Dtsch Med Wochenschr 2019; 144(01): 28-33
DOI: 10.1055/a-0659-0999
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© Georg Thieme Verlag KG Stuttgart · New York

COPD: Die wichtigsten Komorbiditäten

Comorbidities in Chronic Obstructive Pulmonary Disease
Carmen Pizarro
,
Dirk Skowasch
Further Information

Publication History

Publication Date:
02 January 2019 (online)

Abstract

Patients with chronic obstructive pulmonary disease (COPD) are frequently afflicted by comorbidities. In terms of quality of life, health status and prognosis, comorbid conditions negatively impact the lives of the sufferers. The link between these diseases is complex and comprises manifold considerations: it may be mediated by common risk factors, notably smoking, or by sequelae of COPD, like physical inactivity. Moreover, systemic inflammatory processes and mechanistic considerations seem to play a central role. As symptomatology is frequently overlapping, comorbid diseases tend to be overlooked. In consequence, they require proactive diagnostic approaches. Treatment should adhere to current guidelines, irrespective of the presence of COPD.

Die chronisch obstruktive Lungenerkrankung (COPD) wird häufig von Komorbiditäten begleitet, die nachhaltig die Lebensqualität und die Prognose der Patienten beeinflussen können. Dieser Beitrag widmet sich koexistenten Krankheitsbildern, die aufgrund der überlappenden Symptomatologie oft unter dem Deckmantel der COPD fehlinterpretiert werden. Sie sollten proaktiv diagnostiziert und einer leitlinienkonformen Therapie zugeführt werden.