Update in diagnosis and therapy of coexistent chronic obstructive pulmonary disease and chronic heart failure

Zeng, Qiaojun; Jiang, Shanping
June 2012
Journal of Thoracic Disease;Jun2012, Vol. 4 Issue 3, p310
Academic Journal
Chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) frequently coexist in clinical practice as they share the same risk factors. The manifestations of COPD and CHF are similar. Exertional dyspnoea, easy fatigability and reduced exercise tolerance are common to COPD and CHF and required careful interpretation. Pulmonary function tests, plasma natriuretic peptides, echocardiography and cardiovascular magnetic resonance imaging should be carried out to acquire the objective evidence of pulmonary and cardiac function when necessary. Robust studies indicate that patients with COPD tolerate the cardioselective β-blockers well, so it should not be denied to CHF patients with concomitant COPD. Low-dose initiation and gradual uptitration of cardioselective β-blockers is currently recommended. However, β2-agonists should be used with cautions in COPD patients with CHF, especially in acute exacerbations. Statins, angiotensinconverting enzyme inhibitors, and angiotensin-receptor blockers may reduce the morbidity and mortality of the patients with COPD.


Related Articles

  • Statin use and exacerbations in individuals with chronic obstructive pulmonary disease. Ingebrigtsen, Truls S.; Marott, Jacob L.; Nordestgaard, Borge G.; Lange, Peter; Hallas, Jesper; Vestbo, Jørgen // Thorax;Jan2015, Vol. 70 Issue 1, p33 

    Background We tested the hypothesis that statin use in individuals with COPD is associated with a reduced risk of exacerbations. Methods We identified 5794 individuals with COPD and a measurement of C reactive protein (CRP) in the Copenhagen General Population Study (2003-2008). During 3 years...

  • Dyspnea with comorbid heart failure and COPD. BAMFORD, MAIJA; PAULUS, MATTHEW R. // Clinical Advisor;Oct2011, Vol. 14 Issue 10, p59 

    No abstract available.

  • The Association between Continuity of Care and All-Cause Mortality in Patients with Newly Diagnosed Obstructive Pulmonary Disease: A Population-Based Retrospective Cohort Study, 2005-2012. Cho, Kyoung Hee; Kim, Young Sam; Nam, Chung Mo; Kim, Tae Hyun; Kim, Sun Jung; Han, Kyu-Tae; Park, Eun-Cheol // PLoS ONE;11/3/2015, Vol. 10 Issue 10, p1 

    Background: The disease burden is increasing for chronic obstructive pulmonary disease (COPD) due to increasing of the growth rate of prevalence and mortality. But the empirical researches are a little for COPD that studied the association between continuity of care and death and about...

  • Predictors of in-hospital mortality in patients with acute exacerbation of COPD requiring ventilation: a retrospective study. Wensen Pan; Jing Yu; Lili Zhang; Hongshen Yang; Yadong Yuan // International Journal of Clinical & Experimental Medicine;2016, Vol. 9 Issue 11, p22093 

    Background: Previous studies sought to identify survival or outcome predictors in patients with chronic obstructive pulmonary disease (COPD) requiring mechanical ventilation (MV), but their findings are inconsistent. This study aims to identify clinical predictors of in-hospital mortality among...

  • COPD: a clinical spectrum.  // Thorax;Dec2013 Supplement, Vol. 68 Issue S3, pA202 

    The article presents the abstracts on topics related to chronic obstructive pulmonary disease (COPD) which include relationship between anxiety and depression in COPD patients, palliative care and respiratory programme for patients with COPD, and teaching students to prescribe oxygen safely.

  • Bronchiectasis in Older Patients with Chronic Obstructive Pulmonary Disease. Whitters, Deborah; Stockley, Robert // Drugs & Aging;2013, Vol. 30 Issue 4, p215 

    The prevalence of chronic obstructive pulmonary disease (COPD) increases with age. Recent evidence suggests that the finding of co-existent bronchiectasis is becoming increasingly common, possibly because of increased use of high-resolution CT scanning in the assessment of patients with COPD....

  • The Saudi guidelines for chronic obstructive pulmonary disease: A fresh "Real-World" approach to COPD. Hanania, Nicola A. // Annals of Thoracic Medicine;Apr-Jun2014, Vol. 9 Issue 2, p53 

    The article discusses the development of an evidence-based clinical practice guidelines for patients with chronic obstructive pulmonary disease (COPD), which was started by the Saudi Thoracic Society (STS) Initiative for Chronic Airways Diseases (SICAD). Topics include the recommendations to use...

  • HEART FAILURE: An update on current care. Moreau, Thomas; Essary, Alison C.; Boissonneault, Gilbert A.; Brenneman, Anthony E.; Léaer, Marie-Michèle; Ogunfiditimi, Folusho E. // JAAPA: Journal of the American Academy of Physician Assistants (;Nov2011, Vol. 24 Issue 11, p22 

    The article discusses the management of patients with heart failure (HF). It notes that the management of HF must retard the onset of refractory, end-stage disease, avert acute decompensated heart failure and reduce the incidence of sudden cardiac death (SCD). Also, it mentions that three...

  • Real-Life GOLD 2011 Implementation: The Management of COPD Lacks Correct Classification and Adequate Treatment. Koblizek, Vladimir; Pecen, Ladislav; Zatloukal, Jaromir; Kocianova, Jana; Plutinsky, Marek; Kolek, Vitezslav; Novotna, Barbora; Kocova, Eva; Pracharova, Sarka; Tichopad, Ales // PLoS ONE;Nov2014, Vol. 9 Issue 11, p1 

    Chronic obstructive pulmonary disease (COPD) is a serious, yet preventable and treatable, disease. The success of its treatment relies largely on the proper implementation of recommendations, such as the recently released Global Strategy for Diagnosis, Management, and Prevention of COPD (GOLD...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics