THE OUTCOMES OF STEMI IN PATIENTS WITH COPD IN KEMEROVO REGION

Abstract

Aim. To study the immediate and long-term outcomes of STEMI in patients with concomitant COPD in Kuzbass. Material and methods. Totally 529 patients with STEMI included. They were divided into 2 groups: 1st — patients with COPD diagnosed before (65 pts., 12,3%), 2nd — patients without COPD (464 pts.— 87,7%). The diagnosis of COPD was verified by anamnesis morbi in outpatient records. At admittance all patients underwent coronary angiography and angioplastic with infarct-depending artery stenting. Laboratory values were assessed by 10-14 days after MI. Results. There was higher prevalence of complicated in-hospital MI course in patients with STEMI and COPD. In-hospital mortality was also higher. After 1 year more endpoints registered for those with COPD. In this group the levels of NT- proBNP at the 10th after MI were higher.

Keywords

• st elevation myocardial infarction
• chronic obstructive pulmonary disease
• comorbidity