International journal of chronic obstructive pulmonary disease
Holter-Detected Arrhythmias in Acute Exacerbations of COPD: NT-proBNP Correlates and Hypercapnia Associated with COPD-Related Readmission
Par Ding N, Chen J, Qiu W et 4 autres.
Contenu en anglais
Résumé
Background
Cardiac arrhythmias are increasingly recognized during acute exacerbations of chronic obstructive pulmonary disease (AECOPD), but their full spectrum and prognostic significance detected by continuous Holter monitoring remain insufficiently characterized.
Methods
We conducted a single-center retrospective cohort study of patients hospitalized for AECOPD between April 2022 and January 2025 who underwent continuous Holter monitoring. Arrhythmias were classified as atrial arrhythmias (AA), atrial fibrillation/flutter (AF/AFL), ventricular arrhythmias (VA), or coexistence of ≥2 arrhythmia types. Multivariable regression models were used to identify factors associated with arrhythmias and clinical outcomes. COPD-related readmission was assessed using Kaplan-Meier and Cox regression analyses.