The clinical meaning of complaints and anamnesis of patients with ischemic heart disease in combination with chronic obstructive pulmonary disease
The purpose: the study of the peculiarities of clinical presentation of patients with chronic IHD (stable exertional stenocardia) and concomitant COPD. Material and methods: Out of 907 patients with IHD, who were treated in the 4th cardiological department of Nizhny Novgorod State clinical hospital № 5 during 2007-2009 years, 251 of the examined (27,7 %) had concomitant COPD. To make the analysis there have been formed two groups of patients. The first group included 251 patients with IHD and concomitant COPD. In the second group there were 656 patients only with IHD. The results: The main complaint of the patients with combined cardio-pulmonary pathology was breathlessness, but not classic anginal pains. It has been stated that the combination of complaints of breathlessness and palpitation (ES = 7,68) had the biggest diagnostic value in the revealing of COPD. Much lesser clinical meaning had the combination breathlessness-palpitations-stenocardia (ES = 1,26), and also the complaint on palpitations (ES = 1, 31). The conclusion. The frequency of combination of IHD and COPD of patients, hospitalized to the cardiological department, was 27,7 %. The biggest diagnostic value in the revealing of COPD of patients with IHD has the combination of complaints on breathlessness and palpitation.