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Chronic Bronchitis (COPD)

Pathophysiology of Chronic
Bronchitis (COPD)
Posted by: Admin

November 26, 2008 · 3 Comments · Email This Post ·


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Chronic Obstructive Pulmonary Disease (COPD) is a disease


characterized by airflow limitation that is not fully reversible.
Airflow limitation is usually progressive and associated with
an inflammatory response in the lungs stimulated by irritants.
COPD includes chronic bronchitis and pulmonary emphysema.
Although sometimes included in COPD, asthma is a reversible
disorder and is therefore considered elsewhere.

Chronic bronchitis is chronic inflammation of the lower airways characterized by


excessive secretion of mucus, hypertrophy of mucous glands, and recurring infection,
progressing to narrowing and obstruction of airflow. Emphysema is the enlargement of
the air spaces distal to the terminal bronchioles, with breakdown of alveolar walls and
loss of elastic recoil of the lungs. The two conditions may overlap, resulting in
subsequent derangement of airways dynamics (e.g., obstruction to airflow). In pulmonary
emphysema, lung function progressively deteriorates for many years before the illness
becomes apparent.

The most common cause of COPD is cigarette smoking. Air pollution, occupational
exposures, allergens, and infections may also act as irritants. Alpha1-antitrypsin deficient
is an infrequent cause. Complications include respiratory failure, pneumonia or other
overwhelming respiratory infection, right heart failure (cor pulmonale), arrhythmias, and
depression.

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