Prevalence of airflow obstruction in patients attending a rapid access chest pain clinic

Respiratory Medicine
Helen C FrancisTimothy L Frank

Abstract

Many UK hospitals have set-up specialised chest pain clinics to deal promptly and efficiently with cases of possible cardiac chest pain. It is possible that a proportion of patients attending these clinics will have a respiratory cause for their chest pain, or respiratory disease in addition to their cardiac pain. This study aimed to determine the prevalence of airflow obstruction, ischaemic heart disease and dual pathology in such patients. Spirometry was performed on patients referred to a rapid access chest pain clinic over a 12-month period (target population of 400 patients). The main outcome measure was the prevalence of airflow obstruction (defined using spirometry), ischaemic heart disease and dual pathology. 405 subjects participated in the study. Abnormal spirometry was detected in 21% of patients (n=85). Airflow obstruction was the predominant lung function abnormality and was detected in 60 patients. Ischaemic heart disease was diagnosed in 21% of patients (n=85). Dual pathology was found in 4% of patients (n=17). Previous studies have reported a link between impaired lung function and future cardiovascular morbidity and mortality. This study suggests that airflow obstruction is an important alternative differential...Continue Reading

References

Sep 1, 1989·The American Review of Respiratory Disease·F E SpeizerB G Ferris
Sep 1, 1989·The American Review of Respiratory Disease·L H KullerD N Wentworth
Mar 1, 1986·International Journal of Epidemiology·M Krzyzanowski, M Wysocki
Jan 1, 1985·Journal of Chronic Diseases·T H BeatyH A Spurgeon
Sep 1, 1995·American Journal of Respiratory and Critical Care Medicine
Jan 5, 1999·American Journal of Respiratory and Critical Care Medicine·J L HankinsonK B Fedan
Nov 27, 2002·The European Respiratory Journal·J A HardieO Mørkve
Mar 1, 2003·The European Respiratory Journal·A G N AgustíX Busquets
Mar 29, 2003·The European Respiratory Journal·D KissK Sertl
Jun 29, 2004·The European Respiratory Journal·B R CelliUNKNOWN ATS/ERS Task Force
Aug 18, 2004·Lancet·Romain A Pauwels, Klaus F Rabe
Mar 11, 2005·Canadian Journal of Physiology and Pharmacology·Don D Sin, S F Paul Man
Mar 31, 2007·Journal of Cardiac Failure·Thomas P OlsonBruce D Johnson

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Citations

Jun 3, 2021·Chinese Medical Journal·Ling Shen

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