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A 49-year-old male asked:

Irregular heartbeat i had a severe copd attack 2 weeks ago which i ended up in the hospital for 6 days two of which was in the icu on bipap and the other four i was on oxygen because my saturation level would not stay above 90%.....yesterday i went to the

2 doctor answers5 doctors weighed in
Dr. Randi Leggett
Dr. Randi Leggettanswered
Internal Medicine 40 years experience
It : It depends on what rhythm the ekg showed. Patients with COPD get all kinds of odd heart rhythms, some need to be corrected and some do not. Some, like atrial fibrillation, where the small chambers of the heart beat in an uncoordinated fashion, need to have the blood thinned. Other called svts are very fast heart rates that can be slowed by the medication bystolic (nebivolol) and controlled.Some are brought on by low oxygen levels in the blood and stabilize as you get better.Skipped beats are often "pvcs" which are premature beats in the ventricle and don't really affect your health too much. So a good question to ask your doctor is "what is the heart rhythm called and how is it best treated?". Don't be afraid to ask questions. It's your heart after all.
Dr. Charles Burger
Pulmonology 36 years experience
COPD: COPD reduces the patient's ability to exhale resulting in wheezing and shortness of breath. Severe COPD can also cause low oxygen levels, respiratory failure requiring bipap and oxygen, heart failure, and death.
Dr. Aruna Adaikkalam
Internal Medicine 38 years experience
COPD patients need to be followed by a dedicated pulmonologist for titration of home O2 , need for BIPAP/ C- PAP machines to help with the efective ventilation(letting out of excess carbon di oxide which tends to accumulate in the system thereby effective oxygenation and the monitoring with periodic pulmonary function tests and the need for sleep studies in some patients in whom obstructive sleep apnoea coexists with COPD and worsens the COPD management. O2 supplementation is to be done carefully, as advised by your pulmonologist and respiratory therapist as too much o2 supplementation will reduce your natural respiratory drive by blunting the respiratory centers in the brain stem. It should be enough to keep most of the time to keep your o2 level between 88-92 most of the time and no need to aim for the normal o2 leves in patient without cop of more than 94 %. Normal o2 saturation is without o2 supplementation , is > 94 to 100 %. Of the all, patient needs to stop smoking if still smoking. Avoid allergic influences such as exposure to fumes,smoke,dust,chemical influences which can precipitate bronchospasm. People above the age of 65 years without DM, kidney diease etc should get the pneumonia vaccine once and people above 55 years with problems get pneumonia vaccine can get twice the vaccine ,once every 5 years.
May 27, 2013

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Last updated Jan 25, 2021

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