Principles of Diagnostic and Treatment of Coronary Artery Disease Combined with Chronic Obstructive Pulmonary Disease in Family Doctor Practice

Abstract

Combined pathology is one of the most spread problems in a family doctor’s practice. One of the first places is taken by the combination of ischemic artery disease and chronic obstructive pulmonary disease. It is connected with both wide spread occurrence of these pathologies and common risk factors together with pathogenic development mechanisms. Such combination causes diagnostics problems since the symptoms of one disease may mask the signs of the other. Chronic hypoxia, system inflammation characteristic of chronic obstructive pulmonary disease may have negative influence on the dynamics of ischemic artery disease, as a result of which complications occur more often. Apart from this, treatment requires a special approach because of possible negative influence of pharmacological drugs on the dynamics of combined pathology.