Choroba wieńcowa u chorych z POChP Artykuł przeglądowy
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Abstrakt
Przewlekła choroba obturacyjna płuc (POChP) jest chorobą, która występuje coraz częściej. Według szacunkowych danych POChP w krótkim czasie stanie się trzecią pod względem częstości przyczyną zgonów na świecie. Choroba wieńcowa jest prawdopodobnie najczęstszą i najpoważniejszą chorobą u chorych z POChP. Na występowanie i przebieg choroby wieńcowej w tej grupie wpływa częstsze występowanie tradycyjnych czynników ryzyka choroby wieńcowej, systemowe zapalenie, narażenie na hipoksję, aktywacja układu współczulnego, uszkodzenie naczyń oraz przyspieszenie procesu starzenia. Podobieństwo objawów, potencjalne trudności w wykonaniu testów wysiłkowych oraz przeciwwskazania do stosowania leków używanych podczas wysiłkowych testów farmakologicznych sprawiają, że diagnostyka choroby wieńcowej u chorych z POChP wymaga szczególnego zaangażowania i czujności lekarza. Wytyczne GOLD i ESC nie opisują w sposób szczegółowy optymalnych metod leczenia pacjentów z POChP i chorobą wieńcową. Niniejszy artykuł przedstawia dane dotyczące epidemiologii i etiologii choroby wieńcowej u pacjentów z POChP oraz wpływu leków i innych metod leczenia typowo stosowanych w chorobie wieńcowej i POChP.
Pobrania
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