Mortality associated with the type of heart failure in patients with chronic obstructive pulmonary disease

2016 
Background: Patients with Chronic Obstructive Pulmonary Disease (COPD) have a high prevalence of heart failure (HF). Patients with HF and concurrent COPD have a worse prognostic. However, the impact on the type of HF on mortality is still unclear. Aims: To determine the risk of death according to the type of HF in patients with COPD. Methods: Retrospective cohort study in patients with COPD diagnosis from the Instituto Nacional de Enfermedades Respiratorias “Ismael Cosio Villegas” from 2000 – 2015. A multiple logistic regression was realized in order to evaluate the risk of death according to the type of HF, adjusting the following variables: age, cardiovascular disease (CVD) and nephropathy. Results: 3,250 patients with COPD diagnosis were included, the characteristics between the patients who died (n = 472) and survived (n = 2,778) were the following: age (74.13 ± 10.67 vs 69.32 ± 12.35, p Conclusions: The right heart failure is an independent and important risk factor for mortality in COPD.
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