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International Journal of Respiratory Medicine | Volume 3
LUNG CANCER AND COPD
5th International Congress on
J u n e 2 5 - 2 6 , 2 0 1 8 | A m s t e r d a m , N e t h e r l a n d s
Nade Kochovska Kamchevska et al., Int J Respir Med 2018, Volume 3
ARRHYTHMIAS IN PATIENTS WITH
CHRONIC OBSTRUCTIVE PULMONARY
DISEASE
Nade Kochovska Kamchevska and Buklioska Ilievska D
Institute for Occupational Health of Republic of Macedonia, Macedonia
Introduction: Cardiac supraventricular and ventricular arrhythmias are
common in chronic obstructive pulmonary disease (COPD), especially in
acute exacerbations. Hypoxemia and cardiac autonomic dysfunction which
are present in COPD are important in the development.
Aim: To estimate the prevalence and types of arrhythmias in stable COPD and
their correlation with the severity of the disease.
Material & Methods: Cross-sectional study was conducted in period of two
years in 70 patients with stable COPD diagnosed according to GOLD’s criteria
(Global Initiative for Obstructive Lung Disease). Pulmonary investigation
(spirometry, gas analysis, chest X-ray) and 24 hours holter monitoring with
Schiller ECG Holter Recorder was performed in all subjects.
Results: The most common were atrial pair and atrial premature beats
in 49 (70%), a trial run in 21 (30%), ventricular premature beats 28 (40%),
ventricular couplets 7 (10%), atrial fibrillation in 14 (20%) in COPD patients.
Supraventricular arrhythmias were more frequent as increasing COPD
severity: 30%, 50%, 60%, 70% in GOLD 1,2,3,4, respectively. With chi-square
test we concluded that frequency of ventricular arrhythmias did not correlate
with the severity of the disease and they were detected in 28 (40%) of the
patients. Patients in respiratory acidosis with pH<7.35 had more ventricular
disturbances than those with pH 7.35-7.45.
Conclusion: 24-hour Holter monitoring enhances the possibility of observing
cardiac rhythm and detection of arrhythmias in asymptomatic patients with
COPD.
Nade Kochovska Kamchevska is currently
working at PHI General City Hospital in the De-
partment of Pulmology and Allergology, Paris-
ka Str, 1000 Skopje, Macedonia. She was post
graduated in Centre for Non-specific Pulmonary
Diseases – Oteshevo, R. Macedonia. PHO “neu-
romedica” – Skopje, R. Macedonia.
BIOGRAPHY