Grzywa-Celińska Anna, Szmygin-Milanowska Katarzyna, Dyczko Monika, Kwaśniewska Katarzyna, Celiński Rafał, Mosiewicz Jerzy
Pol Merkur Lekarski. 2013 Nov;35(209):251-3.
Cardiovascular diseases most frequently coexist with the chronic obstructive pulmonary disease (COPD). The studies report on over 10 million 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 skillfull 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 diagnostic leading to diagnosis of those two conditions in one patient, there are also the possible interactions of their concurrent treatment.
心血管疾病常与慢性阻塞性肺疾病（COPD）并存。研究报告了超过1000万同时患有慢性心力衰竭（CHF）和COPD的患者。慢性心力衰竭和慢性阻塞性肺疾病患者病史中发现的临床症状和危险因素的相似性常常导致诊断错误。目前，医学有广泛的诊断方法。其中应提及：详细的病史采集、胸部X光片、利钠肽血清浓度测定、支气管可逆性试验的肺功能测定等。对其结果的熟练解读保证了更有效治疗的可能性。肺动脉高压是慢性阻塞性肺疾病和CHF之间的联系。虽然其临床表现不具特异性，且可能部分被COPD症状掩盖，但对于每一位运动耐量恶化或呼吸困难加重且肺功能测定值稳定且无其他原因的患者，都应考虑其存在的可能性。应该强调的是，除了在同一患者中诊断这两种疾病外，它们同时治疗时也可能存在相互作用。
