Approaches To The Treatment Of Hypertension In Patients With Chronic Obstructive Pulmonary Disease

S.I. Ovcharenko, Z.N. Nersesyan

The article considers the features of antihypertensive therapy in patients with chronic obstructive pulmonary disease (COPD) and arterial hypertension (AH). It is emphasized that the choice of therapy for COPD patients with AH is associated with serious difficulties, since the combination of these conditions leads to a significant burdening by each of diseases, and antihypertensive drugs, bronchodilators, and hormones in some cases have side effects burdening comorbid disease. It is noted that five major classes of antihypertensive drugs should be used for the treatment of AH in combination with COPD with certain constraint: ACE inhibitors, angiotensin receptor AT1 blockers, calcium channel blockers, ?-blockers and diuretics. Typically, a combination of 2-3 or more medications is used. The most effective and safe treatment for patients with AH and COPD is a combination of ARB with a calcium channel blocker or thiazide diuretic.

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