In patients with COPD both with or without heart failure, AF episodes rise around the time patients are hospitalized for exacerbations, according to a study of medical device data.
This recommendation is based on results of a study of medical records showing that among more than 20,000 hospitalizations for patients with COPD without concurrent burden, and nearly half of these patients had at least an hour of daily AF burden; patients with COPD and concurrent HF had similar daily AF burdens, reported Trent Fischer, MD, MS, senior principal scientist at Medtronic in Minneapolis.
The findings indicated a need for increased vigilance for AF around the time of a serious COPD exacerbation and may explain at least some of the increased risks forFischer and colleagues conducted the study to characterize the AF burden among patients both with and without HF who were hospitalized for acute COPD exacerbation and to determine the temporal relationship between AF and hospitalization.
They identified a total of 20,056 COPD hospitalizations for patients with concurrent HF and 3877 for those without HF. Among patients with HF, the daily average AF burden increased from a baseline of 158 min/d 30 days before an admission to 170 min/d at admission, returning to baseline by 20 days after hospitalization.
COPD - Chronic Obstructive Pulmonary Disease COPD Chronic Obstructive Lung Disease COAD - Chronic Obstructive Airway Disease COAD Atrial Fibrillation AF Afib A-Fib Afib Afib Atrial Fib Atrial Fibrillation (AF) Atrial Fibrillation (A-Fib) AF - Atrial Fibrillation Heart Heart Failure Arrhythmia Biventricular Pacing BIV
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