Structural and functional state of myocardium in patients with chronic obstructive pulmonary disease, combined with CHD
In 56 patients with chronic obstructive pulmonary disease(COPD) -V stages, 32 patients with coronary heart disease (CHD), stable angina voltage - functional classes and 37 patients with a combination of chronic obstructive pulmonary disease  - V stages and coronary heart disease, stable angina voltage - functional classes in the period of exacerbation of COPD were studied the characteristics of structural-functional state of the myocardium by dopplerechocardiography, as well as lipid profi le, the content proinfl ammatory cytokines (IL-6, IL-8, TNF-) and cell adhesion molecules (ICAM-1, VCAM-1) in peripheral blood. In patients with combined pathology were revealed most pronounced signs of hypertrophy of both right-and left divisions of the heart, reducing myocardial contractive force, which was combined with high levels in peripheral blood pro-infl ammatory cytokines, cell adhesion molecules, and hypercholesterolemia.