CLINICAL CASE OF A PATIENT WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND CHRONIC HEART FAILURE

Abstract

The medical and social significance of chronic obstructive pulmonary disease (COPD) and chronic heart failure (CHF) is beyond doubt and is due to the high incidence of this comorbid pathology, poor prognosis, and difficulties in diagnosis and treatment. The leading position in the prevalence and impact on the prognosis of COPD is occupied by comorbid cardiovascular diseases (CVD) and CHF, in particular. The purpose of the analysis of this clinical case was to study the features of clinical manifestations, diagnostic studies and therapy in a patient with concomitant pathology: chronic obstructive pulmonary disease and chronic heart failure. In this clinical case, the patient had a combination of chronic obstructive pulmonary disease and coronary artery disease, as well as angina pectoris, complicated by chronic heart failure with preserved ejection fraction. The background diseases contributing to the development of these pathologies were obesity of the 1st degree and hypertension. The patient had general symptoms characteristic of CHF and COPD, characteristic changes in laboratory and instrumental research methods. In the treatment, the main groups of drugs recommended for the treatment of this combined pathology and having no contraindications in this particular patient were used: a cardioselective β-adrenergic blocker, an angiotensin-converting enzyme inhibitor, an antagonist of mineralocorticoid receptors, an inhaled glucocorticosteroid, indicated for exacerbation of COPD, a combined short-acting bronchodilator with a bronchodilator purpose and a long-acting M-anticholinergic.