Non-drug rehabilitation of patients with chronic obstructive pulmonary disease concurrent with hypertension

Севостьянова, Е. В.; Nikolaev, Yu. A.; Bogdankevich, N V; Lusheva, V G; Markova, E.; Долгова, Н. А.

doi:10.17116/terarkh201688819-24

Cited by 3 publications

(1 citation statement)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Sevostyanova examined effectiveness of the halotherapy in patients with COPD coexisting with hypertension. What is interesting, reduction in blood pressure was observed in the research group (22).…”

Section: The Salt Therapy In the Chronic Obstructive Pulmonary Diseas...mentioning

confidence: 80%

Effectiveness of the salt therapy – current knowledge status

Paulina

Więsyk

Spozowski

et al. 2022

J Educ Health Sport

View full text Add to dashboard Cite

Introduction: The salt therapy is a form of the aerosol therapy using sodium chloride in different forms. The beginnings of the halotherapy date back to the nineteenth century when it has been practised as a medical treatment in the old salt mines of Central and Eastern Europe. The salt therapy as an adjuvant method seems to have positive impact on treatment of respiratory system diseases and dermatological conditions. We distinguish two types of the dry salt therapy: halotherapy and speleotherapy. Purpose of the article: We aimed to evaluate efficacy of the salt therapy in treatment of pulmonary and dermatological disorders. Material and methods: We searched three electronic databases: Pubmed, Web of Science and Google Scholar from inception to the August 2022 and conducted a review. The following descriptors were used: „halotherapy”, „speleotherapy” and „salt therapy”. Results and conclusions: The salt therapy improves mucociliary elimination, pulmonary functions and reduces airway’s irritation. It also reduces intensity of the dryness, redness and stimulates regenerative processes in the skin. This method is safe and do not cause the serious adverse effects. Therefore, due to its potential benefits, it should be considered as an additional therapy beside standard treatment procedures inter alia in the asthma, chronic obstructive pulmonary disease, psoriasis, atopic dermatitis. Moreover, halotherapy has positive impact on children’s general development as it enhances the growth and weight gain. However, scientific evidences for effectiveness of the salt therapy are limitted. There is a need of further studies assessing effectiveness of the long-therm salt therapy on the larger group of patients.

show abstract

Section: The Salt Therapy In the Chronic Obstructive Pulmonary Diseas...mentioning

confidence: 80%

Effectiveness of the salt therapy – current knowledge status

Paulina

Więsyk

Spozowski

et al. 2022

J Educ Health Sport

View full text Add to dashboard Cite

show abstract

Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review

Dennett

Janjua

Stovold

et al. 2021

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

show abstract

Clinical practice guidelines on the diagnosis and treatment of patients with arterial hypertension and chronic obstructive pulmonary disease

et al. 2020

View full text Add to dashboard Cite

One of the most common comorbid condition in people over 40 years old is: arterial hypertension (AH) and chronic obstructive pulmonary disease (COPD). The frequency of AH in patients with COPD varies from 6.8 to 76.3%, in average 34.3%. COPD is detected in every fourth patient with hypertension in the age group of 2564 years. The current trend towards an increase in life expectancy and therefore growing pool of elder cohort, will lead to a higher number of patients with comorbid disorders. Diagnosis and treatment of AH and COPD are determined by current clinical recommendations for both nosologies, however, a number of mutual pathophysiological mechanisms lead to a more severe course of these diseases with frequent exacerbations. The choice of antihypertensive therapy in patients with AH in combination with COPD should be given to drugs that can provide an adequate decrease in blood pressure in hypoxic conditions, especially at night and early morning hours, that have prolonged effect or could be prescribed in the evening, and to those that dont worsen bronchial obstruction or exacerbate hypoxia. Patients with AH and COPD should be given recommendations on lifestyle changes, especially smoking cessation. As initial therapy calcium channel blockers, angiotensin receptor blockers or angiotensin-converting enzyme inhibitors should be considered. Calcium channel blockers/renin-angiotensin system blockers should be considered as the first line for combination therapy. Thiazide, thiazide-like diuretics orb1-selective adrenergic blockers could be prescribed in case of insufficient antihypertensive response or depending on different clinical scenarios. Bronchodilators are the baseline therapy in COPD with concomitant AH. According to modern concepts, prescription of combination therapy with different mechanisms of action is the most proven and justified approach, which leads to a decrease in the frequency of exacerbations of COPD and amelioration of the symptoms. The choice of bronchodilator in the case of a COPD and AH combination, should take into account the proven long-term safety regarding the risk of cardiovascular complications. Tiotropium bromide as the monotherapy, including as a liquid inhaler and aclidinium/formoterol, tiotropium/oladeterol as combination therapy showed cardiovascular safety in the long-term studies. The escalation of COPD therapy with the need of inhaled steroids requires careful monitoring of blood pressure and, possibly, a revision of antihypertensive treatment leading to its escalation as well. COPD has many phenotypes requiring different medications, eg.: roflumilast, theophylline, macrolides and mucoactive drugs, that could also require tighter blood pressure control on patients with COPD and AH.

show abstract

Non-drug rehabilitation of patients with chronic obstructive pulmonary disease concurrent with hypertension

Cited by 3 publications

References 10 publications

Effectiveness of the salt therapy – current knowledge status

Effectiveness of the salt therapy – current knowledge status

Tailored or adapted interventions for adults with chronic obstructive pulmonary disease and at least one other long-term condition: a mixed methods review

Clinical practice guidelines on the diagnosis and treatment of patients with arterial hypertension and chronic obstructive pulmonary disease

Contact Info

Product

Resources

About