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COPD, An Issue of Medical Clinics - E-Book

COPD, An Issue of Medical Clinics - E-Book

Stephen I. Rennard | Bartolome R. Celli

(2012)

Additional Information

Book Details

Abstract

This issue of Medical Clinics of North America provides the latest essential updates on COPD.  The following topics are covered: pathobiological mechanisms; genes and the disease (alpha-l-antitrypsin); the environment, phenotype, and comorbidity; the role and potential of imaging; pulmonary function and its importance; exercise in testing and therapy; patients’ perception and quality of life; exacerbations, causes, prevention, and treatment; an integrated approach to the medical treatment; meducal pneumoplasty, surgical resection, or lung transplant; and smoking cessation and environmental hygiene.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Medical Clinics of North America i
Copyright Page ii
Table of Contents vii
Contributors v
Preface xi
Chapter 1. Chronic Obstructive Pulmonary Disease: A Worldwide Problem 671
EPIDEMIOLOGY 672
DEFINITION OF COPD 674
RISK FACTORS 674
SPIROMETRY SCREENING 675
BURDEN OF COPD IN DEVELOPING COUNTRIES 675
FUTURE 676
ACKNOWLEDGMENTS 676
REFERENCES 676
Chapter 2. Pathobiologic Mechanisms of Chronic Obstructive Pulmonary Disease 681
INTRODUCTION 681
PHENOTYPES OF COPD 682
PROPERTIES OF CS 683
CYTOCHROME P-450 GENE EXPRESSION 683
PATHOBIOLOGIC MECHANISMS 684
DUTCH, BRITISH, AND AMERICAN HYPOTHESES 688
PROTEASE–ANTIPROTEASE HYPOTHESIS OF EMPHYSEMA 689
AUTOIMMUNE HYPOTHESIS OF COPD 689
GWAS AND COPD 690
SUMMARY 691
REFERENCES 691
Chapter 3. Genes and Chronic Obstructive Pulmonary Disease 699
COPD DUE TO SEVERE AAT DEFICIENCY 700
GENETICS OF COPD UNRELATED TO SEVERE AAT DEFICIENCY 702
SUMMARY 707
REFERENCES 707
Chapter 4. Contribution of the Environment and Comorbidities to Chronic Obstructive Pulmonary Disease Phenotypes 713
ENVIRONMENT 714
HOST FACTORS 715
COMORBIDITIES 716
PROGRESS IN DISEASE PHENOTYPES 721
SUMMARY 721
REFERENCES 722
Chapter 5. The Role and Potential of Imaging in COPD 729
INTRODUCTION 729
CT 730
MRI 735
PET 737
OCT 737
REFERENCES 738
Chapter 6. The Importance of the Assessment of Pulmonary Function in COPD 745
INTRODUCTION 745
ROLE OF SPIROMETRY IN THE DIAGNOSIS OF COPD 745
INTRODUCTION TO PULMONARY FUNCTION TESTING 746
DIAGNOSIS OF COPD BASED ON SPIROMETRY 747
DIFFERENTIATING COPD FROM ASTHMA WITH BRONCHODILATOR REVERSIBILITY TESTING 748
QUANTIFYING COPD SEVERITY WITH SPIROMETRY 748
ROLE OF SPIROMETRY IN THE MANAGEMENT OF COPD 749
SUMMARY 751
REFERENCES 751
Chapter 7. Role of Exercise in Testing and in Therapy of COPD 753
INTRODUCTION 753
MODALITIES OF EXERCISE TESTING 754
SUMMARY 763
REFERENCES 763
Chapter 8. Defining Patient-Reported Outcomes in Chronic Obstructive Pulmonary Disease: The Patient-Centered Experience 767
INTRODUCTION 767
DEFINING THE PATIENT EXPERIENCE AND PATIENT-REPORTED OUTCOMES 768
DEFINING AND MEASURING HRQOL 768
ACCOUNTING FOR PATIENT PREFERENCES 770
INTERPRETING HRQOL MEASURES 773
PREDICTIVE MODELS 773
HRQOL IN COPD 774
ASSOCIATIONS OF PROs WITH PHYSIOLOGIC MEASURES 774
THE IMPACT OF COPD ON PROs 775
INTERVENTIONS THAT AFFECT HRQOL 776
SUMMARY 782
REFERENCES 782
Chapter 9. COPD Exacerbations: Causes, Prevention, and Treatment 789
FREQUENT EXACERBATOR PHENOTYPE 789
VIRAL INFECTIONS 790
BACTERIAL INFECTIONS 792
ENVIRONMENTAL FACTORS 795
EXACERBATION PREVENTION 795
PHARMACOLOGIC THERAPIES 796
NONPHARMACOLOGIC THERAPIES 799
SUMMARY 803
REFERENCES 803
Chapter 10. An Integrated Approach to the Medical Treatment of Chronic Obstructive Pulmonary Disease 811
INTRODUCTION 811
EVALUATING COPD SEVERITY IN CLINICAL PRACTICE: MORE THAN THE FORCED EXPIRATORY VOLUME IN THE FIRST SECOND OF EXPIRATION 812
COPD MEDICAL THERAPY IN CONTEXT 816
SUMMARY 821
REFERENCES 822
Chapter 11. Medical Pneumoplasty, Surgical Resection, or Lung Transplant 827
INTRODUCTION 827
PATHOPHYSIOLOGIC BASIS FOR LUNG VOLUME REDUCTION 827
MEDICAL PNEUMOPLASTY 828
SURGICAL RESECTION 834
SUMMARY 845
REFERENCES 845
Chapter 12. Smoking Cessation and Environmental Hygiene 849
CIGARETTE SMOKING AND SMOKING CESSATION 850
SMOKING CESSATION TECHNIQUES 850
NONSMOKING RISK FACTORS IN COPD 852
OUTDOOR AIR POLLUTION 853
BIOMASS SMOKE 855
OCCUPATIONAL EXPOSURES 856
AMATEUR EXPOSURES 857
MARIJUANA AND OTHER INHALED ILLICIT AGENTS 857
SUMMARY 858
REFERENCES 858
Index 869