INFLUENCE OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE ON THE COURSE AND PROGNOSIS OF PAROXYSMAL ATRIAL FIBRILLATION IN HOSPITALIZED PATIENTS
Purpose. Analysis of risk factors for an unfavorable progress of chronic obstructive pulmonary disease exacerbations associated with paroxysmal rhythm disorders in hospitalized patients. Materials and methods. It is analyzed data of observational retrospective cohort study of 372 hospitalized patients over the age of 35 years with acute diseases of the circulatory system that did not have indications for surgical treatment. The study group included 151 patients with a concomitant exacerbation of chronic obstructive pulmonary disease in the comparison group were included 221 patients. Results. Exacerbation of chronic obstructive pulmonary disease is associated with an increased relative risk of death in patients with acute diseases of the circulatory system. The relative risk of death increases with chronic obstructive pulmonary disease combined with paroxysmal atrial fibrillation on a background of pulmonary hypertension. Age older than 60 years, chronic obstructive pulmonary disease, pulmonary hypertension are associated with an increased relative risk of saving cardiac arrhythmias in patients with paroxysmal atrial fibrillation.