Хроническая обструктивная болезнь легких и коморбидные сердечно-сосудистые заболевания: взгляд с позиций рекомендаций
Хроническая обструктивная болезнь легких и коморбидные сердечно-сосудистые заболевания: взгляд с позиций рекомендаций
Остроумова О.Д., Кочетков А.И. Хроническая обструктивная болезнь легких и коморбидные сердечно-сосудистые заболевания: взгляд с позиций рекомендаций. Consilium Medicum. 2018; 20 (1): 54–61. DOI: 10.26442/2075-1753_2018.1.54-61
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Ostroumova O.D., Kochetkov A.I. Chronic obstructive pulmonary disease and comorbid cardiovascular disease: in the context of guidelines. Consilium Medicum. 2018; 20 (1): 54–61. DOI: 10.26442/2075-1753_2018.1.54-61
Хроническая обструктивная болезнь легких и коморбидные сердечно-сосудистые заболевания: взгляд с позиций рекомендаций
Остроумова О.Д., Кочетков А.И. Хроническая обструктивная болезнь легких и коморбидные сердечно-сосудистые заболевания: взгляд с позиций рекомендаций. Consilium Medicum. 2018; 20 (1): 54–61. DOI: 10.26442/2075-1753_2018.1.54-61
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Ostroumova O.D., Kochetkov A.I. Chronic obstructive pulmonary disease and comorbid cardiovascular disease: in the context of guidelines. Consilium Medicum. 2018; 20 (1): 54–61. DOI: 10.26442/2075-1753_2018.1.54-61
В статье представлен современный взгляд на проблему коморбидных хронической обструктивной болезни легких (ХОБЛ) сердечно-сосудистых заболеваний (ССЗ), дана эпидемиологическая характеристика вопроса. Показано влияние коморбидных состояний на обострение легочного процесса, общий прогноз и исходы для отдельно взятого пациента. Описаны возможные патогенетические пути, обусловливающие высокую частоту развития коморбидных ССЗ при ХОБЛ и способствующие их взаимопотенцированию. С точки зрения актуальных клинических рекомендаций рассмотрены последние достижения в вопросах ведения и лечения пациентов с ХОБЛ и сочетанными ССЗ.
The article presents a modern view on chronic obstructive pulmonary disease (COPD) and comorbid cardiovascular disease, the epidemiology is also discussed. The influence of comorbid disease on exacerbation development, prognosis and outcomes is demonstrated. Possible pathogenesis that contributes to high rate of comorbid cardiovascular disease development in patients with COPD and also to synergism in their development is presented. With regard to actual clinical guidelines the advances in COPD patients with comorbid cardiovascular disease management and treatment are discussed.
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16. Kazani S, Israel E. Treatment with beta blockers in people with COPD. BMJ 2011; 342: d2655. DOI: 10.1136/bmj.d2655
17. Ponikowski P, Voors AA, Anker SD et al. ESC Scientific Document Group. Rekomendatsii ESC po diagnostike i lecheniiu ostroi i khronicheskoi serdechnoi nedostatochnosti 2016. Ros. kardiologicheskii zhurn. 2017; 1 (141): 7–81. [in Russian]
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22. Garcia-Rodriguez LA, Wallander MA, Martin-Merino E, Johansson S. Heart failure, myocardial infarction, lung cancer and death in COPD patients: a UK primary care study. Respir Med 2010; 104 (11): 1691–9.
23. Franssen FM, Rochester CL. Comorbidities in patients with COPD and pulmonary rehabilitation: do they matter? Eur Respir Rev 2014; 23 (131): 131–41.
24. Rutten FH, Cramer MJ, Grobbee DE et al. Unrecognized heart failure in elderly patients with stable chronic obstructive pulmonary disease. Eur Heart J 2005; 26 (18): 1887–94.
25. Smith MC, Wrobel JP. Epidemiology and clinical impact of major comorbidities in patients with COPD. Int J Chron Obstruct Pulmon Dis 2014; 9: 871–88. DOI: 10.2147/COPD.S49621
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Авторы
О.Д.Остроумова*1,2, А.И.Кочетков1
1 ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И.Евдокимова» Минздрава России. 127473, Россия, Москва, ул. Делегатская, д. 20, стр. 1;
2 ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
*ostroumova.olga@mail.ru
________________________________________________
O.D.Ostroumova*1,2, A.I.Kochetkov1
1 A.I.Evdokimov Moscow State University of Medicine and Dentistry of the Ministry of Health of the Russian Federation. 127473, Russian Federation, Moscow, ul. Delegatskaia, d. 20, str. 1;
2 I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2