Prevalence of undiagnosed COPD in male patients with coronary artery disease: a cross-sectional study in Jordan

International Journal of Chronic Obstructive Pulmonary Disease
Basheer Y KhassawnehYousef Khader

Abstract

COPD and coronary artery disease (CAD) are common chronic diseases with shared risk factors. COPD continues to be largely underdiagnosed and undertreated. We aimed to describe the prevalence and predictors of undiagnosed COPD in Jordanian men with CAD. In a cross-sectional study conducted at a referral center in Jordan, male patients who underwent coronary angiography for suspected CAD and reported $10 pack-year of cigarette smoking were recruited. Pre- and post-bronchodilator spirometry was undertaken for all participants, and COPD was defined as post-bronchodilator FEV1/FVC <70%. The finding of ≥50% coronary luminal narrowing confirmed the presence of CAD. Spirometry was undertaken for 376 men with mean age of 56.02±10.55 years, and 72.6% were active cigarettes smokers with a mean pack-year of 55.89±34.25. A CAD diagnosis was confirmed in 300 (79.8%) men. Spirometric criteria for COPD were met in 76 (15.7%) patients, of whom 91.5% were not previously diagnosed. COPD-related symptoms were common: chronic cough (44.4%), dyspnea (66.2%), and wheezes (27.9%). COPD was more common in patients with (18.0%) compared to patients without (6.6%) CAD (P=0.014). Multivariate logistic regression showed that the risk of COPD was higher in ...Continue Reading

Citations

Nov 23, 2018·Lipids in Health and Disease·Lingling XuanLihong Liu
Feb 24, 2021·Respiratory Medicine·Ferdaous YanguiMohamed Ridha Charfi
Feb 18, 2021·Tuberculosis and Respiratory Diseases·Kartik Deshmukh, Arjun Khanna

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Methods Mentioned

BETA
percutaneous
coronary

Software Mentioned

Statistical Package for Social Sciences software ( SPSS )

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