Evidence map›Paper›PMID 41417547›Full record

ArticleArquivos brasileiros de cardiologia2025

The Role of Indexed Left Atrial Volume in Detecting Adverse Outcomes in Patients with Chronic Obstructive Pulmonary Disease: A Cohort Study.

Maria Clara C Sposito, Leticia A Branco, Jaqueline Bianchi, Fernanda O Duarte, Krissia F Godoy, Joice M A Rodolpho, Bruna Dias de Lima Fragelli, Renan S Marinho, Stella Maris Firmino, Audrey Borghi Silva and 2 more

Abstract read
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Article in Arquivos brasileiros de cardiologia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Maria Clara C SpositoUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Leticia A BrancoUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Jaqueline BianchiUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Fernanda O DuarteUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Krissia F GodoyUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Joice M A RodolphoUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Bruna Dias de Lima FragelliUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Renan S MarinhoUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Stella Maris FirminoUniversidade Federal de São Carlos, São Carlos, SP - Brasil.ORCID 0000-0002-7859-9119
Audrey Borghi SilvaUniversidade Federal de São Carlos, São Carlos, SP - Brasil.ORCID 0000-0002-3891-6941
Fernanda Freitas AnibalUniversidade Federal de São Carlos, São Carlos, SP - Brasil.
Meliza Goi RoscaniUniversidade Federal de São Carlos, São Carlos, SP - Brasil.ORCID 0000-0003-1463-551X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic obstructive pulmonary disease (COPD) is a progressive disease with high mortality, and understanding the predictors of adverse outcomes can aid in developing individualized therapeutic approaches and in making decisions regarding hospital or intensive care unit admissions.

objectiveTo assess the epidemiological and laboratory profiles of patients with COPD and to correlate clinical, echocardiographic, and biomarker variables with unfavorable outcomes due to exacerbation.

methodThis was a prospective study involving patients with COPD who underwent clinical evaluation, spirometry, transthoracic echocardiography, and laboratory tests. Patients were followed for 1 year to monitor for unfavorable outcomes. The significance level considered for all analyses was p < 0.05.

resultsA total of 228 patients were included, with the mean age of 71 ± 9 years. The majority of patients were male (58%), and smoking (72%), hypertension (66%), and GOLD B (55%) were predominant. Indexed left atrial volume (ILAV) demonstrated good accuracy in detecting hospitalization for exacerbation, with a cutoff point of 36.5 ml/m2, yielding 100% sensitivity and 70% specificity. Patients with ILAV > 36.5 ml/m2 exhibited worsening diastolic and systolic function, as indicated by mitral E wave peak velocity in the rapid filling phase/E' velocity of displacement of the septal or lateral mitral annulus in the rapid filling phase (E/E') (p = 0.02) and left ventricle ejection fraction (p = 0.01), along with elevated levels of tumor necrosis factor alpha (p = 0.05) and NT-proBNP (p = 0.03).

conclusionILAV may be a reliable marker for predicting unfavorable outcomes in patients with COPD. Individualized strategies should be implemented to improve disease severity and cardiovascular function.

Indexed as

Heart AtriaPulmonary Disease, Chronic ObstructiveAgedBiomarkersDisease ProgressionEchocardiographyFemaleHospitalizationHumansMaleMiddle AgedNatriuretic Peptide, BrainPeptide FragmentsPrognosisProspective StudiesSensitivity and SpecificityBiomarkersNatriuretic Peptide, BrainPeptide Fragments

Identifiers

PMID41417547
PMCPMC12978166

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