Incidence and influencing factors of atrial fibrillation in elderly patients with chronic obstructive pulmonary disease
10.3969/j.issn.1006-2483.2026.04.018
- VernacularTitle:老年慢性阻塞性肺疾病患者房颤发生率及影响因素
- Author:
Jiajia LI
1
;
Hui HU
1
;
Jian ZHANG
1
;
Ju ZHAO
1
;
Qiumei YANG
1
;
Qingqing TANG
1
;
Ling YUAN
2
Author Information
1. Department of Geriatrics, Luzhou People's Hospital, Luzhou , Sichuan 646000, China
2. Department of Critical Care Medicine, Luzhou People's Hospital, Luzhou , Sichuan 646000, China
- Publication Type:Journal Article
- Keywords:
Elderly;
Chronic obstructive pulmonary disease;
Atrial fibrillation
- From:
Journal of Public Health and Preventive Medicine
2026;37(4):86-90
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the incidence rate and risk factors of atrial fibrillation (AF) in elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 392 patients with COPD in the hospital were selected from December 2020 to December 2024. Patients' data (medical history, echocardiographic data, etc.) were recorded. The incidence rate of AF in patients was recorded and the patients were grouped according to whether or not they developed AF. The differences were compared between the two groups, and the risk factors of AF occurrence in elderly patients with COPD were analyzed. Results Among the 392 patients with COPD, 127 cases (32.40%) met the diagnostic criteria of AF. There were statistically significant differences in age, pulmonary infection, heart failure, diabetes, smoking history, disease duration, LAD, severe renal insufficiency and coronary heart disease between the AF group and the non-AF group (P<0.05). Multivariate logistic regression analysis suggested that age, pulmonary infection, heart failure, diabetes mellitus, smoking history, disease course, LAD, severe renal insufficiency and coronary heart disease were all risk factors for elderly patients with COPD (OR=1.129, 4.246, 3.955, 4.125, 2.038, 1.112, 1.102, 4.397, and 3.865, P<0.05). Conclusion The incidence rate of AF is high in elderly patients with COPD. Age, pulmonary infection, heart failure, diabetes mellitus, smoking history, course of disease, LAD, severe renal insufficiency, and coronary heart disease are all risk factors for AF.
