A History of Ischemic Heart Disease is a Common Cause of Wheezing in the Elderly of a Japanese Local Community

作者：Inomata Minehiko; Kawagishi Yukio; Tokui Kotaro; Masaki Yasuaki; Taka Chihiro; Kambara Kenta; Okazawa Seisuke; Imanishi Shingo; Ichikawa Tomomi; Suzuki Kensuke; Yamada Toru; Iwata Minoru; Usui Isao; Sumi Shigeki; Origasa Hideki; Matsui Shoko; Hayashi Ryuji^*; Tobe Kazuyuki

来源：Internal Medicine, 2011, 50(24): 2975-2981.

DOI：10.2169/internalmedicine.50.6201

• wheezing
• elderly
• ischemic heart disease
• asthma
• airway reversibility

Objective We conducted a cross-sectional study to investigate which factors have a significant impact on wheezing and QOL in the elderly of a Japanese local community.
Methods In 2008, 527 participants (250 participants aged 45 to 64 years and 277 participants aged 65 to 88 years) responded to the questionnaire regarding wheezing and disease history. QOL was evaluated by the Short Form-8. The participants underwent airway reversibility testing. The plasma levels of IgE were measured. The plasma levels of N-terminal-pro-B-type natriuretic peptide were measured in twenty-one participants with a history of ischemic heart disease and in thirty-five age-matched participants without that history.
Results Wheezing was reported by 50 (9.5%) participants and was associated with a lower score of QOL. In multivariate analysis, wheezing was associated with sex (OR 3.12, CI 1.10-9.67) and a history of bronchial asthma (OR 22.3, CI 6.50-84.0) among participants aged 45 to 64 years. Among participants aged 65 and over, wheezing was associated with a history of bronchial asthma (OR 4.86, CI 1.39-15.1) and ischemic heart disease (OR 5.12, CI 1.61-15.0). Participants with both a history of ischemic heart disease and wheezing showed higher levels of N-terminal-pro-B-type natriuretic peptide. Airway reversibility was only associated with a history of ischemic heart disease (OR 4.65, CI 1.26-17.6).
Conclusion It is suggested that bronchial asthma and heart disease are both significant causes of wheezing and affect the QOL in the elderly of a Japanese local community.

• 出版日期2011