What Are the Complications of COPD? | Everyday Health
relationship between chronic obstructive pulmonary disease and. Chronic obstructive pulmonary disease (COPD) and heart failure The relationship between COPD and cardiovascular events is not completely clear. .. for side effects than oral administration, they can be administered if. The Link Between COPD and Heart Failure Other complications include sleep disorders, osteoporosis, gastroesophageal reflux disease.
The association between COPD and heart failure risk: a review
Chronic obstructive pulmonary disease COPD refers to a collection of lung diseases that can lead to blocked airways. This can make it hard to breathe and cause coughing, wheezing, and mucus production. For those living with COPD, every breath can be difficult. People with COPD can be at risk for serious complications that can not only put their health in jeopardy, but also be fatal.
Here are a few of those complications, along with some tips for preventing them. Pneumonia Pneumonia occurs when germs like bacteria or viruses enter the lungs, creating an infection. According to the Centers for Disease Control and Preventioncommon viral causes of pneumonia are the influenza virus, which causes the flu, and respiratory syncytial virus RSV.
The CDC also notes that a common cause of bacterial pneumonia is Streptococcus pneumoniae. Pneumonia is ranked evenly with influenza as the eighth leading cause of death in the country. The illness is especially dangerous for those with a weakened pulmonary system, such as those who have COPD.Diagnosis and Evaluation of COPD
For these people, it can cause further inflammatory damage in the lungs. This can lead to a chain reaction of illnesses that can weaken the lungs even further and lead to a rapid deterioration of health in people with COPD. Overall good health is key to preventing infections in people with COPD.
Here are some tips for reducing your risk of infection: Drink plenty of fluids, especially water, to maintain healthy bronchioles while thinning out mucus and secretions. Quit tobacco smoking to maintain a healthy immune system and lung health. Wash your hands consistently. Avoid contact with people you know are ill with respiratory infections.
Discourage sick friends and family from visiting your home. Get a pneumonia vaccine and yearly flu vaccine.
Because people with COPD have lower levels of oxygen in their bloodstream and because lung function is so closely intertwined with heart function, their heart will often be affected when their lungs are diseased. According to the American Thoracic Societythis can result in severe pulmonary hypertension to the point of right-sided heart failure occurring in 5 to 10 percent of people with advanced COPD.
For many people, adequately treating COPD can help prevent the disease from progressing to the point where it causes heart failure.
The first step to preventing heart failure is to slow the progression of COPD. Here are a few simple ways you can do this: Engage in mild to moderate physical activity to build up heart and lung stamina.
The association between COPD and heart failure risk: a review
Heart failure, Chronic obstructive pulmonary disease Introduction Heart failure HF and chronic obstructive pulmonary disease are global epidemics, each affecting in excess of 10 million patients. What are the pitfalls of diagnosing HF in patients with chronic obstructive pulmonary disease, and vice versa? How frequent a comorbidity is chronic obstructive pulmonary disease? What are the clinical consequences of both conditions co-existing?
Here, we examine the diagnostic problems posed by the two conditions, before reviewing the prevalence and prognostic implications of chronic obstructive pulmonary disease in patients with HF. Problems diagnosing heart failure in patients with chronic obstructive pulmonary disease Clinical features Heart failure is a complex syndrome without a simple objective definition.
People with COPD Face Increased Heart Failure Risk
Diagnosis requires both typical clinical features and objective evidence of cardiac dysfunction. No qualitative features of dyspnoea are unique to HF. Lung hyperinflation with hepatic displacement mimics the latter, while hindering palpation of cardiomegaly and auscultation of rales or a third heart sound.
The difficulty in differentiating between HF and chronic obstructive pulmonary disease symptoms and signs is illustrated in a single cohort study comparing the Framingham and Cardiovascular Health Study criteria for HF. Pulmonary vascular remodelling and radiolucent lung fields mask the typical alveolar shadowing of pulmonary oedema. In a recent primary care study, echocardiographic images were unsatisfactory in Cardiac magnetic resonance imaging Cardiac magnetic resonance imaging is the accepted reference standard for measuring LV volumes and ejection fraction.
Plasma BNP is elevated in both primary pulmonary hypertension and right HF secondary to chronic respiratory disease. Each test excluded HF with reasonable accuracy all negative predictive values above 0. However, the positive predictive value and overall diagnostic accuracy were lower than observed in patients with acute dyspnoea. Stable patients exhibit lower BNP levels than those with acute volume overload and raised intracardiac pressures.
Secondly, BNP levels are increased in patients with chronic obstructive pulmonary disease. Between these thresholds a Bayesian approach is warranted, using BNP to corroborate the clinical evaluation. Problems diagnosing heart failure with preserved ejection fraction in patients with chronic obstructive pulmonary disease Defining and identifying HF with preserved ejection fraction HF-PEF is controversial and problematic in any population.
These difficulties are magnified in patients with chronic obstructive pulmonary disease. More robust studies are required to determine the diagnostic accuracy of BNP for HF in patients with chronic obstructive pulmonary disease and varying levels of pulmonary hypertension.
Problems diagnosing chronic obstructive pulmonary disease in patients with heart failure Patients with HF exhibit both obstructive and restrictive ventilatory defects, which may compound or conceal the characteristic airflow limitation of chronic obstructive pulmonary disease.