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COPD, an underestimated threat to the heart and lungs

Chronic obstructive pulmonary disease is a very common, although underdiagnosed, disease that patients are not fully aware of.

These numbers affected 480 million people worldwide, of which 3.5 million were in Italy.It is the main cause of death in the world, but more than half of patients are not eliminated.Chronic obstructive pulmonary disease (COLD) is often underestimated by patients, because its symptoms are not clear, and sometimes the deterioration of respiratory function worsens after a few coughs.

Systemic disease

COPD is characterized by an obstructive component of the bronchi and inflammation of the airways."The risk factors are different, from smoking to genetic predisposition, followed by exposure to toxic substances, air pollution and advanced age," explained Professor Sergio Harari, director of the Pulmonology service at the San Giuseppe Hospital in Milan, during the meeting on the subject, held on Friday, November 7 in the Salute's "Time of Greeting" program.November is awareness month for this disease.

COPD is not a problem in itself: it is a systemic pathology with cardiovascular complications, due to limitations in other media”, leans Harari.

According to Franctci Denture, it presents with chronic cough and shortness of breath, heart attack, stroke and federal death.Worse, it means the symptoms are getting worse and the hospital stay is definitely on time.

"This pathology is not curable, the patient will have to live with it for the rest of his life. The patient may experience aggravation and therefore the aggravation and the number of aggravations are related to the cardiopulmonary risk, that is to say the risk of cardiac and respiratory events", adds Andrea Zanze, general practitioner and director of chronic care at the Italian Society of General Medicine (SIMG).And the numbers are impressive, "in the first 30 days of a dentist, dental events are reported: times".

Waiting for the diagnosis

General dors play a serious work on a driving and grinding to the copd, while they may be in the right to enter a reasonable time and appropriate.

Often the patient is not "cooperative", as highlighted by Salvatore D'Antonio, President of the COPD Patient Association: "A patient minimizes the symptoms and adapts his condition to respiratory compromise by claiming that he continues the same daily activities, but does not admit that he does them with more difficulty".

Therefore, the task of doctors who create a health contract with their patients is to determine as quickly as possible the most efficient way to diagnose this pathology: "As the first contact with the patient, they have the opportunity to intercept patients with COPD through tools such as questionnaires to assess the impact of symptoms on the patient's daily life", emphasizes Zance.

By identifying the disease at the first signs, we can limit the damage and the impact on the patient's life, and refer him to a specialist center, depending on the severity.

However, the usual tasks according to the absence of three-thirds disease "are used to take the columns of the image. We can be used by a special tool, can be told to someone. waste with the most important effect to improve this data

«Patients must understand that therapy must be followed continuously, not only in the exacerbation phase», reiterates D'Antonio, who adds: «Patients have been fighting for years to reduce bureaucracy in prescribing medications.Treatment plans force GPs to give separate prescriptions, but triple therapy has been shown to prolong life.Finally, the economic savings should not be underestimated: one device is cheaper than using two devices.»

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