BRONCHIAL ASTHMA AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE – TWO DISEASES IN ONE PATIENT. MODERN APPROACHES TO THE DIAGNOSIS AND TREATMENT


I.V. Leschenko (1, 2), I.I. Baranova (2)

(1) SBEI HPE "Ural State Medical University" of RMPH, (2) Medical Association "New Hospital", Ekaterinburg
The combination of asthma and chronic obstructive pulmonary disease (COPD) is defined as "overlap"-syndrome and is characterized by incomplete reversibility of the limitation of respiratory flow in combination with a positive test for reversibility of bronchial obstruction. In patients suffering from "Asthma-COPD" comorbidity, progression of respiratory failure, reduction of effectiveness of previously effective inhaled glucocorticoids (IGC), reduction of exercise tolerance and quality of life are observed. Regardless of the severity of bronchial asthma, in patients with "Asthma -COPD" phenotype, the appointment of a combination of IGC and long-acting β2- agonists (LABA) is required as background therapy. In severe COPD with frequent symptoms, patients with «overlap»- syndrome need for "triple" background therapy, including IGC + LABA and long-acting anticholinergics.

About the Autors


I.V.Leschenko - MD, Professor at the Department of Tuberculosis and Pulmonology SBEI HPE "Ural State Medical University" of RMPH, research advisor of the Clinic of Medical Association "New Hospital", Ekaterinburg ; e-mail: leshchenkoiv@yandex.ru;
I.I. Baranova – PhD in Medical Sciences, pulmonologist, Medical Association "New Hospital", Ekaterinburg; e-mail: baranovailona@gmail.com


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