The Correlation Between Chronic Obstructive Pulmonary Disease And Ischemic Heart Disease

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Olga A. Efremova, Ksenia S. Aleinikova, Eduard M. Khodosh, Elena P. Pogurelskaya, Lyudmila A. Kamyshnikova, Natalya I. Obolonkova, Maryam Wuraola

Abstract

Background: Heart disease in people with chronic obstructive pulmonary disease (COPD), in addition to pathological problems and death, can
cause serious damage to social and economic status. Since the relationship between respiratory diseases and ischemic heart disease (IHD) has
been sufficiently studied, but the study of the main clinical indicators related to COPD and IHD has been neglected.
Materials and methods: One hundred and seventeen patients were classified into 3 groups. The first group consisted of 42 patients with a
combination of ischemic stable heart disease (chronic heart failure I - II FC) and COPD (GOLD 2-3). The second group included 40 patients with
stable ischemic heart disease without concomitant COPD and the third group included 35 patients with COPD (GOLD 2-3) without ischemic
heart disease. Patients were grouped according to age and duration of disease (5 to 14 years).
Results: The results of this study showed that patients with a combination of stable coronary artery disease and COPD recorded higher heart
rate and shortness of breath than people with only stable ischemic heart disease. In addition, COPD showed a clinical picture with decreased
volumetric spirographic parameters, a reliable increase in supraventricular extrasystole, and normally closed branch occlusion according to ECG
data.
Conclusion: This study made it possible to show a very close relationship between COPD and IHD, which had intensifying reciprocal
development mechanisms. In the future, this study will help develop guidelines for the correction, prognosis, and prevention of this associated
pathology.

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