Ischemic Heart Disease and Attendant Chronic Obstructive Disease of Lungs: New View of a Combined Flow
Aim of work is a study of the clinical picture peculiarities in patients with a stable stenocardia of tension and attendant chronic obstructive disease of lungs (ChODL) for a combined pathology early diagnosis improvement.
Materials and Methods. A retrospective analysis of 1267 case histories of patients is made. An attendant ChODL is revealed in 352 examined patients (27.8%). A comparison of two groups is made according to selected criteria. The patients with IHD combined with ChODL were in the first (investigating) group (n=251). The patients (n=656) with a stable stenocardia only were included into the second (control) group.
Results. The typical for stenocardia complaints to pains in chest were from 130 examined patients (51.8%), the pains were absent in 121 patients (48.2%) in the first group. 180 patients (71.7%) complained of inspiratory-expiratory dyspnea. The complaints to palpitation were in 152 patients (60.5%). A complaint to pains in breast of anginal character was more frequently encountered in 510 patients (77.7%) among the 2nd group patients; a mixed dyspnea was rarely observed in 329 patients (50.2%) and a palpitation was in 186 patients (28.4%).
Conclusion. There is an attendant ChODL in almost third (27.7%) of the hospitalized in a cardiologic department patients with a chronic IHD. A high rate of the considered diseases, the IHD forming at the background of a present ChODL and the common pathogenetic mechanisms as well substantiates a necessity to interpret a ChODL not only as an attendant pathology, but as a risk factor of IHD development, negatively modifying its flow.
