[Clinicofunctional characteristics of the heart in patients with stable angina pectoris in combination with chronic obstructive pulmonary disease].
OBJECTIVE
To specify clinicofunctional characteristics of the heart in patients with stable angina in combination with chronic obstructive pulmonary disease (COPD).


METHODS
A total of 125 anginal patients with COPD were devided into three groups. The study group consisted of 80 patients (48 males and 32 females) aged 53.10+/-0.83 years with angina of effort (AE) offunctional class (FC) II-III and mild to moderate COPD. Control group 1 consisted of 23 patients with FC II-IIIAE, control group 2--of 22 COPD patients. The examination included doppler-echocardiography (DECG), 24-h ECG monitoring (ECGM), selective coronarography, assessment of external respiration function (ERF), lipid metabolism and blood gases.


RESULTS
Patients with AE of FC II-III and COPD complain of dysonea and palpitation, their 24-h DECG registered arrhythmia and asymtomatic ischemic heart disease more frequently than in the controls, their systolic and diastolic left ventricular dysfunction is more serious.


CONCLUSIONS
AE patients with COPD should undergo a comprehensive examination including DECG, 24-h ECGM, assessment of ERF and blood gases for early detection of various disorders and administration of adequate treatment.
Borovkov
N N
NN
Grigor'eva
N Iu
NIu
D000787:Angina Pectoris / Q000150:complications / Q000378:metabolism / Q000503:physiopathology*; D001784:Blood Gas Analysis; D001794:Blood Pressure / Q000502:physiology; D018660:Blood Pressure Monitoring, Ambulatory; D004452:Echocardiography; D005260:Female; D006321:Heart / Q000503:physiopathology*; D006339:Heart Rate / Q000502:physiology; D006801:Humans; D050356:Lipid Metabolism / Q000502:physiology; D008297:Male; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000378:metabolism / Q000503:physiopathology*; D012143:Respiratory Physiological Phenomena; D012720:Severity of Illness Index; D016277:Ventricular Function, Left / Q000502:physiology