• Aida Muñoz-Ferrer, Laura Rodriguez-Pons, Ignasi Garcia-Olivé, Josep Lupón, Marta de Antonio, Mar Domingo, Pedro Moliner, Elisabet Zamora, Evelyn Santiago, Antoni Bayes-Genis, and Jorge Abad.
• Servicio de Neumología, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, España; Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Barcelona, España; Departament de Medicina, Universitat Autònoma de Barcelona, Barcelona, España.
• Med Clin (Barc). 2019 Sep 13; 153 (5): 191-195.

BackgroundChronic obstructive pulmonary disease and heart failure (HF) are 2 diseases with high morbidity and mortality. The coexistence of these two diseases is estimated to be frequent, but has been poorly studied.AimTo study the prevalence of airflow limitation in a sample of patients diagnosed with HF in follow-up in an HF unit and to assess their characteristics and comorbidities.MethodsThis is a prospective observational study. The patients who visited the HF Unit of the Hospital Universitari Germans Trias i Pujol between January 2014 and June 2015 were included consecutively. Respiratory functional tests were performed and clinical data were obtained.Results118 patients were included in the study (age 67.2 years, 77.1% men). The prevalence of non-reversible airflow obstruction was 36.4%, with an underdiagnosis percentage of 67.4%. Patients with airflow limitation had an increase in comorbidities, but no worse prognosis.ConclusionThe prevalence of airflow limitation in patients with HF is high, with a significant degree of underdiagnosis. It seems reasonable to recommend performing a screening spirometry in these patients.Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

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