Background
Patients with chronic obstructive pulmonary disease (COPD) often present with pulmonary hypertension and right ventricular dysfunction. The impact of the reduction in cardiac reserve imposed by COPD on outcome in patients with acute MI is unclear. The present study evaluated the impact of COPD on hemodynamics and outcome of acute MI patients.
Methods
The in-hospital outcome in 3249 consecutive patients with acute MI who underwent emergent PCI was analyzed, 365 patients with known coexistent COPD and 2884 patients without COPD. The clinical presentation, hemodynamics, and in-hospital outcome were compared. A composite of cardiogenic shock or death was considered to equate to hemodynamic status of these patients.
Methods
The in-hospital outcome in 3249 consecutive patients with acute MI who underwent emergent PCI was analyzed, 365 patients with known coexistent COPD and 2884 patients without COPD. The clinical presentation, hemodynamics, and in-hospital outcome were compared. A composite of cardiogenic shock or death was considered to equate to hemodynamic status of these patients.
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