Coronary artery disease and heart failure in patients with idiopathic pulmonary fibrosis

The aim of this study was to investigate the prevalence and prognostic value of coronary artery disease (CAD) and heart failure (HF) in patients with idiopathic pulmonary fibrosis (IPF). Thirteen hundred and fifty-eight patients with interstitial lung disease [851 (62%) males, mean age: 68 ± 10 year...

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Veröffentlicht in:Heart and vessels 2021-08, Vol.36 (8), p.1151-1158
Hauptverfasser: Kato, Shingo, Kitamura, Hideya, Hayakawa, Keigo, Fukui, Kazuki, Tabata, Erina, Otoshi, Ryota, Iwasawa, Tae, Utsunomiya, Daisuke, Kimura, Kazuo, Tamura, Kouichi, Ogura, Takashi
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container_title Heart and vessels
container_volume 36
creator Kato, Shingo
Kitamura, Hideya
Hayakawa, Keigo
Fukui, Kazuki
Tabata, Erina
Otoshi, Ryota
Iwasawa, Tae
Utsunomiya, Daisuke
Kimura, Kazuo
Tamura, Kouichi
Ogura, Takashi
description The aim of this study was to investigate the prevalence and prognostic value of coronary artery disease (CAD) and heart failure (HF) in patients with idiopathic pulmonary fibrosis (IPF). Thirteen hundred and fifty-eight patients with interstitial lung disease [851 (62%) males, mean age: 68 ± 10 years] were retrospectively analyzed. CAD was defined as (1) the presence of a clinical diagnosis of angina pectoris, (2) clinical diagnosis of a myocardial infarction, and (3) coronary angiography showing ≥ 1 vessel with a stenosis of > 75%. The definition of HF was made according to the modified Framingham criteria. Compared to the non-IPF group ( n  = 790), the IPF group ( n  = 568) had a significantly higher prevalence of CAD (9.3% vs. 4.4%, p  
doi_str_mv 10.1007/s00380-021-01787-1
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Thirteen hundred and fifty-eight patients with interstitial lung disease [851 (62%) males, mean age: 68 ± 10 years] were retrospectively analyzed. CAD was defined as (1) the presence of a clinical diagnosis of angina pectoris, (2) clinical diagnosis of a myocardial infarction, and (3) coronary angiography showing ≥ 1 vessel with a stenosis of &gt; 75%. The definition of HF was made according to the modified Framingham criteria. Compared to the non-IPF group ( n  = 790), the IPF group ( n  = 568) had a significantly higher prevalence of CAD (9.3% vs. 4.4%, p  &lt; 0.001) and HF (8.2% vs. 3.7%, p  &lt; 0.001). During a median follow-up of 1.6 years, 152 deaths were identified. The patients with HF had a significantly worse prognosis than those without HF both in the non-IPF group and IPF group (both p  &lt; 0.05). However, the prognosis did not significantly differ between the patients with CAD and those without CAD both in the non-IPF group and IPF group. The presence of HF was an independent predictor of death in the IPF [hazard ratio (HR) 3.67, 95% confidence interval (CI) 1.57–8.56, p  = 0.0025] and non-IPF (HR 5.07, 95% CI 1.44–17.86, p  = 0.011) patients. The prevalence of CAD and HF was significantly higher in IPF than non-IPF patients. In addition, the presence of HF was a significant prognostic factor for both IPF and non-IPF patients. 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Thirteen hundred and fifty-eight patients with interstitial lung disease [851 (62%) males, mean age: 68 ± 10 years] were retrospectively analyzed. CAD was defined as (1) the presence of a clinical diagnosis of angina pectoris, (2) clinical diagnosis of a myocardial infarction, and (3) coronary angiography showing ≥ 1 vessel with a stenosis of &gt; 75%. The definition of HF was made according to the modified Framingham criteria. Compared to the non-IPF group ( n  = 790), the IPF group ( n  = 568) had a significantly higher prevalence of CAD (9.3% vs. 4.4%, p  &lt; 0.001) and HF (8.2% vs. 3.7%, p  &lt; 0.001). During a median follow-up of 1.6 years, 152 deaths were identified. The patients with HF had a significantly worse prognosis than those without HF both in the non-IPF group and IPF group (both p  &lt; 0.05). However, the prognosis did not significantly differ between the patients with CAD and those without CAD both in the non-IPF group and IPF group. 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Thirteen hundred and fifty-eight patients with interstitial lung disease [851 (62%) males, mean age: 68 ± 10 years] were retrospectively analyzed. CAD was defined as (1) the presence of a clinical diagnosis of angina pectoris, (2) clinical diagnosis of a myocardial infarction, and (3) coronary angiography showing ≥ 1 vessel with a stenosis of &gt; 75%. The definition of HF was made according to the modified Framingham criteria. Compared to the non-IPF group ( n  = 790), the IPF group ( n  = 568) had a significantly higher prevalence of CAD (9.3% vs. 4.4%, p  &lt; 0.001) and HF (8.2% vs. 3.7%, p  &lt; 0.001). During a median follow-up of 1.6 years, 152 deaths were identified. The patients with HF had a significantly worse prognosis than those without HF both in the non-IPF group and IPF group (both p  &lt; 0.05). However, the prognosis did not significantly differ between the patients with CAD and those without CAD both in the non-IPF group and IPF group. The presence of HF was an independent predictor of death in the IPF [hazard ratio (HR) 3.67, 95% confidence interval (CI) 1.57–8.56, p  = 0.0025] and non-IPF (HR 5.07, 95% CI 1.44–17.86, p  = 0.011) patients. The prevalence of CAD and HF was significantly higher in IPF than non-IPF patients. In addition, the presence of HF was a significant prognostic factor for both IPF and non-IPF patients. These results indicated that the importance of HF as a comorbidity for patients with ILD.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>33486554</pmid><doi>10.1007/s00380-021-01787-1</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-7545-0669</orcidid></addata></record>
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source SpringerLink Journals
subjects Angina
Angina pectoris
Angiography
Biomedical Engineering and Bioengineering
Blood vessels
Cardiac Surgery
Cardiology
Cardiovascular disease
Confidence intervals
Congestive heart failure
Coronary artery
Coronary artery disease
Coronary vessels
Diagnosis
Fibrosis
Heart failure
Lung diseases
Medicine
Medicine & Public Health
Myocardial infarction
Original Article
Prognosis
Pulmonary fibrosis
Stenosis
Vascular Surgery
title Coronary artery disease and heart failure in patients with idiopathic pulmonary fibrosis
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