Abstract
Aim - to determine the course of acute myocardial infarction (AMI) in its onset in patients with chronic obstructive pulmonary disease (COPD) using routine clinical, laboratory and instrumental parameters.
Material and methods. 186 disease histories of patients admitted for urgent indications to Krasnodar Thoracic
Surgery Center were retrospectively analyzed. Group I consisted of 31 patients with acute myocardial infarction and concomitant COPD, group II consisted of 155 patients with AMI only.
Results. In patients with a combination of AMI and COPD atypical variants of AMI starting occurred in
35.5% versus 16.2% in the control group (p=0,02). The class of acute heart failure (AHF) by Killip was higher at the patients with COPD (p=0,02). Moderate correlation between the severity of COPD and AHF class by Killip was found (r =0,54; p=0,002). The AHF class by Killip was significantly higher among the patients with atypical presentation of AMI (p<0,001).
Conclusion. Atypical forms of AMI debut (mainly asthmatic variant) was almost twice more frequent in the
group of patients with COPD. More severe AMI course was registered among the patients with COPD. That
manifested through the increase of AHF incidence and severity by Killip as well as paroxysmal atrial fibrillation incidence increase. AMI severity had moderate direct correlation with COPD severity.
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About the authors
- Zafiraki Vitaliy Konstantinovich, MD, PhD, Associate Professor
- Namitokov Alim Muratovich, Postgraduate
- Kosmacheva Elena Dmitrievna, MD, DM, Chief of Chair
