Chronic obstructive pulmonary disease and periprocedural complications in patients undergoing percutaneous coronary interventions
The relationship between chronic obstructive pulmonary disease (COPD) and periprocedural complications of percutaneous coronary interventions (PCIs) is influenced by several factors. We aimed to investigate the association between COPD, its complication type and rate in patients undergoing PCI. Data...
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| creator | Januszek, Rafał Dziewierz, Artur Siudak, Zbigniew Rakowski, Tomasz Dudek, Dariusz Bartuś, Stanisław |
| description | The relationship between chronic obstructive pulmonary disease (COPD) and periprocedural complications of percutaneous coronary interventions (PCIs) is influenced by several factors. We aimed to investigate the association between COPD, its complication type and rate in patients undergoing PCI.
Data were prospectively collected using the Polish Cardiovascular Intervention Society national registry (ORPKI) on all PCIs performed in Poland between January 2015 and December 2016. COPD was present in 5,594 of the 221,187 patients undergoing PCI. We assessed the frequency and predictors of periprocedural complications in PCI.
Patients with COPD were elder individuals (70.3 ± 9.9 vs. 67 ± 10.8 years; p < 0.05). We noted 145 (2.6%) periprocedural complications in the COPD group and 4,121 (1.9%) in the non-COPD group (p < 0.001). The higher incidence of periprocedural complications in the COPD patients was mainly attributed to cardiac arrest (p = 0.001), myocardial infarctions (p = 0.002) and no-reflows (p < 0.001). COPD was not an independent predictor of all periprocedural complications. On the other hand, COPD was found to be an independent predictor of increased no-reflow risk (odds ratio [OR] 1.447, 95% CI 1.085-1.929; p = 0.01), and at the same time, of decreased risk of periprocedural allergic reactions (OR 0.117, 95% CI 0.016-0.837; p = 0.03).
In conclusion, periprocedural complications of PCIs are more frequent in patients with COPD. COPD is an independent positive predictor of no-reflow and a negative predictor of periprocedural allergic reactions. |
| doi_str_mv | 10.1371/journal.pone.0204257 |
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Data were prospectively collected using the Polish Cardiovascular Intervention Society national registry (ORPKI) on all PCIs performed in Poland between January 2015 and December 2016. COPD was present in 5,594 of the 221,187 patients undergoing PCI. We assessed the frequency and predictors of periprocedural complications in PCI.
Patients with COPD were elder individuals (70.3 ± 9.9 vs. 67 ± 10.8 years; p < 0.05). We noted 145 (2.6%) periprocedural complications in the COPD group and 4,121 (1.9%) in the non-COPD group (p < 0.001). The higher incidence of periprocedural complications in the COPD patients was mainly attributed to cardiac arrest (p = 0.001), myocardial infarctions (p = 0.002) and no-reflows (p < 0.001). COPD was not an independent predictor of all periprocedural complications. On the other hand, COPD was found to be an independent predictor of increased no-reflow risk (odds ratio [OR] 1.447, 95% CI 1.085-1.929; p = 0.01), and at the same time, of decreased risk of periprocedural allergic reactions (OR 0.117, 95% CI 0.016-0.837; p = 0.03).
In conclusion, periprocedural complications of PCIs are more frequent in patients with COPD. COPD is an independent positive predictor of no-reflow and a negative predictor of periprocedural allergic reactions.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0204257</identifier><identifier>PMID: 30273363</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Allergic reactions ; Angioplasty ; Balloon angioplasty ; Biology and Life Sciences ; Cardiac arrest ; Cardiology ; Cardiovascular disease ; Chronic obstructive lung disease ; Chronic obstructive pulmonary disease ; Complications ; Complications and side effects ; Coronary vessels ; Demographic aspects ; Gender ; Heart attacks ; Hospitals ; Hypersensitivity ; Intervention ; Lung diseases ; Medicine and Health Sciences ; Mortality ; Obstructive lung disease ; Patient outcomes ; Patients ; Risk factors ; Stents ; Stroke</subject><ispartof>PloS one, 2018-10, Vol.13 (10), p.e0204257-e0204257</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Januszek et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2018 Januszek et al 2018 Januszek et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c585t-8f75968fcc14910d97ecc2aac0de8e13400fd8fac4df8ca3d0d0f10e45f2e6103</citedby><cites>FETCH-LOGICAL-c585t-8f75968fcc14910d97ecc2aac0de8e13400fd8fac4df8ca3d0d0f10e45f2e6103</cites><orcidid>0000-0002-6591-1919</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166928/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6166928/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79569,79570</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30273363$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Januszek, Rafał</creatorcontrib><creatorcontrib>Dziewierz, Artur</creatorcontrib><creatorcontrib>Siudak, Zbigniew</creatorcontrib><creatorcontrib>Rakowski, Tomasz</creatorcontrib><creatorcontrib>Dudek, Dariusz</creatorcontrib><creatorcontrib>Bartuś, Stanisław</creatorcontrib><title>Chronic obstructive pulmonary disease and periprocedural complications in patients undergoing percutaneous coronary interventions</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>The relationship between chronic obstructive pulmonary disease (COPD) and periprocedural complications of percutaneous coronary interventions (PCIs) is influenced by several factors. We aimed to investigate the association between COPD, its complication type and rate in patients undergoing PCI.
Data were prospectively collected using the Polish Cardiovascular Intervention Society national registry (ORPKI) on all PCIs performed in Poland between January 2015 and December 2016. COPD was present in 5,594 of the 221,187 patients undergoing PCI. We assessed the frequency and predictors of periprocedural complications in PCI.
Patients with COPD were elder individuals (70.3 ± 9.9 vs. 67 ± 10.8 years; p < 0.05). We noted 145 (2.6%) periprocedural complications in the COPD group and 4,121 (1.9%) in the non-COPD group (p < 0.001). The higher incidence of periprocedural complications in the COPD patients was mainly attributed to cardiac arrest (p = 0.001), myocardial infarctions (p = 0.002) and no-reflows (p < 0.001). COPD was not an independent predictor of all periprocedural complications. On the other hand, COPD was found to be an independent predictor of increased no-reflow risk (odds ratio [OR] 1.447, 95% CI 1.085-1.929; p = 0.01), and at the same time, of decreased risk of periprocedural allergic reactions (OR 0.117, 95% CI 0.016-0.837; p = 0.03).
In conclusion, periprocedural complications of PCIs are more frequent in patients with COPD. COPD is an independent positive predictor of no-reflow and a negative predictor of periprocedural allergic reactions.</description><subject>Allergic reactions</subject><subject>Angioplasty</subject><subject>Balloon angioplasty</subject><subject>Biology and Life Sciences</subject><subject>Cardiac arrest</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Chronic obstructive lung disease</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Complications</subject><subject>Complications and side effects</subject><subject>Coronary vessels</subject><subject>Demographic aspects</subject><subject>Gender</subject><subject>Heart attacks</subject><subject>Hospitals</subject><subject>Hypersensitivity</subject><subject>Intervention</subject><subject>Lung diseases</subject><subject>Medicine and Health Sciences</subject><subject>Mortality</subject><subject>Obstructive lung disease</subject><subject>Patient 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obstructive pulmonary disease and periprocedural complications in patients undergoing percutaneous coronary interventions</title><author>Januszek, Rafał ; Dziewierz, Artur ; Siudak, Zbigniew ; Rakowski, Tomasz ; Dudek, Dariusz ; Bartuś, Stanisław</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c585t-8f75968fcc14910d97ecc2aac0de8e13400fd8fac4df8ca3d0d0f10e45f2e6103</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Allergic reactions</topic><topic>Angioplasty</topic><topic>Balloon angioplasty</topic><topic>Biology and Life Sciences</topic><topic>Cardiac arrest</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Chronic obstructive lung disease</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Complications</topic><topic>Complications and side effects</topic><topic>Coronary vessels</topic><topic>Demographic aspects</topic><topic>Gender</topic><topic>Heart attacks</topic><topic>Hospitals</topic><topic>Hypersensitivity</topic><topic>Intervention</topic><topic>Lung diseases</topic><topic>Medicine and Health Sciences</topic><topic>Mortality</topic><topic>Obstructive lung disease</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Risk factors</topic><topic>Stents</topic><topic>Stroke</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Januszek, Rafał</creatorcontrib><creatorcontrib>Dziewierz, Artur</creatorcontrib><creatorcontrib>Siudak, Zbigniew</creatorcontrib><creatorcontrib>Rakowski, Tomasz</creatorcontrib><creatorcontrib>Dudek, Dariusz</creatorcontrib><creatorcontrib>Bartuś, Stanisław</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology 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interventions</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2018-10-01</date><risdate>2018</risdate><volume>13</volume><issue>10</issue><spage>e0204257</spage><epage>e0204257</epage><pages>e0204257-e0204257</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>The relationship between chronic obstructive pulmonary disease (COPD) and periprocedural complications of percutaneous coronary interventions (PCIs) is influenced by several factors. We aimed to investigate the association between COPD, its complication type and rate in patients undergoing PCI.
Data were prospectively collected using the Polish Cardiovascular Intervention Society national registry (ORPKI) on all PCIs performed in Poland between January 2015 and December 2016. COPD was present in 5,594 of the 221,187 patients undergoing PCI. We assessed the frequency and predictors of periprocedural complications in PCI.
Patients with COPD were elder individuals (70.3 ± 9.9 vs. 67 ± 10.8 years; p < 0.05). We noted 145 (2.6%) periprocedural complications in the COPD group and 4,121 (1.9%) in the non-COPD group (p < 0.001). The higher incidence of periprocedural complications in the COPD patients was mainly attributed to cardiac arrest (p = 0.001), myocardial infarctions (p = 0.002) and no-reflows (p < 0.001). COPD was not an independent predictor of all periprocedural complications. On the other hand, COPD was found to be an independent predictor of increased no-reflow risk (odds ratio [OR] 1.447, 95% CI 1.085-1.929; p = 0.01), and at the same time, of decreased risk of periprocedural allergic reactions (OR 0.117, 95% CI 0.016-0.837; p = 0.03).
In conclusion, periprocedural complications of PCIs are more frequent in patients with COPD. COPD is an independent positive predictor of no-reflow and a negative predictor of periprocedural allergic reactions.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30273363</pmid><doi>10.1371/journal.pone.0204257</doi><orcidid>https://orcid.org/0000-0002-6591-1919</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Public Library of Science (PLoS) Journals Open Access; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry |
| subjects | Allergic reactions Angioplasty Balloon angioplasty Biology and Life Sciences Cardiac arrest Cardiology Cardiovascular disease Chronic obstructive lung disease Chronic obstructive pulmonary disease Complications Complications and side effects Coronary vessels Demographic aspects Gender Heart attacks Hospitals Hypersensitivity Intervention Lung diseases Medicine and Health Sciences Mortality Obstructive lung disease Patient outcomes Patients Risk factors Stents Stroke |
| title | Chronic obstructive pulmonary disease and periprocedural complications in patients undergoing percutaneous coronary interventions |
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