorbidities. Methods: This is a prospective observational study. The patients who visited the HF Unit of the Hospital Universitari Germans Trias i Pujol between January 2014 and June 2015 were included consecutively. Respiratory functional tests were performed and clinical data were obtained. Results: 118 patients were included in the study (age 67.2 years, 77.1% men). The prevalence of non-reversible airflow obstruction was 36.4%, with an underdiagnosis percentage of 67.4%. Patients with airflow limitation had an increase in comorbidities, but no worse prognosis. Conclusion: The prevalence of airflow limitation in patients with HF is high, with a significant degree of underdiagnosis. It seems reasonable to recommend performing a screening spirometry in these patients.
KW - Airflow limitation
KW - Chronic obstructive pulmonary disease
KW - Comorbidity
KW - Heart failure
KW - Prevalence
KW - Prognosis
U2 - 10.1016/j.medcli.2018.11.016
DO - 10.1016/j.medcli.2018.11.016
M3 - Article
C2 - 30616915
VL - 153
SP - 191
EP - 195
ER -