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Pol. Merkur. Lek (Pol. Med. J.), 2013, XXXV/209: 251-253 Maximize

Pol. Merkur. Lek (Pol. Med. J.), 2013, XXXV/209: 251-253

Title: Comorbidity of chronic heart failure and chronic obstructive pulmonary disease

Authors: Grzywa-Celińska A., Szmygin-Milanowska K., Dyczko M., Kwaśniewska K., Celiński R., Mosiewicz J.

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SUMMARY IN POLISH & ENGLISH. FULL ARTICLE ONLY IN POLISH.

Comorbidity of chronic heart failure and chronic obstructive pulmonary disease


Grzywa-Celińska A.1, Szmygin-Milanowska K.2, Dyczko M.1, Kwaśniewska K.1, Celiński R.3, Mosiewicz J.1

1Chair and Departament of Internal Diseases, Medical University of Lublin; 2Chair and Department of Pneumonology, Oncology and Alegrology, Medical Univerity of Lublin; 3Department of Cardiology, The Cardinal Wyszyński's Voivodship Specialistic Hospital in Lublin

Cardiovascular diseases most frequently coexist with the chronic obstructive pulmonary disease (COPD). The studies report on over 10 milion patients of population suffering both chronic heart failure (CHF) and COPD. Similarity of the clinical symptoms and risk factors found in the medical history of patients with chronic heart failure and chronic obstructive pulmonary disease often causes diagnostic mistakes. At present, medicine has the wide range of diagnostic methods. Among them: well taken medical history, chest radiogram, determination of the serum concentration of natriuretic peptides, spirometry with bronchial reversibility test and many others should be mentioned. The skilfull interpretation of their results guarantee the possibility of more effective treatment. Pulmonary hypertension constitutes the link between the chronic obstructive pulmonary disease and CHF. Although its clinical manifestations are not specific and can be partially masked by the symptoms of COPD, the possibility of its existance should be taken under consideration in every patient with worsening effort toleration or intensification of dysponoea and stable spirometric values with the lack of other causes. It should be emphasized that, apart from the diagnostisc leading to diagnosis of those two conditions in one patient, there are also the possible interactions of their concurrent treatment.

Key words: chronic heart failure, chronic obstructive pulmonary disease, comorbidity

Pol. Merk. Lek., 2013, XXXV, 209, 251