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Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases
Globally, cardiovascular diseases and chronic obstructive pulmonary disease (COPD) are the leading causes of the noncommunicable disease burden. Overlapping symptoms such as breathing difficulty and fatigue, with a lack of awareness about COPD among physicians, are key reasons for under-diagnosis an...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Academy of Tuberculosis and Respiratory Diseases
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7801809/ https://www.ncbi.nlm.nih.gov/pubmed/33045814 http://dx.doi.org/10.4046/trd.2020.0088 |
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author | Deshmukh, Kartik Khanna, Arjun |
author_facet | Deshmukh, Kartik Khanna, Arjun |
author_sort | Deshmukh, Kartik |
collection | PubMed |
description | Globally, cardiovascular diseases and chronic obstructive pulmonary disease (COPD) are the leading causes of the noncommunicable disease burden. Overlapping symptoms such as breathing difficulty and fatigue, with a lack of awareness about COPD among physicians, are key reasons for under-diagnosis and resulting sub-optimal care relative to COPD. Much has been published in the past on the pathogenesis and implications of cardiovascular comorbidities in COPD. However, a comprehensive review of the prevalence and impact of COPD management in commonly encountered cardiac diseases is lacking. The purpose of this study was to summarize the current knowledge regarding the prevalence of COPD in heart failure, ischemic heart disease, and atrial fibrillation. We also discuss the real-life clinical presentation and practical implications of managing COPD in cardiac diseases. We searched PubMed, Scopus, EMBASE, and Google Scholar for studies published 1981–May 2020 reporting the prevalence of COPD in the three specified cardiac diseases. COPD has high prevalence in heart failure, atrial fibrillation, and ischemic heart disease. Despite this, COPD remains under-diagnosed and under-managed in the majority of patients with cardiac diseases. The clinical implications of the diagnosis of COPD in cardiac disease includes the recognition of hyperinflation (a treatable trait), implementation of acute exacerbations of COPD (AECOPD) prevention strategies, and reducing the risk of overuse of diuretics. The pharmacological agents for the management of COPD have shown a beneficial effect on cardiac functions and mortality. The appropriate management of COPD improves the cardiovascular outcomes by reducing hyperinflation and preventing AECOPD, thus reducing the risk of mortality, improving exercise tolerance, and quality of life. |
format | Online Article Text |
id | pubmed-7801809 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | The Korean Academy of Tuberculosis and Respiratory Diseases |
record_format | MEDLINE/PubMed |
spelling | pubmed-78018092021-01-21 Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases Deshmukh, Kartik Khanna, Arjun Tuberc Respir Dis (Seoul) Review Article Globally, cardiovascular diseases and chronic obstructive pulmonary disease (COPD) are the leading causes of the noncommunicable disease burden. Overlapping symptoms such as breathing difficulty and fatigue, with a lack of awareness about COPD among physicians, are key reasons for under-diagnosis and resulting sub-optimal care relative to COPD. Much has been published in the past on the pathogenesis and implications of cardiovascular comorbidities in COPD. However, a comprehensive review of the prevalence and impact of COPD management in commonly encountered cardiac diseases is lacking. The purpose of this study was to summarize the current knowledge regarding the prevalence of COPD in heart failure, ischemic heart disease, and atrial fibrillation. We also discuss the real-life clinical presentation and practical implications of managing COPD in cardiac diseases. We searched PubMed, Scopus, EMBASE, and Google Scholar for studies published 1981–May 2020 reporting the prevalence of COPD in the three specified cardiac diseases. COPD has high prevalence in heart failure, atrial fibrillation, and ischemic heart disease. Despite this, COPD remains under-diagnosed and under-managed in the majority of patients with cardiac diseases. The clinical implications of the diagnosis of COPD in cardiac disease includes the recognition of hyperinflation (a treatable trait), implementation of acute exacerbations of COPD (AECOPD) prevention strategies, and reducing the risk of overuse of diuretics. The pharmacological agents for the management of COPD have shown a beneficial effect on cardiac functions and mortality. The appropriate management of COPD improves the cardiovascular outcomes by reducing hyperinflation and preventing AECOPD, thus reducing the risk of mortality, improving exercise tolerance, and quality of life. The Korean Academy of Tuberculosis and Respiratory Diseases 2021-01 2020-10-13 /pmc/articles/PMC7801809/ /pubmed/33045814 http://dx.doi.org/10.4046/trd.2020.0088 Text en Copyright © 2021 The Korean Academy of Tuberculosis and Respiratory Diseases It is identical to the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Review Article Deshmukh, Kartik Khanna, Arjun Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases |
title | Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases |
title_full | Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases |
title_fullStr | Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases |
title_full_unstemmed | Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases |
title_short | Implications of Managing Chronic Obstructive Pulmonary Disease in Cardiovascular Diseases |
title_sort | implications of managing chronic obstructive pulmonary disease in cardiovascular diseases |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7801809/ https://www.ncbi.nlm.nih.gov/pubmed/33045814 http://dx.doi.org/10.4046/trd.2020.0088 |
work_keys_str_mv | AT deshmukhkartik implicationsofmanagingchronicobstructivepulmonarydiseaseincardiovasculardiseases AT khannaarjun implicationsofmanagingchronicobstructivepulmonarydiseaseincardiovasculardiseases |