Chronic Obstructive Pulmonary Disease and Stroke

被引:43
作者
Corlateanu, Alexandru [1 ]
Covantev, Serghei [1 ]
Mathioudakis, Alexander G. [2 ]
Botnaru, Victor [1 ]
Cazzola, Mario [3 ]
Siafakas, Nikolaos [4 ]
机构
[1] State Univ Med & Pharm Nicolae Testemitanu, Dept Resp Med, Kishinev, Moldova
[2] Aintree Univ Hosp NHS Fdn Trust, Chest Ctr, Liverpool, Merseyside, England
[3] Univ Roma Tor Vergata, Dept Syst Med, Rome, Italy
[4] Univ Gen Hosp, Dept Thorac Med, Iraklion, Greece
关键词
Airway obstruction; COPD; COPD exacerbation; intracerebral hemorrhage; ischemic stroke; stroke; subarachnoid hemorrhage; MEAN PLATELET VOLUME; SYSTEMIC INFLAMMATION; ISCHEMIC-STROKE; HEMORRHAGIC STROKE; OXIDATIVE STRESS; LUNG-FUNCTION; RISK-FACTOR; GASTROESOPHAGEAL-REFLUX; OXYGEN SUPPLEMENTATION; MYOCARDIAL-INFARCTION;
D O I
10.1080/15412555.2018.1464551
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Chronic obstructive pulmonary disease ( COPD) is currently the fourth leading cause of death in the world and its incidence and prevalence is on the rise. It is evident that COPD is linked to cardiovascular disease. In the last years, several studies demonstrated that COPD may also be a risk factor for stroke, another major cause of death worldwide. Taking in consideration that COPD has multiple comorbidities it is hard to say whether COPD is an independent risk factor for stroke or it is due to confounding effect. This review is aimed to discuss current data on COPD and stroke, potential links, therapy, and prevention. Current data suggest that COPD may increase the risk of hemorrhagic stroke. The incidence of other stroke subtypes may also be increased in COPD or may be due to confounding effect. However, COPD patients who have stroke are at risk for pulmonary and extrapulmonary complications. We conclude that more studies are needed to further clarify the links between COPD and stroke. The management of COPD as well as the use of prevention therapy is essential to decrease the risk for stroke and should be at special attention in pulmonary medicine and neurology.
引用
收藏
页码:405 / 413
页数:9
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