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The relationship between chronic obstructive pulmonary disease and transcatheter aortic valve implantation--A systematic review and meta-analysis.
- Source :
-
Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2016 Mar; Vol. 87 Suppl 1, pp. 570-8. Date of Electronic Publication: 2016 Feb 09. - Publication Year :
- 2016
-
Abstract
- Objective: The present study was performed to investigate the relationship between chronic obstructive pulmonary disease (COPD) and transcatheter aortic valve implantation (TAVI).<br />Background: Controversies regarding the relationship between COPD and TAVI have intensified.<br />Methods: A literature review of the PubMed online database was performed, and articles published between January 1, 2002 and March 20, 2015 were analyzed. Random-effect and fixed-effect models were used, depending on the between-study heterogeneity.<br />Results: A total of 28 studies, involving 51,530 patients, were identified in our review. The burden of COPD ranged from 12.5% to 43.4%, and COPD negatively impacted both short-term and long-term all-cause survival (30 days: odds ratio [OR], 1.43, 95% CI, 1.14-1.79; >2 years: hazard ratio [HR], 1.34, 95% CI, 1.12-1.61). COPD was also associated with increased short-term and mid-term cardiac-cause mortality (30 days: OR, 1.29, 95% CI, 1.02-1.64; 1 year: HR: 1.09, 1.02-1.17). Moreover, COPD (OR, 1.97, 95% CI, 1.29-3.0) predicted post-TAVI acute kidney disease. Importantly, chronic kidney disease (CKD) (HR, 1.2, 95% CI, 1.1-1.32) and the distance of the 6 minute walk test (6MWT) (HR, 1.16, 1.06-1.27) predicted TAVI futility in patients with COPD.<br />Conclusion: COPD is common among patients undergoing TAVI, and COPD impacts both short- and long-term survival. COPD patients, who had a lower BMI, shorter distance of 6MWT and CKD, were at higher risk for TAVI futility.<br /> (© 2016 Wiley Periodicals, Inc.)
- Subjects :
- Acute Kidney Injury epidemiology
Aged, 80 and over
Aortic Valve Stenosis diagnosis
Aortic Valve Stenosis mortality
Body Mass Index
Cardiac Catheterization instrumentation
Cardiac Catheterization mortality
Chi-Square Distribution
Comorbidity
Exercise Test
Exercise Tolerance
Female
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation instrumentation
Heart Valve Prosthesis Implantation mortality
Humans
Logistic Models
Lung physiopathology
Male
Multivariate Analysis
Odds Ratio
Prevalence
Pulmonary Disease, Chronic Obstructive diagnosis
Pulmonary Disease, Chronic Obstructive mortality
Pulmonary Disease, Chronic Obstructive physiopathology
Renal Insufficiency, Chronic epidemiology
Risk Factors
Severity of Illness Index
Time Factors
Treatment Outcome
Walking
Aortic Valve Stenosis therapy
Cardiac Catheterization methods
Heart Valve Prosthesis Implantation methods
Pulmonary Disease, Chronic Obstructive epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1522-726X
- Volume :
- 87 Suppl 1
- Database :
- MEDLINE
- Journal :
- Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
- Publication Type :
- Academic Journal
- Accession number :
- 26856312
- Full Text :
- https://doi.org/10.1002/ccd.26443