Heart failure and respiratory hospitalizations are reduced in patients with heart failure and chronic obstructive pulmonary disease with the use of an implantable pulmonary artery pressure monitoring device. Academic Article Article uri icon

Overview

MeSH

  • Aged
  • Female
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Prostheses and Implants
  • Respiration Disorders
  • Single-Blind Method

MeSH Major

  • Blood Pressure Monitoring, Ambulatory
  • Catheterization, Swan-Ganz
  • Heart Failure
  • Hospitalization
  • Pulmonary Disease, Chronic Obstructive

abstract

  • Chronic obstructive pulmonary disease (COPD) is a frequent comorbidity in patients with heart failure (HF). Elevated pulmonary arterial (PA) pressure can be seen in both conditions and has been shown to predict morbidity and mortality. A total of 550 subjects with New York Heart Association functional class III HF were randomly assigned to the treatment (n = 270) and control (n = 280) groups in the CHAMPION Trial. Physicians had access to the PA pressure measurements in the treatment group only, in which HF therapy was used to lower the elevated pressures. HF and respiratory hospitalizations were compared in both groups. A total of 187 subjects met criteria for classification into the COPD subgroup. In the entire cohort, the treatment group had a 37% reduction in HF hospitalization rates (P < .0001) and a 49% reduction in respiratory hospitalization rates (P = .0061). In the COPD subgroup, the treatment group had a 41% reduction in HF hospitalization rates (P = .0009) and a 62% reduction in respiratory hospitalization rates (P = .0023). The rate of respiratory hospitalizations in subjects without COPD was not statistically different (P = .76). HF management incorporating hemodynamic information from an implantable PA pressure monitor significantly reduces HF and respiratory hospitalizations in HF subjects with comorbid COPD compared with standard care. Copyright © 2015 Elsevier Inc. All rights reserved.

publication date

  • March 2015

has subject area

  • Aged
  • Blood Pressure Monitoring, Ambulatory
  • Catheterization, Swan-Ganz
  • Female
  • Heart Failure
  • Hospitalization
  • Humans
  • Male
  • Middle Aged
  • Prospective Studies
  • Prostheses and Implants
  • Pulmonary Disease, Chronic Obstructive
  • Respiration Disorders
  • Single-Blind Method

Research

keywords

  • Journal Article
  • Multicenter Study
  • Randomized Controlled Trial

Identity

Language

  • eng

PubMed Central ID

  • PMC4405122

Digital Object Identifier (DOI)

  • 10.1016/j.cardfail.2014.12.008

PubMed ID

  • 25541376

Additional Document Info

start page

  • 240

end page

  • 249

volume

  • 21

number

  • 3