Diagnosis of myocardial infarction following hospitalisation for exacerbation of COPD
Population
242 patients aged ≥ 40 years hospitalized with acute exacerbation of COPD and ≥ 10 pack-years of cigarette…
Design
Case_series
Authors
Discussion
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Member takes
Implication
Supports cardiac evaluation in COPD exacerbations; hypothesis-generating for routine troponin screening before practice change.
Structured PICO
P
Population
242 patients aged ≥ 40 years hospitalized with acute exacerbation of COPD and ≥ 10 pack-years of cigarette smoking. Mean age 69 ± 9 years, 45% male. Excluded if primary presenting complaint was chest pain or if they had an alternative diagnosis.
O
Outcome
Prevalence of myocardial infarction fulfilling the 2007 Universal Definition of Myocardial Infarctionhard clinical
Approximately 1 in 12 patients hospitalized for COPD exacerbation meet the criteria for myocardial infarction, highlighting a high prevalence of concurrent cardiac events in this population.
Cite This Study
McAllister et al. (2012) studied this question.