Abstract 11311: Differences in Clinical Characteristics, Management, In-Hospital and 1-Year Outcome Between Acute Heart Failure Patients With Chronic Obstructive Pulmonary Disease/Bronchial Asthma and Those Without This Co-morbidity. Results From the Gulf aCute heArt failuRe rEgistry (gulf Care)
Background: The purpose of this study was to report the prevalence and the significance of clinically recognized chronic obstructive pulmonary disease (COPD) or bronchial asthma among patients hospitalized with acute heart failure (AHF).
Methods: Data were derived from a prospective, multicenter, multinational study of 5005 patients hospitalized with AHF from February 2013 to November 2012. Data were analyzed according to the presence or absence of COPD or bronchial asthma. Demographic, management, in-hospital and 1-year outcomes were compared.
Results: The prevalence of COPD or bronchial asthma was 10%. When compared to non-COPD patients, COPD patients were older and more likely to be female, have diabetes, hypertension, dyslipidemia, chronic kidney disease and sleep apnea requiring therapy; they were less likely to receive monitoring and were at higher risk of developing systemic infections that require antibiotics. And were more likely to be prescribed ivabrdine. There were no significant differences between the two groups in regards β-blockers use. COPD patients were more likely to undergo coronary revascularization and more likely to receive non-invasive ventilator support. Approximately 14.6% of COPD patients presented with atrial fibrillation and they too had higher left ventricular ejection fraction (LVEF) when compared to non-COPD patients.
Conclusion: A large proportion of AHF patients presented with concomitant COPD, had different clinical characteristics/co-morbidities than those with non-COPD, COPD patients had longer hospital stay and a higher one year mortality than non-COPD patients
Author Disclosures: M.A. Al Hashemi: None. K. Sulaiman: None. J. Al-Suwaidi: None. N. Asaad: None. P. Panduranga: None. K.F. AlHabib: None. H. AlFaleh: None. A. Elasfar: None. A. Al-Motarreb: None. W. Almahmeed: None. A. Alsheikh-Ali: None. N. Bazargani: None. M. Ridha: None. B. Bulbanat: None. M. Al-Jarallah: None. H. Amin: None. C. Bollensdorff: None. M. Yacoub: None.
- © 2014 by American Heart Association, Inc.