Arrhythmias & electrophysiology

Implementation of a screening and management pathway for chronic obstructive pulmonary disease in patients with atrial fibrillation

EuropacePublished Prospective implementation study

Authors' conclusion

A COPD care pathway can successfully be embedded in an existing AF outpatient clinic infrastructure, using (micro)spirometry and remote analysis of results.

Study context

Population
Consecutive unselected patients accepted for atrial fibrillation (AF) catheter ablation, screened at the pre-ablation outpatient clinic206 interpretable
Participants
232 participants
Outcome
COPD screening with handheld (micro)spirometry
Methodological detailssingle-centre, consecutive unselected patients, Screening supervised by an AF nurse; remote analysis of results
  • Single-centre
  • Consecutive unselected patients
  • Screening supervised by an AF nurse; remote analysis of results

Main finding

As reported in the abstract

Interpretable spirometry results

206

88.8%

Airflow limitation

47

20.3%

Opted for referral to pulmonologist (of 47)

29

62%

Diagnosis of chronic respiratory disease (chronic obstructive pulmonary disease (COPD) or asthma), of 232

17

7.3%

Observational data: associations, not effects.

Original publication

Implementation of a screening and management pathway for chronic obstructive pulmonary disease in patients with atrial fibrillation. Europace. Published 8 July 2023. doi:10.1093/europace/euad193

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