PATTERNS OF ARRHYTHMIAS IN HOSPITALIZED PATIENTS WITH COPD AND THEIR ASSOCIATION WITH DISEASE SEVERITY
Main Article Content
Keywords
Arrhythmias, Chronic obstructive, Pulmonary disease,
Abstract
Introduction
Cardiovascular complications, particularly arrhythmias are quite common in people who are hospitalized with acute exacerbation of COPD. The etiology could be multifactorial, linked with disease activity, therapy-related or due to electrolyte disturbances. The purpose of our study was to assess the pattern of different types of arrhythmias that occur in hospitalized patients with COPD and to study their association with disease severity, particularly in our population.
Methodology
It was a Case control study conducted in the Pulmonology department of Farooq teaching hospital after taking informed consent. A total of 130 patients participated in the study (65 cases and 65 controls). Cardiac monitoring and ECG were used to assess the rhythm. Chi square test for categorical data was used to check the prevalence of arrhythmias and the independent t test for continuous data. A p value of 0.05 or below was taken as statistically significant.
Results
Our study results showed significant prevalence of arrhythmia in patients hospitalized with COPD exacerbation. Out of total, atrial fibrillation was the commonest type noted.
Conclusion
The occurrence of arrhythmia is strongly linked with COPD particularly during exacerbation and the frequency increased with the disease severity.
References
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Zahid Hussain
Senior Registrar Pulmonology, Akhtar Saeed Medical College/Farooq Teaching Hospital, Pakistan
Wajahat Sultan Baig
FCPS Medicine, Assistant Professor Medicine, Wah Medical College / POF Hospital, Pakistan
Muhammad Faisal Bacha
Assistant Professor Medicine, Akhter Saeed Medical College, Pakistan
Yasir Ahmed
Assistant Professor Department of Pulmonology MTI-KGN / Bannu Medical College, Pakistan
Sidla Rehman
Senior Registrar Pulmonology, Wah Medical College, Pakistan
Ahmed Usman
Senior Registrar Pulmonology, Peshawar Medical College, Pakistan