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