LAUSR

The aim of this study was to investigate the cardiovascular comorbidity in patients with chronic obstructive pulmonary disease (COPD) and the assessment of the risk of stroke by means of the scale CHA2DS2-VASc. Methods: 215 patients with chronic obstructive pulmonary disease (COPD) were observed. The investigated group was made by the patients having the long experience of smoking. Research of function of external breath was studied with multimodular installation of type «Master-Lab/Jaeger. Charlson index was noted. The risk of stroke was studied by means of the scale CHA2DS2-VASc Results: the arterial hypertension was detected in 59.02% of patients with COPD, atrial fibrillation was noted in 10.24% of patients. The risk of stroke, rated on a scale CHA2DS2-VASc was 3,24 ± 1,8. The stroke in the past was noted in 4.49% patients. Myocardial infarction was observed in 10.73%, angina - at 14.15% patients, pulmonary embolism was associated in 2.93% of patients with COPD. the Charlson index was 4 ,23 ± 1,33 in COPD 2 stage, 4,51 ± 1,3 in COPD 3 stage, 4,75 ± 1,48 in COPD 4 stage. The correlation coefficient between stroke risk scale CHA2DS2-VASc and comorbidity index Charlson was r 0,89, p˂0,005. The correlation coefficient between stroke risk and an indicator the duration of smoking was r 0,84, p˂0,005. Conclusions: the risk of stroke was connected with Index of comorbidity in COPD patients, frequency of cardiovascular comorbidity was high in COPD patients.