Features of management of patients with chronic obstructive pulmonary disease and arterial hypertension (clinical case)

Borisova Ekaterina Petrovna, Krivykh Sardana Kirillovna

The purpose of the analysis of this clinical case was to study the features of clinical manifestations, diagnostic studies and therapy in a patient with combined pathology: chronic obstructive pulmonary disease and arterial hypertension. In this clinical example, the patient, against the background of such risk factors as long-term smoking experience with a smoker index of 44 pack / years, overweight, developed chronic obstructive pulmonary disease with severe symptoms (mMRS> 2), with frequent exacerbations (2 or more in year), complicated by respiratory failure of the 1st degree (SpO2 93%). Risk factors for the development of arterial hypertension were smoking, overweight, low high-density lipoprotein cholesterol, and hereditary predisposition. A patient with target organ lesions has initial manifestations of left ventricular hypertrophy, hypertensive retinal angiopathy and stage 2 of chronic kidney disease, and complications of discirculatory encephalopathy manifestations. An additional factor that contributed to the increase in blood pressure was the use of non-steroidal anti-inflammatory drugs for pain in the spinal column. In the treatment, according to national guidelines, a combination of antihypertensive therapy and a combination of two long-acting inhaled bronchodilators were carried out.

Keywords:chronic obstructive pulmonary disease, arterial hypertension, comorbid pathology, diagnosis, treatment.