Adverse cardiac outcomes after pulmonary function testing with recent myocardial infarction

Respir Med. 2019 Aug;155:49-50. doi: 10.1016/j.rmed.2019.07.003. Epub 2019 Jul 3.

Abstract

ATS/ERS Guidelines list pulmonary function testing (PFT) within one month of myocardial infarction (MI) as a contraindication, based on expert opinion. This retrospective review of 136 patients undergoing Coronary Artery Bypass Graft (CABG) surgery identified 21 patients who had PFTs despite MI in the preceding month (MI + PFT group). The MI + PFT Group had zero incidence of MI or serious cardiac arrhythmia between PFTs and surgery. Comparison of post-operative outcomes between the MI + PFT Group and all other CABG patients showed no significant differences. In this small sample size, PFTs appear safe within one month of MI.

Keywords: Chronic obstructive pulmonary disease; Pre-operative assessment; Pulmonary function testing; Spirometry.

Publication types

  • Comparative Study

MeSH terms

  • Aged
  • Arrhythmias, Cardiac / epidemiology
  • Arrhythmias, Cardiac / physiopathology
  • Contraindications, Procedure
  • Coronary Artery Bypass / methods*
  • Coronary Artery Bypass / standards
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Myocardial Infarction / epidemiology*
  • Myocardial Infarction / physiopathology
  • Postoperative Period
  • Preoperative Care / standards
  • Pulmonary Disease, Chronic Obstructive / complications
  • Pulmonary Disease, Chronic Obstructive / epidemiology*
  • Pulmonary Disease, Chronic Obstructive / physiopathology
  • Respiratory Function Tests / methods*
  • Retrospective Studies
  • Treatment Outcome