Saratov JOURNAL of Medical and Scientific Research

Gender peculiarities of cardiovascular pathology in patients with chronic obstructive pulmonary disease

Year: 2019, volume 15 Issue: №1 Pages: 28-33
Heading: Internal Diseases Article type: Original article
Authors: Ryabova A.Yu., Kozlova I.V., Shapovalova T.G., Shashina M.M., Veselov V.V., Zemlyanskaya O.V.
Organization: Saratov State Medical University

Purpuse: to research the gender-specific features of cardiovascular disease in the group of patients with chronic obstructive pulmonary disease (COPD). Material and Methods. We conducted a cross-sectional retrospective research of 419 patients hospitalized with exacerbation of COPD to the Pulmonology Department of Saratov Clinical Hospital №8 from 2015 to 2017 By the method of independent target sample, taking into account gender and multimorbidity 169 patients with COPD and cardiovascular disease were included into the research. Results. Relation between the nosological forms and the frequency of occurrence of cardiovascular pathology in the group of patients with COPD is gender- dependent. Gender features of heart remodeling in the group of patients with COPD and cardiovascular pathology are revealed. Women have more therapy adherence. Conclusion. The data that we obtained indicate the characteristics of the formation and course of the cardiovascular pathology in patients with COPD gender-dependent. Research of the features determines the optimal tactics of treatment, improves the prognosis and quality of life of co-morbid patients.

1 International variation in the prevalence of COPD (the BOLD Study): a population-based prevalence study. Lancet 2012 Sept 1; 380 (9844): 806 DOI: 10.1378/chest.06-0365
2 Global Initiative for Chronic Obstructive Lung Disease (GOLD) 20th Anniversary: a brief history of time. Eur Respir J 2017 Jul 5; 50(1). DOI: 10.1183/13993003.00671-2017
3 Naghavi M, Wang H, Lozano R, et al. Global, regional, and national age-sex specific all-cause and cause-specificmortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013 Lancet 2015; 385: 117-71. DOI: 10.1016/S0140-6736 (14) 61682-2
4 Roger V, Go A, Lloyd-Jones D, et al. On behalf of the American Heart Association Statistics Committee and Stroke Statistics Subcommittee Heart Disease and Stroke statistics — 2011 update: a report from the American Heart Association. Circulation 2011; 123: 18-109. DOI: 10.1161/ CIR.0b013e3182009701.
5 Mareev VYu, Fomin IV,Ageev FT, etal. Chronic heart failure (CHF): Clinical guidelines. Russian Heart Failure Journal 2017; 18(1): 3-40
6 Arterial hypertension in adults: Clinical recommendations. Moscow, 2016; 70 p.
7 Diagnostics and treatment of chronic coronary heart disease: Clinical recommendations. Cardiological messenger 2015;3:3-33. 8.AisanovZR,AvdeevSN,Arkhipov VV, etal. National clinical guidelines on diagnosis and treatment of chronic obstructive pulmonary disease: a clinical decision-making algorithm. Pulmonology 2017; 27 (1): 13-20
9 Ciccone MM, Bilianou Е, Balbarini A, et al. Task force on: Early markers of atherosclerosis: influence of age and sex'. J Cardiovasc Med (Hagerstown) 2013 Oct; 14 (10): 757-66. DOI: 10.2459/JCM.0b013e328362078d
10 Pepine CJ, Ferdinand КС, Shaw LJ, et al. Emergence of Nonobstructive Coronary Artery Disease: A Woman's Problem and Need for Change in Definition on Angiography. J Am Coll Cardiol 2015 Oct 27; 66 (17): 1918-33. DOI: 10.1016/j. jacc.2015.08.876
11 Mathur P, Ostadal B, Romeo F,et al. Gender-Related Differences in Atherosclerosis. Cardiovasc DrugsTher2015Aug; 29 (4): 319-27. DOI: 10.1007/s10557-015-6596-3
12 Spence JD, Pilote L. Importance of sex and gender in atherosclerosis and cardiovascular disease. Send to Atherosclerosis 2015 Jul; 241 (1): 208-10. DOI: 10.1016/j. atherosclerosis.2015.04.806
13 Piccini JP, Simon DN, Steinberg BA, et al. Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT-AF) Investigators and Patients. Differences in Clinical and Functional Outcomes of Atrial Fibrillation in Women and Men: Two-Year Results from the ORBIT-AF Registry. JAMA Cardiol 2016 Jun 1; 1 (3): 282-91. DOI: 10.1001/jamacardio.2016.0529.

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