Is it necessary to measure the respiratory function in patients with chronic heart failure?
E.V. KHAZOVA, O.V. BULASHOVA, V.N. OSLOPOV, M.I. MALKOVA, А.А. NASYBULLINA, V.M. GAZIZYANOVA
Kasan State Medical University, 49 Butlerov Str., Kazan, Russian Federation, 420012
Khazova E.V. — Cand. Med. Sc., Associate Professor of the Department of Propedeutics of Internal Diseases, tel. +7-905-313-97-10, e-mail: hazova_elena@mail.ru
Bulashova O.V. — D. Med. Sc., Professor of the Department of Propedeutics of Internal Diseases, tel. (843) 296-14-03, e-mail: boulashova@yandex.ru
Oslopov V.N. — D. Med. Sc., Professor of the Department of Propedeutics of Internal Diseases, tel. +7-905-316-25-35, e-mail: kpvbol@yandex.ru
Malkova M.I. — Cand. Med. Sc., Assistant Lecturer of the Department of Propedeutics of Internal Diseases, tel. +7-960-051-61-16, e-mail: marimalk@yandex.ru
Nasybullina А.А. — Cand. Med. Sc., Assistant Lecturer of the Department of Propedeutics of Internal Diseases, tel. +7-987-267-25-59, e-mail: almed-89@mail.ru
Gazizyanova V.M. — post-graduate student of the Department of Propedeutics of Internal Diseases, tel. +7-927-037-73-41, e-mail: violettakoshka2006@rambler.ru
The paper presents a review literature on the feasibility of conducting spirometry in patients with chronic heart failure (CHF). The respiratory function is considered to be a universal prognostic marker in patients with both pulmonological and cardiological diseases. In patients with CHF, the secondary pulmonary hypertension increases the probability of ventilation disorders, both restrictive and obstructive. The article presents the data on changes in spirometry parameters in CHF patients, including those depending on the condition of the left ventricular ejection function (LVEF). According to the multivariate analysis, the negative dynamics of the ForcedExpiratoryVolume-time (FEVt) parameter in patients with lower than 45% LVEF may indicate a reduced 5-year survival rate (p = 0.004). A number of studies show that airway obstruction in patients with heart failure is a dynamic phenomenon, and is often resolved after compensating the cardiac activity.
Key words: chronic heart failure, respiratory function, spirometry.
REFERENCES
- Fomin I.V. Chronic heart failure in the Russian Federation: what do we know today and what should we do? Russian Cardiology Journal, 2016, no 8, pp. pp. 7-13. .(in Russ.).
- Koziolova N.A., Nikonova Yu.N., Shilova Ya.E., Agafonov A.V., Polyanskaya E.A. Characteristics of chronic heart failure in the background of a permanent form of atrial fibrillation Journal of Heart Failure, 2013, no. 14 (1) , pp. P.14-21 (in Russ.).
- Schunemann H.J., Dorn J., Grant BJB, Winkelstein W., Trevisan M. Pulmonary function is a long-term predictor of mortality in the general population 29-year follow-up of the Buffalo Health Study. Chest, 2000, no.118(3) , pp. 656-64
- Polikutina O.M., Slepinina Yu.S., Bazdyrev E.D., Karetnikova V.N. Function of the lungs and cardiovascular diseases Siberian Medical Journal (Irkutsk),2012, no. 112 (5), pp. 14-18.(in Russ.).
- Hawkins N.M., Huang Z., Pieper K.S. et al. Chronic obstructive pulmonary disease is an independent predictor of death but not atherosclerotic events in patients with myocardial infarction: analysis of the Valsartan in Acute Myocardial Infarction trial (VALIANT) European Journal of heart failure, 2009, no.11, pp. 292-298
- Iversen K.K., Kjaergaard J., Akkan D., Kober L., Torp-Pedersen C., Hassager C., Vestbo J., Kjoller E. The prognostic importance of lung function in patients admitted with heart failure.; ECHOS Lung Function Study Group Eur J Heart Fail., 2010. no. 12(7) , pp. 685-91.
- Bokarev I.N., Aksenov M.B., Velikanov V.K. Cardiac insufficiency acute and chronic, 2006, pp. 17- 46.
- Zakharova N.O., Pustovalova O.V. Remodeling of the Microvasculature and Respiratory Function in Geriatric Patients with Coronary Heart Disease with Old Myocardial Infarctions Advances in gerontology, 2014, no. 4(2) , pp. 140-144
- Hryniewiecki T., Rawczyńska-Englert I., Malinowski R., Gutkowski P. Analysis of airway function in patients with mitral valve disease in various stages of progression [in Polish]. Przegl Lek, 1999, no. 56(4), pp. 270-275.
- Kee K., Naughton M.T. Heart failure and the lung. Circ J., 2010, no. 74(12), pp. 2507-2516.
- Shilov A.M., Melnik M.V., Chubarov M.V. Infringements of function of external respiration at patients with a chronic heart failure RMJ, 2004, no. 15, pp. 9-12. (in Russ.).
- Voronkov L.G. Chronic heart failure and chronic obstructive pulmonary disease. Sertseva deficiency, 2010, no. 1, pp. 12-19.
- Hawkins N.M., Petrie M.C., Jhund P.S. et al. Heart failure and chronic obstructive pulmonary disease: diagnosis pitfalls and epidemiology Eur J Heart Fail, 2009, no 11(2), pp. 130–139 (in Russ.).
- Dimopoulou I, Daganou M, Tsintzas OK, Tzelepis GE. Effects of severity of long-standing congestive heart failure on pulmonary function. Respir Med., 1998, no. 92(12), pp. 1321-1325.
- Morgan J.C., García R.J. The association between COPD and heart failure risk: a review Int J Chron Obstruct Pulmon Dis., 2013, no. 8, 305 p.
- Iversen K.K., Kjaergaard J., Akkan D. et al. Chronic obstructive pulmonary disease in patients admitted with heart failure. Journal of Internal Medicine, 2008, no. 264(4), pp. 361–369.
- Koziolova N.A., Masalkina O.V., Kozlova E.V., Surovtseva M.V. Contribution of chronic obstructive pulmonary disease to the restructuring of target organs in patients with arterial hypertension and ischemic heart disease in the presence of chronic heart failure. Journal of Heart Failure, 2017, no. 18 (3) , pp. 201-207.
- Valk M., Broekhuizen B., Mosterd A., Zuithoff N.P.A, Hoes A., Rutten F. COPD in patients with stable heart failure in the primary care setting. International Journal of Chronic Obstructive Pulmonary Disease, 2015, no.10, pp. 1219-1224.
- Hawkins N.M. et al. Primary care burden and treatment of patients with heart failure and chronic obstructive pulmonary disease in Scotland Eur J Heart Fail., 2010, no.12(1) , pp. 17–24 .(in Russ.).
- Plesner L.L, Dalsgaard M., Schou M. et al. The prognostic significance of lung function in stable heart failure outpatients. Clinical Cardiology, 2017, no. 40(11), pp.1145-115.
- Brenner S, Guder G, Berliner D, Deubner N, Frohlich K, Ertl G, Jany B, Angermann CE, Stork S: Airway obstruction in systolic heart failure – COPD or congestion? Int J Cardiol., 2013, no.168, pp. 1910–1916.
- Minasian A.G., van den Elshout F.J., Dekhuijzen P.R., Vos P.J., Willems F.F., van den Bergh PJ, Heijdra Y.F. Serial pulmonary function tests to diagnose COPD in chronic heart failure Translational Respiratory Medicine, 2014, no. 2, pp. 12.