Treatment of comorbid chronic obstructive pulmonary disease and cardiovascular disease
https://doi.org/10.18093/0869-0189-2016-26-3-364-371
Abstract
This review provided recent information about treatment of patients with comorbid respiratory and cardiovascular disease. Cardiorespiratory comorbidity is associated with cross"deterioration of the disease course given similar pathogenic components. This could decrease effects of treatment, worsen prognosis and actually requires new approaches to diagnosis and therapy. While choosing the treatment strategy for a patient with comorbid chronic obstructive pulmonary disease (COPD) and cardiovascular disease, a physician should be aware of the pooled risk of adverse events. Some agents widely used for treatment of cardiovascular diseases could worsen the course of COPD and, vice versa, bronchodilators that are the essential component of therapy of chronic obstructive bronchitis could adversely affect the cardiovascular system. Therefore, medication choice could be significantly limited due to comorbidity.
About the Authors
N. T. VatutinRussian Federation
MD, Professor, Head of Department of Hospital Internal Medicine, M.Gor'kiy Donetsk National Medical University; Alternate Head of Division of Urgent and Reconstructive Cardiosurgery, V.K.Gusak’ State Institute of Urgent and Reconstructive Surgery; National Medical Science Academy of Ukraine; tel.: (38062) 3850517
A. S. Smirnova
Russian Federation
PhD, Assistant Lecturer at Department of Hospital Internal Medicine, M.Gor'kiy Donetsk National Medical University; tel.: (38062) 3850517
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Review
For citations:
Vatutin N.T., Smirnova A.S. Treatment of comorbid chronic obstructive pulmonary disease and cardiovascular disease. PULMONOLOGIYA. 2016;26(3):364-371. (In Russ.) https://doi.org/10.18093/0869-0189-2016-26-3-364-371