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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...

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Autores principales: Deshmukh, Kartik, Khanna, Arjun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Academy of Tuberculosis and Respiratory Diseases 2021
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.
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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
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