Optimal Management of Heart Failure and Chronic Obstructive Pulmonary Disease: Clinical Challenges.
Joseph J CuthbertPierpaolo PellicoriAndrew L ClarkPublished in: International journal of general medicine (2022)
Heart failure (HF) and chronic obstructive pulmonary disease (COPD) are common causes of breathlessness which frequently co-exist; one potentially exacerbating the other. Distinguishing between the two can be challenging due to their similar symptomatology and overlapping risk factors, but a timely and correct diagnosis is potentially lifesaving. Modern treatment for HF can substantially improve symptoms and prognosis for many patients and may have beneficial effects for patients with COPD. Conversely, while many inhaled treatments for COPD can improve symptoms and reduce exacerbations, there is conflicting evidence regarding the safety of some inhaled treatments for COPD in patients with HF. Here we explore the overlap between HF and COPD, examine the effect of one condition on the other, and address the challenges of managing patients with both conditions.
Keyphrases
- chronic obstructive pulmonary disease
- lung function
- heart failure
- acute heart failure
- risk factors
- cystic fibrosis
- end stage renal disease
- ejection fraction
- newly diagnosed
- left ventricular
- prognostic factors
- atrial fibrillation
- peritoneal dialysis
- cardiac resynchronization therapy
- patient reported outcomes
- air pollution
- smoking cessation