Michelini Truedsson Mikael, Stagmo Martin, Alm Hirsch Ingrid, Malm Johan, Marko-Varga György, Piitulainen Eeva
Capio, Limhamn - vårdcentral Malmö, Sweden Capio, Limhamn - vårdcentral Malmö, Sweden.
VO hjärt- och lungmedicin, Skånes universitetssjukvård - Lund, Sweden VO hjärt- och lungmedicin, Skånes universitetssjukvård - Lund, Sweden.
Lakartidningen. 2020 Feb 24;117:FTX4.
Chronic obstructive pulmonary disease (COPD) and cardiovascular disease (CVD) are frequently associated and share common risk factors, pathophysiological processes, symptoms and clinical signs. Ischemic heart disease, heart failure, pulmonary hypertension and atrial fibrillation are common comorbidities of COPD. COPD has been described as an independent risk factor for CVD. Cardiac troponin elevation, indicating myocardial injury, is associated with both the stable state of COPD and acute exacerbation of COPD. The mechanisms of elevated troponin levels in these conditions are multiple and not fully understood. The aim of this article is to discuss the association between COPD, CVD and cardiac troponins.
慢性阻塞性肺疾病(COPD)与心血管疾病(CVD)常相关联,且具有共同的危险因素、病理生理过程、症状和临床体征。缺血性心脏病、心力衰竭、肺动脉高压和心房颤动是COPD常见的合并症。COPD已被描述为CVD的独立危险因素。心肌肌钙蛋白升高表明心肌损伤,与COPD的稳定状态和急性加重均相关。在这些情况下肌钙蛋白水平升高的机制是多方面的,尚未完全明确。本文旨在探讨COPD、CVD与心肌肌钙蛋白之间的关联。