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Article

The Relationship between Poor Pulmonary Function and Irregular Pulse in the Elderly: Findings from a Nationwide Cross-Sectional Survey in Korea

1
Department of Nursing, Hanyang University Medical Center, Seoul 04763, Korea
2
Division of Cardiology, Hanyang University Guri Hospital, Guri 11900, Korea
3
College of Nursing, Hanyang University, Seoul 04763, Korea
4
Division of Cardiology, Department of Internal Medicine, College of Medicine, Hanyang University Medical Center, Seoul 04763, Korea
5
Department of Medicine, Hanyang University College of Medicine, Seoul 04763, Korea
*
Author to whom correspondence should be addressed.
Healthcare 2020, 8(3), 312; https://doi.org/10.3390/healthcare8030312
Submission received: 14 July 2020 / Revised: 17 August 2020 / Accepted: 30 August 2020 / Published: 1 September 2020

Abstract

Arrhythmia may be caused by reduced pulmonary function, and pulse palpation is a useful screening method for the early detection of cardiac arrhythmia. The aim of this study was to investigate the association between reduced pulmonary function and abnormal findings on pulse palpation in 2347 subjects aged ≥65 years using data from a nationwide survey. Pulse palpation was initially performed for 15 s and, if felt to be abnormal, it was performed again for 60 s. The prevalence of irregular pulse (IP) determined by the 60-second palpation was 61 (2.6%). The mean age of subjects with an IP was 73.0 (95% CI 71.7–74.3) years, and 45.8% were male. After adjustment for covariates, forced vital capacity (FVC)/predicted FVC, forced expiratory volume in one second (FEV1)/predicted FEV1, and the lowest FEV1 remained significant risk factors for IP. A restrictive or obstructive spirometry pattern was also an independent risk factor for IP. In summary, an IP is more prevalent when pulmonary function is reduced in the elderly, in whom careful pulse palpation may be necessary for the early detection of arrhythmia.
Keywords: arrhythmia; atrial fibrillation; physical examination; pulmonary function test; pulse rate arrhythmia; atrial fibrillation; physical examination; pulmonary function test; pulse rate

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MDPI and ACS Style

Kim, S.H.; Lee, Y.; Hwang, S.Y.; Shin, J.; Kim, C.K.; Park, J.-K. The Relationship between Poor Pulmonary Function and Irregular Pulse in the Elderly: Findings from a Nationwide Cross-Sectional Survey in Korea. Healthcare 2020, 8, 312. https://doi.org/10.3390/healthcare8030312

AMA Style

Kim SH, Lee Y, Hwang SY, Shin J, Kim CK, Park J-K. The Relationship between Poor Pulmonary Function and Irregular Pulse in the Elderly: Findings from a Nationwide Cross-Sectional Survey in Korea. Healthcare. 2020; 8(3):312. https://doi.org/10.3390/healthcare8030312

Chicago/Turabian Style

Kim, Sun Hwa, Yonggu Lee, Seon Young Hwang, Jinho Shin, Chun Ki Kim, and Jin-Kyu Park. 2020. "The Relationship between Poor Pulmonary Function and Irregular Pulse in the Elderly: Findings from a Nationwide Cross-Sectional Survey in Korea" Healthcare 8, no. 3: 312. https://doi.org/10.3390/healthcare8030312

APA Style

Kim, S. H., Lee, Y., Hwang, S. Y., Shin, J., Kim, C. K., & Park, J.-K. (2020). The Relationship between Poor Pulmonary Function and Irregular Pulse in the Elderly: Findings from a Nationwide Cross-Sectional Survey in Korea. Healthcare, 8(3), 312. https://doi.org/10.3390/healthcare8030312

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