COPD overlap conditions: Clinical and therapeutic implications

IF 2.3 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

American Journal of the Medical Sciences Pub Date : 2024-07-17 DOI:10.1016/j.amjms.2024.07.023

Abdullah Jarrah MD , Mohammed T Awad MD, MPH , Cassondra Cramer-Bour MD , Ayman O. Soubani MD

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引用次数: 0

Abstract

Chronic Obstructive Pulmonary Disease (COPD) is a complex pulmonary condition characterized by chronic airflow limitation. Within the spectrum of COPD, distinct overlap conditions exist, including Asthma-COPD Overlap (ACO), COPD-Obstructive Sleep Apnea (COPD-OSA), Combined Pulmonary Fibrosis and Emphysema (CPFE), and Bronchiectasis-COPD Overlap (BCO). This review provides a comprehensive overview of the clinical and therapeutic implications of these conditions, highlighting the differences in complications compared with COPD alone in addition to the diagnostic challenges of identifying these conditions. Therapeutically tailored approaches are necessary for COPD overlap conditions considering the unique complications that may arise. Optimal pharmacological management, disease-specific interventions, and comprehensive patient-centered care are crucial components of treatment strategies. This review provides insights for healthcare professionals by enhancing their understanding and management of these conditions. This emphasizes the importance of accurate diagnosis and individualized treatment plans, considering the specific complications associated with each COPD overlap condition.

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慢性阻塞性肺疾病的重叠病症：临床和治疗意义。

慢性阻塞性肺疾病（COPD）是一种以慢性气流受限为特征的复杂肺部疾病。在慢性阻塞性肺疾病的范围内，存在着不同的重叠病症，包括哮喘-慢性阻塞性肺疾病重叠（ACO）、慢性阻塞性肺疾病-阻塞性睡眠呼吸暂停（COPD-OSA）、合并肺纤维化和肺气肿（CPFE）以及支气管扩张-慢性阻塞性肺疾病重叠（BCO）。本综述全面概述了这些病症的临床和治疗意义，强调了与单纯慢性阻塞性肺病相比并发症的差异，以及识别这些病症的诊断挑战。考虑到可能出现的独特并发症，有必要对慢性阻塞性肺病重叠病症采取有针对性的治疗方法。最佳药物管理、疾病特异性干预和以患者为中心的综合护理是治疗策略的重要组成部分。本综述通过加强医护人员对这些疾病的理解和管理，为他们提供了深入的见解。这强调了准确诊断和个体化治疗方案的重要性，并考虑到了与每种慢性阻塞性肺病重叠病症相关的特殊并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American Journal of the Medical Sciences 医学-医学：内科

CiteScore

4.40

自引率

0.00%

发文量

303

审稿时长

1.5 months

期刊介绍： The American Journal of The Medical Sciences (AJMS), founded in 1820, is the 2nd oldest medical journal in the United States. The AJMS is the official journal of the Southern Society for Clinical Investigation (SSCI). The SSCI is dedicated to the advancement of medical research and the exchange of knowledge, information and ideas. Its members are committed to mentoring future generations of medical investigators and promoting careers in academic medicine. The AJMS publishes, on a monthly basis, peer-reviewed articles in the field of internal medicine and its subspecialties, which include: Original clinical and basic science investigations Review articles Online Images in the Medical Sciences Special Features Include: Patient-Centered Focused Reviews History of Medicine The Science of Medical Education.