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Vol 2, No 3 (2003): Polish Palliative Medicine
Artykuły poglądowe
Published online: 2003-05-29
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Severe chronic obstructive pulmonary disease

Hanna Wolf, Ewa Jassem
Advances in Palliative Medicine 2003;2(3):175-182.
Vol 2, No 3 (2003): Polish Palliative Medicine
Artykuły poglądowe
Published online: 2003-05-29

Abstract

Chronic obstructive pulmonary disease (COPD) is one of the main cause of morbidity and mortality worldwide. Spirometry is the test of choice in the classification of COPD. The disease is characterized by chronic inflammation and airways obstruction. Severe stage of the disease is associated with remodeling of the bronchi’s and presents with dyspnea, cough and usually increased sputum production (purulent at exacerbation). Advanced COPD often results in the pulmonary hypertension and right heart failure. The most effective management of COPD includes smoking cessation, whereas the pharmacological treatment may only palliate symptoms and improve a quality of life. Long oxygen treatment is necessary in a large proportion of patients with severe COPD. Recently surgical lung volume reduction and lung transplantation were introduced, however they are still not considered a standard therapy.

Abstract

Chronic obstructive pulmonary disease (COPD) is one of the main cause of morbidity and mortality worldwide. Spirometry is the test of choice in the classification of COPD. The disease is characterized by chronic inflammation and airways obstruction. Severe stage of the disease is associated with remodeling of the bronchi’s and presents with dyspnea, cough and usually increased sputum production (purulent at exacerbation). Advanced COPD often results in the pulmonary hypertension and right heart failure. The most effective management of COPD includes smoking cessation, whereas the pharmacological treatment may only palliate symptoms and improve a quality of life. Long oxygen treatment is necessary in a large proportion of patients with severe COPD. Recently surgical lung volume reduction and lung transplantation were introduced, however they are still not considered a standard therapy.
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Keywords

chronic obstructive pulmonary disease; spirometry; oxygen therapy; noninvasive ventilation; pulmonary rehabilitation

About this article
Title

Severe chronic obstructive pulmonary disease

Journal

Advances in Palliative Medicine

Issue

Vol 2, No 3 (2003): Polish Palliative Medicine

Pages

175-182

Published online

2003-05-29

Bibliographic record

Advances in Palliative Medicine 2003;2(3):175-182.

Keywords

chronic obstructive pulmonary disease
spirometry
oxygen therapy
noninvasive ventilation
pulmonary rehabilitation

Authors

Hanna Wolf
Ewa Jassem

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