Diagnostic and Therapeutic Challenges in Patients With Coexistent Chronic Obstructive Pulmonary Disease and Chronic Heart Failure

Diagnostic and Therapeutic Challenges in Patients With Coexistent Chronic Obstructive Pulmonary Disease and Chronic Heart Failure Thierry H. Le Jemtel, Margherita Padeletti, Sanja Jelic Chronic obstructive pulmonary disease (COPD) may delay the diagnosis of chronic heart failure (CHF), and promote n...

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Bibliographic Details
Published in:Journal of the American College of Cardiology 2007-01, Vol.49 (2), p.171-180
Main Authors: Le Jemtel, Thierry H., MD, Padeletti, Margherita, MD, Jelic, Sanja, MD
Format: Article
Language:English
Subjects:
Adrenergic alpha-Antagonists - therapeutic use
Adrenergic Antagonists - therapeutic use
Adrenergic beta-Antagonists - therapeutic use
Aged
Angiotensin-Converting Enzyme Inhibitors - therapeutic use
Beta blockers
Biological and medical sciences
Cardiology
Cardiology. Vascular system
Cardiovascular
Chronic Disease
Chronic obstructive pulmonary disease
Chronic obstructive pulmonary disease, asthma
Comorbidity
Drug therapy
Drug Therapy, Combination
Echocardiography
Female
Heart
Heart Failure - diagnosis
Heart Failure - drug therapy
Heart Failure - epidemiology
Heart failure, cardiogenic pulmonary edema, cardiac enlargement
Humans
Incidence
Internal Medicine
Male
Medical sciences
Middle Aged
Mortality
Patients
Pneumology
Prognosis
Pulmonary Disease, Chronic Obstructive - diagnosis
Pulmonary Disease, Chronic Obstructive - drug therapy
Pulmonary Disease, Chronic Obstructive - epidemiology
Respiratory Function Tests
Risk Assessment
Severity of Illness Index
Stroke Volume
Survival Rate
Treatment Outcome
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Summary:Diagnostic and Therapeutic Challenges in Patients With Coexistent Chronic Obstructive Pulmonary Disease and Chronic Heart Failure Thierry H. Le Jemtel, Margherita Padeletti, Sanja Jelic Chronic obstructive pulmonary disease (COPD) may delay the diagnosis of chronic heart failure (CHF), and promote nonadherence to therapeutic guidelines, especially beta-blockade. Skeletal muscle alterations are strikingly similar in both conditions. Improvement of pulmonary or cardiac function does not translate into improved functional capacity unless skeletal muscle alterations concomitantly regress. Beta-blockade is safe in stable COPD. Beta -blockade should be attempted in all CHF patients with coexistent CHF and COPD.
ISSN:0735-1097
1558-3597
DOI:10.1016/j.jacc.2006.08.046