Chronic obstructive pulmonary disease in heart failure: accurate diagnosis and treatment

被引:41
|
作者
Gueder, Guelmisal [1 ,2 ,3 ]
Brenner, Susanne [2 ,3 ]
Stoerk, Stefan [2 ,3 ]
Hoes, Arno [1 ]
Rutten, Frans H. [1 ]
机构
[1] Univ Med Ctr Utrecht, Julius Ctr Hlth Sci & Primary Care, NL-3508 AB Utrecht, Netherlands
[2] Univ Wurzburg, Comprehens Heart Failure Ctr, D-97070 Wurzburg, Germany
[3] Univ Hosp Wurzburg, Dept Internal Med Cardiol, Wurzburg, Germany
关键词
Heart failure; COPD misdiagnosis; Severity classification; ELDERLY-PATIENTS; BETA-BLOCKERS; LUNG-FUNCTION; CARDIOVASCULAR SAFETY; CARVEDILOL; BISOPROLOL; COPD; RISK; BRONCHODILATORS; EXACERBATIONS;
D O I
10.1002/ejhf.183
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Coincidence of COPD and heart failure (HF) is challenging as both diseases interact on multiple levels with each other, and thus impact significantly on diagnosis, disease severity classification, and choice of medical therapy. The current overview aims to educate caregivers involved in the daily management of patients with HF and (possibly) concurrent COPD in how to deal with clinically relevant issues such as interpreting spirometry, the potential role of extensive pulmonary function testing, and finally, the potential beneficial, but also detrimental effects of medication used for HF and COPD on either disease.
引用
收藏
页码:1273 / 1282
页数:10
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