Original Research

Chronic Obstructive Pulmonary Disease in Patients Presenting with Heart Failure

Ayesha Siddiqa1
Scouts Medical Complex Gilgit
Hussain Ibrahim2
Medical Specialist UK
Haadia Haadia3
Cardiology Hospital Quetta
Sobia Latif4
CMH Rawalpindi
Zareen Zareen5
Avecina Hospital Lahore

✉ Correspondence: Ayesha Siddiqa Email: ashu_maz@yahoo.com

DOI https://doi.org/10.70302/jpsim.v4i1.2311
Volume: 4, Issue 1 Pages: 51–55 Published: 13 Feb 2023
Received: 09 Nov 2022 Accepted: 12 Dec 2022 Published Online: 13 Feb 2023

Abstract

Objective

To determine the frequency of chronic obstructive pulmonary disease in patients presenting with Congestive Heart Failure.

Methods

This cross sectional study was undertaken in Department of Internal Medicine, Combined Military Hospital, Lahore, from September 2015 to March 2016. 100 cases fulfilling inclusion criteria were enrolled in study through purposive sampling technique. Pulmonary function test was performed in patients by using spirometry to measure their forced vital capacity (FVC), forced expiratory volume in the first second (FEV1) and FVC to FEV1 ratio. If the levels of spirometry assessment were low, then the patient was labeled as having poor pulmonary function. All the data was entered and analyzed utilizing SPSS version 26.

Results

In this study, the mean age of the patients was 60.31±11.08 years. There were 64(64.0%) males and 36(36.0%) females. The male to female ratio was 1.7:1. The mean values of FVC, FEV1, and FVC/FEV1 ratio of the patients were 80.30±7.26, 59.75±5.99, and 0.75±0.102, respectively. The COPD was observed in 33(33%) patients with CHF. There was no statistically significant difference between the age group and gender with COPD (p>0.05).

Conclusion

The prevalence of COPD is substantial in patients admitted with CHF (33.0%). Therefore, spirometry ought to be done earlier in CHF patients to timely diagnose COPD, if present. So that early and appropriate therapeutic strategies can be planned to improve the prognosis and quality of life in such patients.

Keywords
Chronic Obstructive Pulmonary Disease Spirometry Congestive Heart Failure Forced expiratory volume in the first second Forced Vital Capacity.

How to Cite This Article

Siddiqa A, Ibrahim H, Haadia H, Latif S, Zareen Z. Chronic Obstructive Pulmonary Disease in Patients Presenting with Heart Failure. J Pak Soc Intern Med. 2023;4(1):51–55. doi:10.70302/jpsim.v4i1.2311

⭳ Download PDF

Conflict of Interest

All authors declare no competing interests.

Disclosed in accordance with ICMJE and COPE guidelines.

Funding

No specific funding was received for this research.

Funder information follows the Crossref Funder Registry standard.

References

  1. Hugo MNB, Lum CV, Ebenezer AT, Anastase D, Roger N, Felicité K, et al. Chronic obstructive pulmonary disease in patients with stable heart failure: Prevalence and associated factors. Arch Pumlnol Resp Care. 2020;6(1):090-5.
  2. Groenewegen A, Rutten FH, Mosterd A, Hoes AW. Epidemiology of heart failure. Eur J Heart Fail. 2020;22(8):1342-56.
  3. Virani SS, Alonso A, Aparicio HJ, Benjamin EJ, Bittencourt MS, Callaway CW, et al. Heart disease and stroke statistics—2021 update: a report from the American Heart Association. Circulation. 2021;143(8):e254-e743.
  4. Roger VL. Epidemiology of heart failure: a contemporary perspective. Circ Res. 2021;128(10):1421-34.
  5. Noor L, Adnan Y, Khan SB, Shah SS, Sawar S, Qadoos A, et al. Inpatient burden of heart failure in the cardiology units of tertiary care hospitals in Peshawar. Pak J Physiol. 2012;8(1):3-6.
  6. Hurst JR, Skolnik N, Hansen GJ, Anzueto A, Donaldson GC, Dransfield MT, et al. Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life. Eur J Intern Med. 2020;73:1-6.
  7. Adeloye D, Song P, Zhu Y, Campbell H, Sheikh A, Rudan I, et al. Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis. Lancet Resp Med. 2022;10(5):447-58.
  8. Khan MA, Khan MA, Walley JD, Khan N, Sheikh FI, Ali S, et al. Feasibility of delivering integrated COPD-asthma care at primary and secondary level public healthcare facilities in Pakistan: a process evaluation. BJGP Open. 2019;3(1):1-12.
  9. Tollånes MC, Sjaastad GE, Aarli BB, Sandberg S. Spirometry in chronic obstructive pulmonary disease in Norwegian general practice. BMC Fam Prac. 2020;21(1):1-6.
  10. Hawkins NM, Virani S, Ceconi C. Heart failure and chronic obstructive pulmonary disease: the challenges facing physicians and health services. Eur Heart J. 2013;34(36):2795-807.
  11. Boschetto P, Fucili A, Stendardo M, Malagu M, Parrinello G, Casimirri E, et al. Occurrence and impact of chronic obstructive pulmonary disease in elderly patients with stable heart failure. Respirology. 2013;18(1):125-30.
  12. Hawkins NM, Petrie MC, Jhund PS, Chalmers GW, Dunn FG, McMurray JJ. Heart failure and chronic obstructive pulmonary disease: diagnostic pitfalls and epidemiology. Eur J Heart Fail. 2009;11(2):130-9.
  13. Ostojić J, Pintarić H. Chronic obstructive pulmonary disease and heart failure: closer than close. Acta Clin Croat. 2017;56(2):269-76.
  14. Griffo R, Spanevello A, Temporelli PL, Faggiano P, Carone M, Magni G, et al. Frequent coexistence of chronic heart failure and chronic obstructive pulmonary disease in respiratory and cardiac outpatients: Evidence from SUSPIRIUM, a multicentre Italian survey. Eur J Prev Cardiol. 2017;24(6):567-76.
  15. Kitzman DW, Gardin JM, Gottdiener JS, Arnold A, Boineau R, Aurigemma G, et al. Importance of heart failure with preserved systolic function in patients≥ 65 years of age. Am J Cardiol. 2001;87(4):413-9.
  16. Cuthbert JJ, Kearsley JW, Kazmi S, Kallvikbakka-Bennett A, Weston J, Davis J, et al. The impact of heart failure and chronic obstructive pulmonary disease on mortality in patients presenting with breathlessness. Clin Res Cardiol. 2019;108(2):185-93.
  17. Kitzman DW, Gardin JM, Gottdiener JS, Arnold A, Boineau R, Aurigemma G, et al. Importance of heart failure with preserved systolic function in patients≥ 65 years of age. The American journal of cardiology. 2001;87(4):413-9.
  18. Minasian AG, van den Elshout FJ, Dekhuijzen PR, Vos PJ, Willems FF, van den Bergh PJ, et al. Serial pulmonary function tests to diagnose COPD in chronic heart failure. Translational respiratory medicine. 2014;2(1):12.
  19. Havranek EP, Masoudi FA, Westfall KA, Wolfe P, Ordin DL, Krumholz HM. Spectrum of heart failure in older patients: results from the National Heart Failure project. American heart journal. 2002;143(3):412-7.
  20. Dahlström U. Frequent non‐cardiac comorbidities in patients with chronic heart failure. European journal of heart failure. 2005;7(3):309-16.
  21. Mascarenhas J, Lourenço P, Lopes R, Azevedo A, Bettencourt P. Chronic obstructive pulmonary disease in heart failure. Prevalence, therapeutic and prognostic implications. American heart journal. 2008;155(3):521-5.
  22. Recio-Iglesias J, Grau-Amorós J, Formiga F, Camafort-Babkowski M, Trullàs-Vila J, Rodriguez A. [Chronic obstructive pulmonary disease on inpatients with heart failure. GESAIC study results]. Medicina clinica. 2010;134(10):427-32.
  23. Lainscak M, Hodoscek LM, Düngen H-D, Rauchhaus M, Doehner W, Anker SD, et al. The burden of chronic obstructive pulmonary disease in patients hospitalized with heart failure. Wiener klinische Wochenschrift. 2009;121(9-10):309-13.
  24. Valk MJ, Broekhuizen BD, Mosterd A, Zuithoff NP, Hoes AW, Rutten FH. COPD in patients with stable heart failure in the primary care setting. Int J Chronic Obstr Pulmonol Dis. 2015;10:1219-24.
  25. Iversen K, Kjaergaard J, Akkan D, Kober L, Torp‐Pedersen C, Hassager C, et al. Chronic obstructive pulmonary disease in patients admitted with heart failure. J Intern Med. 2008;264(4):361-9.
  26. Brenner S, Güder G, Berliner D, Deubner N, Fröhlich K, Ertl G, et al. Airway obstruction in systolic heart failure–COPD or congestion? International journal of cardiology. 2013;168(3):1910-6.
  27. Apostolovic S, Jankovic-Tomasevic R, Salinger-Martinovic S, Djordjevic-Radojkovic D, Stanojevic D, Pavlovic M, et al. Frequency and significance of unrecognized chronic obstructive pulmonary disease in elderly patients with stable heart failure. Aging Clin Exp Res. 2011;23(5):337-42.

Reference list indexed for Google Scholar and ResearchGate. DOI links resolve via doi.org.

CC BY CC BY 4.0 This article is published under the Creative Commons Attribution 4.0 International License. May be shared and adapted with attribution. © 2023 Journal of Pakistan Society of Internal Medicine.
📃 In This Issue View All
Original Article Outcomes of Laparoscopic Cholecystectomy in Acute Cholecystitis: A Retrospective Analysis Raza SH, Butt N, Qureshi AM Original Article Impact of Diabetes Mellitus on Post-Operative Wound Healing in General Surgery Siddiqui FA, Noor M, Akhtar W Original Article Neonatal Sepsis: Bacteriological Profile and Antibiogram in a Tertiary Care Hospital Iqbal M, Rashid T Original Article Prevalence of Hypertension Among Urban Adults in Pakistan: A Cross-Sectional Study Khan TM, Ahmed S, Malik RA Review Article Antibiotic Resistance Patterns in Community-Acquired Pneumonia: Emerging Trends Hussain I, Farooq Z
👥 More by These Authors
Original Article Comparison of Ultrasound-Guided versus Landmark-Based Central Venous Catheter Insertion Zafar S, Gillani SA Original Article Serum Ferritin as a Prognostic Marker in COVID-19 Severity: A Hospital-Based Study Rehman N, Sheikh I, Javed K Review Article Thyroid Disorders in Pregnancy: Clinical Implications and Management Strategies Baig BI, Usman A Original Article Cervical Cancer Screening Awareness Among Rural Women in Punjab Bibi S, Anjum R, Hassan F
🔗 Related Articles By Keywords
Original Article Neonatal Sepsis: Bacteriological Profile and Antibiogram in a Tertiary Care Hospital Iqbal M, Rashid T Original Article Prevalence of Hypertension Among Urban Adults in Pakistan: A Cross-Sectional Study Khan TM, Ahmed S, Malik RA Review Article Antibiotic Resistance Patterns in Community-Acquired Pneumonia: Emerging Trends Hussain I, Farooq Z Review Article Statin Therapy in Non-Alcoholic Fatty Liver Disease: A Systematic Review Nawaz F, Cheema HA, Mehmood Y