Abstract:
:Patients with chronic obstructive pulmonary disease (COPD) are often characterised by a range of characteristic co-morbidities that interfere with their pulmonary disease. In addition to a mere association with co-morbidities, a complex pathophysiological interaction and mutual augmentation occurs between COPD and its co-morbidities that may result in disease progression and increased morbidity and mortality. An interdisciplinary approach is required both for diagnosis and treatment to target co-morbidities early in the course of the disease. This review summarizes the current knowledge of the interaction with cerebrovascular disease and endocrinological co-morbidities in COPD patients. There is growing evidence that COPD is an independent risk factor for ischemic stroke, increasing the risk about twofold. Stroke risk in COPD patients increases with the severity of the disease as measured by the degree of airflow limitation. The presence of cardiovascular risk factors is of particular importance for stroke prevention in COPD patients. Endocrinological co-morbidities are also important and many are associated with increased cardiovascular risk. Impaired glucose metabolism ranges from insulin resistance to overt diabetes mellitus, which is a frequent finding and is associated with worse outcome.
journal_name
Respir Medjournal_title
Respiratory medicineauthors
Doehner W,Haeusler KG,Endres M,Anker SD,MacNee W,Lainscak Mdoi
10.1016/S0954-6111(11)70005-1subject
Has Abstractpub_date
2011-10-01 00:00:00pages
S12-9eissn
0954-6111issn
1532-3064pii
S0954-6111(11)70005-1journal_volume
105 Suppl 1pub_type
杂志文章,评审abstract::Subjects with chronic obstructive airways disease may have difficulty with the roadside alcolmeter. Twenty-six subjects with a FEV1/FVC less than 60% were asked to use an alcolmeter simulator. Only ten were able to produce the necessary flow rate of 28 l min-1 for a minimum of 2.7 s, two could produce the same total v...
journal_title:Respiratory medicine
pub_type: 临床试验,杂志文章
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更新日期:1990-01-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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pub_type: 杂志文章
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pub_type: 杂志文章
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更新日期:2003-11-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.rmed.2008.09.023
更新日期:2009-03-01 00:00:00
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journal_title:Respiratory medicine
pub_type: 杂志文章
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更新日期:2016-11-01 00:00:00
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pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2015-08-01 00:00:00
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journal_title:Respiratory medicine
pub_type: 杂志文章
doi:10.1016/j.rmed.2011.09.013
更新日期:2012-02-01 00:00:00
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pub_type: 临床试验,杂志文章
doi:10.1053/rmed.2001.1286
更新日期:2002-05-01 00:00:00
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pub_type: 杂志文章
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更新日期:2019-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1053/rmed.2001.1035
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pub_type: 杂志文章
doi:10.1016/j.rmed.2011.08.003
更新日期:2011-11-01 00:00:00
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:1995-05-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章,多中心研究
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pub_type: 杂志文章
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