Association between Chronic Obstructive Pulmonary Disease and Coronary Artery Disease
IOSR Journal of Dental and Medical Sciences
Both Chronic obstructive pulmonary disease (COPD) and coronary artery disease (CAD) are global epidemics, each affecting in excess of 10 million patients. Both conditions co-exist at different rates and incur significant morbidity and mortality, and present major challenges to healthcare providers. In the developing world the prevalence of CAD is increasing but the prevalence of COPD is unknown. This study was designed to estimate the proportion of patients with CAD who have concomitant COPD
... concomitant COPD and identify factors that may increase the likelihood of COPD in CAD patients. Materials and Methods: A cross sectional study that included 100 consecutive patients of CHD attending the Medicine OPD of the LTMMC Sion and BYL Nair hospital fulfilling the inclusion and exclusion criteria were selected for study. All the patients underwent spirometry using an electronic spirometer. COPD was diagnosed using GOLD classification. Results were analysed using SPSS ver. 19. Results: The mean age (SD) of study subjects was 48.3 (7.7) years. Of the 100 patients; 19 had COPD as per the GOLD classification. COPD was significantly more among patients with severe cardiac dysfunction, smokers and age above 60 years (p < 0.01). Conclusion: In this group of patients with CAD about one in five has concomitant COPD. This will have enormous burden on health expenditure in a region where health budgets are already strained by costs of compacting endemic diseases. The prevalence rate we recorded warrants routine screening of all CAD patients for COPD specially those with severe cardiac dysfunction, h/o smoking and elderly.