Robertson Institute of Biostatistics and Clinical Trials Unit, University of Glasgow, University Avenue, Glasgow G12 8QQ, UK.
Robertson Institute of Biostatistics and Clinical Trials Unit, University of Glasgow, University Avenue, Glasgow G12 8QQ, UK.
Heart Fail Clin. 2020 Jan;16(1):33-44. doi: 10.1016/j.hfc.2019.08.003.
Heart failure (HF) and chronic obstructive pulmonary disease (COPD) are both common causes of breathlessness and often conspire to confound accurate diagnosis and optimal therapy. Risk factors (such as aging, smoking, and obesity) and clinical presentation (eg, cough and breathlessness on exertion) can be very similar, but the treatment and prognostic implications are very different. This review discusses the diagnostic challenges in individuals with exertional dyspnea. Also highlighted are the prevalence, clinical relevance, and therapeutic implications of a concurrent diagnosis of COPD and HF.
心力衰竭（HF）和慢性阻塞性肺疾病（COPD）都是呼吸困难的常见原因，常导致准确诊断和最佳治疗变得复杂。危险因素（如衰老、吸烟和肥胖）和临床表现（如活动时咳嗽和呼吸困难）可能非常相似，但治疗和预后意义却大不相同。本文讨论了在有劳力性呼吸困难的个体中诊断的挑战。同时还强调了 COPD 和 HF 同时诊断的患病率、临床相关性和治疗意义。
