Identification and management of cardiopulmonary risk in patients with chronic obstructive pulmonary disease: a multidisciplinary consensus and modified Delphi study
Rattachement africain : gb, ca, us, sg, de, ch, cl, nz. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
AIMS: Cardiovascular disease is a common comorbidity in chronic obstructive pulmonary disease. Yet, cardiovascular disease and risk are underdiagnosed in chronic obstructive pulmonary disease and are often undertreated, increasing the risk of cardiopulmonary events. METHODS AND RESULTS: We formed a Global Working Group of experts in chronic obstructive pulmonary disease and cardiovascular disease to produce a consensus statement detailing the identification and management of cardiopulmonary risk in patients with chronic obstructive pulmonary disease. We conducted virtual meetings supplemented by remote working and communication. The Chairs (C.P.G., M.B.) proposed a draft consensus statement, which was further developed by the Global Working Group. The selection of the final consensus statement and key points were obtained using the modified Delphi method. The consensus statement is, 'Given the high burden of fatal and non-fatal major cardiovascular and respiratory events in patients with COPD it is important that cardiopulmonary risk is assessed and managed'. Patients with cardiovascular risk factors or disease who have regular cough or expectoration, recurrent 'chest infections', a significant smoking history, or dyspnoea should complete spirometry to confirm the presence of chronic obstructive pulmonary disease. Prevalent and incident cardiovascular disease and risk in patients with chronic obstructive pulmonary disease, including heart failure, dyslipidaemia, hypertension, ischaemic heart disease, and atrial fibrillation, should be managed according to clinical guidelines. In addition, chronic obstructive pulmonary disease exacerbation risk in patients with chronic obstructive pulmonary disease should be addressed to reduce cardiopulmonary risk. Enhanced integration with specialists in cardiology, pulmonology, and primary care is recommended. CONCLUSION: The identification and management of cardiopulmonary risk in patients with chronic obstructive pulmonary disease are an unmet public health need that can be addressed through shared understanding and multidisciplinary working to improve cardiopulmonary outcomes.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Identification and management of cardiopulmonary risk in patients with chronic obstructive pulmonary disease: a multidisciplinary consensus and modified Delphi study
- Date Crossref
- 03/03/2025
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
-
University of Leeds Leeds Institute for Data Analytics pays non établi dans la noticeUniversité ou école supérieure
-
Leeds Teaching Hospitals NHS Trust Department of Cardiology pays non établi dans la noticeÉtablissement de santé
-
The London College pays non établi dans la noticeUniversité ou école supérieure
-
University College London UCL Respiratory pays non établi dans la noticeUniversité ou école supérieure
-
University of British Columbia Division of Cardiology pays non établi dans la noticeUniversité ou école supérieure
-
McGill University Health Centre Department of Medicine pays non établi dans la noticeÉtablissement de santé
-
University of Michigan Department of Medicine pays non établi dans la noticeUniversité ou école supérieure
-
Michigan Medicine pays non établi dans la noticeÉtablissement de santé
-
National University of Singapore Department of Cardiology pays non établi dans la noticeUniversité ou école supérieure
-
National University Heart Centre Singapore pays non établi dans la noticeÉtablissement de santé
-
National Heart Centre Singapore pays non établi dans la noticeÉtablissement de santé
-
University of Saskatchewan Critical Care and Sleep Medicine pays non établi dans la noticeUniversité ou école supérieure
Leeds Institute for Data Analytics — University of Leeds, Department of Cardiology — Leeds Teaching Hospitals NHS Trust et The London College, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.