AB005. Chronic obstructive pulmonary disease associated with acute cardiac disease

Background: Chronic obstructive pulmonary disease (COPD) is a reversible and treatable disease entity characterized by airflow limitation. There is a familiar relationship of COPD and acute myocardial infarction with high prevalence and mortality percentages. This study is aimed to explore the possible relationship of COPD with acute ischemic diseases, in relation to sex and age, as well as to assess the degree of comorbidity of chronic obstructive pulmonary disease and acute ischemic diseases and conversely.

Methods: It is examined 80 people aged 30 or older of both sexes (40 COPD patients admitted to the pulmonary clinic) and (40 patients with myocardial infarction hospitalized in the cardiology clinic). It is used a self-completed questionnaire consisting of the following parts: COPD Assessment Test, Clinical COPD Questionnaire and EQ-5D Questionnaire Ischemic Disease and Carlson Comorbidity Index. Recorded from medical records if there was previously comorbidity between the two disorders and asked if they are smokers.

Results: Approximately, 6 out of 10 examined had suffered myocardial infarction. More than half of those suffering from COPD and half of them suffered by Myocardial Infarction. The likelihood of developing an ischemic event was a 2,320 higher for patients with COPD, as compared to those who do not suffer from COPD, while the probability of someone suffering from COPD was 1.88 times greater for those who have suffered an ischemic event in than those who had no damage (P<0.05).

Conclusions: It appears that patients with COPD have greater comorbidity compared with patients who suffered myocardial infarction.

Keywords: Chronic obstructive pulmonary disease (COPD); myocardial infarction; acute ischemic diseases