copd

Understanding COPD: Symptoms and Treatment

Chronic obstructive pulmonary disease (COPD) affects millions worldwide. Its prevalence varies by region and country, influenced by smoking rates and air quality1. In the U.S., nearly 16 million adults suffer from this chronic lung disease2. COPD is a major cause of death, ranking sixth in the U.S. mortality rates2. It’s vital to know the symptoms and treatments to improve life quality for those with COPD.

Key Takeaways

  • COPD is a chronic lung disease that causes breathing difficulties, coughing, and mucus production.
  • The primary cause of COPD in developed nations is tobacco smoking, while in developing countries, air pollution is a significant risk factor12.
  • COPD can lead to various complications, including heart disease, lung cancer, and pulmonary hypertension1.
  • Treatments for COPD include bronchodilators, inhaled steroids, oxygen therapy, and pulmonary rehabilitation3.
  • Lifestyle changes, such as quitting smoking and avoiding air pollution, can help slow the progression of COPD2.

What is COPD (Chronic Obstructive Pulmonary Disease)?

COPD stands for Chronic Obstructive Pulmonary Disease. It’s a group of lung diseases that make breathing tough4. Smoking and a rare genetic issue are the main causes4. Other risks include work gases, secondhand smoke, pollution, and bad cooking fire ventilation4.

Chronic Bronchitis and Emphysema

Chronic bronchitis and emphysema are key COPD conditions. Chronic bronchitis irritates the air tubes, causing swelling and mucus buildup4. This makes breathing hard. Emphysema damages the tiny air sacs in the lungs, making breathing tough too4.

Difference Between Asthma and COPD

Asthma and COPD share symptoms like shortness of breath and blocked airflow4. But COPD is chronic and gets worse over time, unlike asthma which can be triggered by allergens4. Smoking is the main cause of COPD, not asthma5. Having both COPD and asthma means treating both conditions4.

“COPD is a chronic lung disease that makes it hard to breathe. The two main forms of COPD are chronic bronchitis and emphysema.”4

Prevalence and Risk Factors of COPD

COPD is a big health issue worldwide. In 2019, there were 212.3 million people living with COPD. It caused 3.3 million deaths and 74.4 million years of life lost to illness6. Even though COPD rates have gone down since 1990, some countries like Denmark and Belgium still have high rates6.

Smoking is the main cause of COPD, responsible for 75% of cases7. But, 25% of COPD patients have never smoked7. Other risks include air pollution and work-related exposure to harmful substances63.

  • Smoking is behind over 70% of COPD in rich countries3.
  • In poorer countries, smoking and air pollution at home cause 30-40% of COPD3.
  • Work-related exposures can lead to 10-20% of COPD symptoms7.
  • Being exposed to tiny particles and certain gases increases COPD risk7.
  • People over 40 are more likely to get COPD as lungs age7.
  • Other risks include early lung infections, secondhand smoke, asthma, small lungs, and poverty7.

We need to spread the word about COPD and work on prevention to help those affected7.

“COPD is the third leading cause of death worldwide, causing 3.23 million deaths in 2019. Nearly 90% of COPD deaths in those under 70 years of age occur in low- and middle-income countries (LMIC).”3

Understanding COPD’s causes helps us fight this global health issue. By tackling the main causes, we can lessen COPD’s impact and improve life for those with it.

Symptoms of COPD

COPD is a lung condition that gets worse over time and has many symptoms8. In America, over 11 million people have COPD, but many more might not know they do8. It’s key to know the early and late signs of COPD to get the right medical help and manage it well.

Early Symptoms

Early COPD symptoms come on slowly and might be missed. They include feeling short of breath, especially when you’re active, hearing a wheezing sound, feeling your chest tighten, and coughing a lot with mucus89. People over 40, and those who smoke or used to smoke, are more likely to get COPD89. Catching it early can stop more lung damage and improve life quality8.

Advanced Symptoms

As COPD gets worse, symptoms get more serious. Those with advanced COPD might often get lung infections, feel very tired, lose weight without trying, and have swelling in their feet or legs89. These signs can make everyday tasks hard and affect life quality, showing why early diagnosis and treatment are key8.

Not everyone with COPD shows the same symptoms, and how bad they are can vary8. It’s vital to talk to a doctor about any breathing problems and risk factors to get diagnosed and treated right8.

“Early detection is essential for potentially preventing COPD progression and improving quality of life.”

COPD is a complex condition that affects many parts of health. Knowing the full range of symptoms helps people get the right medical care and manage their health better8910.

Symptom Description
Shortness of Breath Difficulty breathing, especially during physical activities
Wheezing A whistling or squeaking sound when breathing
Chronic Cough A persistent cough that may produce mucus
Chest Tightness A feeling of pressure or discomfort in the chest
Frequent Infections Increased susceptibility to respiratory infections
Fatigue Lack of energy and feeling tired
Weight Loss Unintended weight loss, often due to the body’s increased energy demands
Edema Swelling in the ankles, feet, or legs

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Causes of COPD

COPD is a complex condition with many factors. Tobacco smoking is the main cause in developed countries. Other environmental and genetic elements also play a big role.

Smoking and Air Pollution

Smoking is the biggest risk factor for COPD, causing about 75 percent of cases in smokers7. But, 1 in 4 people with COPD never smoked7. Besides smoking, secondhand smoke and air pollution can also make COPD worse79.

Being exposed to PM 2.5 and nitrogen dioxides from industrial and car emissions raises COPD risk7. Poor air quality can also make symptoms worse and speed up lung function decline in COPD patients7.

  • Working with dusts, chemicals, and fumes can cause 10-20% of COPD symptoms7.
  • Alpha-1-antitrypsin deficiency, a genetic disorder, affects the lungs’ protection710.
  • Other COPD risks include asthma history, small lungs, and living in poor or rural areas79.

Spotting COPD early is key to improving life quality and slowing the disease7. To lower COPD risk, quit smoking, avoid secondhand smoke, get vaccines, and use protective gear at work7.

“COPD is a preventable and treatable disease, and early diagnosis leads to sooner treatment initiation, which can significantly impact the progression and management of this condition.”

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How COPD Affects the Lungs

Chronic Obstructive Pulmonary Disease (COPD) is a serious lung condition that changes how air moves in and out11. It causes inflammation and narrowing of the bronchial tubes, making it hard to breathe11. Emphysema, linked to COPD, damages the alveoli, leading to large air pockets that don’t exchange oxygen and carbon dioxide well11. Chronic bronchitis, another COPD condition, narrows airways with swelling and mucus, reducing oxygen flow and increasing carbon dioxide levels11.

This damage makes exchanging oxygen and carbon dioxide during breathing harder. It lowers oxygen levels in the blood and increases carbon dioxide, causing shortness of breath.

Emphysema

Emphysema damages the inner walls of the lungs’ air sacs, causing them to break and merge into one large space11. This reduces the area for gas exchange. The lungs lose elasticity and expand too much, trapping air when exhaling.

Chronic Bronchitis

Bronchitis inflames the lining of the bronchial tubes, which carry air to and from the lungs11. It causes coughing up thick, discolored mucus. This mucus blocks the tube’s opening, making breathing hard11. Damaged cilia can’t clear mucus, further blocking airflow.

“COPD is a progressive disease that makes it harder to breathe. The damage to the lungs is often irreversible, but treatment can help control symptoms and slow the progression of the disease.”

copd

COPD stands for chronic obstructive pulmonary disease. It includes chronic bronchitis and emphysema12. This condition makes breathing hard and everyday tasks tough for those with it12.

COPD is a serious lung disease that affects many people. It can really change someone’s life12. Spotting COPD early, with signs like coughing, wheezing, and shortness of breath, is key to managing it12.

At its core, COPD damages and blocks the airways over time12. Smoking is the main cause, responsible for 90% of COPD in the U.S13. But, non-smokers can get COPD too, from pollution, chemicals, or genes13.

Doctors check symptoms, history, and test results to diagnose COPD12. COPD is graded from mild to very severe based on how much air you can breathe13.

Managing COPD means using bronchodilators, corticosteroids, and other drugs13. For severe cases, surgery like lung transplants might be needed13.

Changing your lifestyle helps with COPD too. Quitting smoking, avoiding pollution, and joining rehab programs can make a big difference12.

Understanding COPD is key for patients and doctors. Staying updated on new treatments and using trusted resources helps people with COPD manage their condition better12.

copd

“COPD is a debilitating condition that can be managed with the right treatment and lifestyle changes, allowing individuals to reclaim their quality of life.”

Dealing with COPD can be tough, but support and resources can help. Working with doctors and taking charge of your health can improve your life with COPD121314.

COPD Prevalence and Impact Global Burden of COPD
  • Smoking causes about 90% of COPD cases in the U.S13.
  • Women who smoke are 50% more likely than male smokers to develop COPD13.
  • COPD symptoms can progress through four stages, from mild to very severe13.
  • COPD treatments include bronchodilators, corticosteroids, and other medications13.
  • In 2015, COPD affected about 174.5 million people globally14.
  • COPD caused 3.2 million deaths in 2019, with 80% occurring in lower and middle-income countries14.
  • The economic cost of COPD in the U.S. was estimated at $32.1 billion in 2010, projected to rise to $49 billion by 202014.
  • COPD-related deaths are expected to increase due to continued exposure to risk factors and an aging population14.

By spreading awareness, finding COPD early, and offering full care, doctors and health groups can greatly help people with COPD121314.

Complications of COPD

COPD is a complex condition that can lead to many complications. These can greatly affect a patient’s health and quality of life15. Respiratory infections, cardiovascular problems, and mental health issues are just a few examples.

One big issue with COPD is getting more respiratory infections. This includes colds, the flu, and pneumonia15. These infections can make breathing harder and worsen the disease.

COPD also raises the risk of heart problems, like atrial fibrillation (AFib), an irregular heart rhythm15. People with COPD are more likely to get osteoporosis too. This is due to smoking, steroid use, lack of exercise, and low vitamin D levels15.

Mental health issues, such as depression and anxiety, are common with COPD15. The struggle to breathe and the disease’s effects can lead to these conditions. This can make COPD symptoms worse.

Another big concern is the higher risk of lung cancer15. Smoking, a main cause of COPD and lung cancer, is the link here.

Pulmonary hypertension is a serious COPD complication too. It means high pressure in the blood vessels and thicker vessel walls15. This can make the lungs work less efficiently.

Lastly, COPD can cause secondary polycythemia. This is when there are too many red blood cells. Symptoms include headaches, fatigue, and confusion15.

Knowing about COPD complications is key for patients and doctors. It helps in managing the disease better and improving life quality for those with COPD1617.

Diagnosing COPD

COPD is often suspected when a person feels short of breath, coughs up mucus, and has chest tightness18. A breathing test called spirometry is key to confirm this. It checks how well the lungs work18.

In low-income countries, spirometry is hard to find, making COPD hard to diagnose. If COPD is suspected, doctors look at your health history. They check for smoking, secondhand smoke, air pollution, and more18.

Even though COPD can’t be cured, its symptoms can lessen if you avoid smoking and pollution. Getting vaccinated helps prevent infections too18. Doctors might also use chest X-rays, CT scans, and blood tests to see how severe COPD is19.

Diagnostic Tests for COPD Purpose
Spirometry Measures lung function by assessing forced vital capacity (FVC) and forced expiratory volume in one second (FEV1)
Chest X-ray Visually inspects the lungs for signs of COPD and emphysema
CT Scan Provides detailed images of the lungs to identify COPD and emphysema
Arterial Blood Gas Analysis Measures oxygen and carbon dioxide levels in the blood to assess COPD severity
Laboratory Tests Includes the AAT deficiency test to check for alpha-1 antitrypsin deficiency, a genetic disorder that increases COPD risk
6-Minute Walk Test Assesses exercise capacity and daily activity performance

Spotting COPD early can make life better18. Using spirometry and other tests is key to finding and managing COPD20.

“Accurate diagnosis of COPD is essential for effective management and improving patient outcomes.”

Treatment Options for COPD

Living with chronic obstructive pulmonary disease (COPD) can be tough, but there are many ways to manage it. The main goals of treatment are to ease symptoms, lower the risk of flare-ups, and help with daily activities21. Each treatment plan is made just for the patient, and working together with healthcare teams is key to finding the right approach21.

Bronchodilators and Inhaled Steroids

Medicines that open up the airways are key in treating COPD21. Bronchodilator inhalers are crucial because they relax and widen the airways, making breathing easier21. These come in short-acting and long-acting types, with the latter offering longer relief22. Sometimes, inhaled steroids are added to bronchodilators to fight lung inflammation22.

Oxygen Therapy and Pulmonary Rehabilitation

Oxygen therapy is helpful for those with severe COPD or long-standing cases21. It boosts oxygen levels in the blood, aiding in better activity and health22. Pulmonary rehabilitation is also vital, teaching exercises and techniques to improve breathing and strength23. These programs include group sessions for at least 6 weeks, along with education, diet advice, and mental support23.

It’s important to use inhalers correctly, sometimes with a spacer, to get the medicine to the airways22. While COPD can’t be cured, these treatments can manage symptoms, slow the disease, reduce flare-ups, and boost activity levels21.

Treatment Option Description Benefits
Bronchodilators Inhaled medicines that relax and open the airways Improve breathing and reduce COPD symptoms
Inhaled Steroids Inhaled medications that reduce inflammation in the lungs Help control COPD symptoms and prevent exacerbations
Oxygen Therapy Supplemental oxygen to increase oxygen levels in the blood Improve physical activity and overall health for those with severe COPD
Pulmonary Rehabilitation Comprehensive program that includes exercise training, education, and support Enhance breathing, physical abilities, and quality of life

It’s important to note that over-the-counter oxygen concentrators might not be enough for people with COPD or other lung diseases21. Getting help from skilled respiratory teams and free support programs can make a big difference in managing COPD21.

“Effective COPD treatment is a collaborative effort between patients and their healthcare providers. By working together, we can help improve symptoms, slow disease progression, and enhance overall quality of life.”

Managing COPD: Lifestyle Changes

Living with chronic obstructive pulmonary disease (COPD) can be tough. But, making some lifestyle changes can help manage symptoms and boost well-being24. The key step is to quit smoking or vaping, as smoking is the main cause of COPD2526. Quitting, even after years of smoking, can slow down the disease’s progress.

Quit Smoking

Quitting smoking is key for COPD management26. Smoking makes COPD worse and leads to the condition26. Stopping smoking can slow down lung function decline, lessen COPD symptoms, and enhance life quality26. If you’re trying to quit, ask your healthcare provider about quitting programs and resources.

Avoid Air Pollution

Along with quitting smoking, avoiding air pollution is vital24. Being exposed to tobacco smoke, including secondhand smoke, raises COPD risk24. Try to stay away from pollutants like smoke from cooking fires and use air purifiers at home.

Other changes that help manage COPD include staying active, getting vaccines to prevent lung infections, and eating a healthy diet that supports lung health25. Studies show that exercise can boost exercise tolerance and life quality for those with mild to moderate COPD25. Eating a Mediterranean diet can also reduce inflammation and provide vital nutrients for COPD patients25.

By adopting these lifestyle changes, people with COPD can actively manage their condition and better their life quality252624.

COPD management

“Quitting smoking is the single most important thing a person with COPD can do to improve their health and slow the progression of the disease.”

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Prevention of COPD

COPD is a serious lung disease that affects millions worldwide27. Luckily, it can be prevented with clear steps27. The main ways to prevent COPD are quitting smoking, avoiding pollution, and protecting against work-related dangers.

Stopping smoking is the best way to avoid COPD27. Smoking causes 85% to 90% of COPD cases27. Even if you’ve never smoked, quitting can lower your COPD risk28. The NHLBI suggests joining support groups and getting help to quit smoking28.

Staying away from air pollution is also key to preventing COPD28. People with COPD should avoid secondhand smoke and other harmful fumes27. Keeping the air clean at home is important for COPD patients27.

Jobs that expose you to harmful chemicals or dusts can also lead to COPD28. Using protective gear at work is a must for those at risk28.

Other ways to lower COPD risk include regular exercise, eating well, and getting vaccinated against infections27. Keeping a healthy weight is also advised for COPD patients27.

By focusing on these steps, people can protect their lungs and lower their COPD risk29. COPD is a big health issue worldwide29, but prevention can make a big difference.

“Prevention is better than cure, and the best way to prevent COPD is to never start smoking or to quit as soon as possible.”

Preventive Measure Description
Quit Smoking Smoking is the primary risk factor for COPD, responsible for 85-90% of all cases. Quitting smoking can significantly reduce the risk of developing COPD.
Avoid Air Pollution Exposure to indoor and outdoor air pollutants, such as secondhand smoke, can contribute to the development of COPD. Reducing exposure is crucial.
Protect Against Occupational Exposures Certain occupations with exposure to chemical fumes, dusts, and other lung irritants can increase the risk of COPD. Utilizing personal protective equipment is recommended.
Maintain a Healthy Lifestyle Regular exercise, a balanced diet rich in antioxidants, and maintaining a healthy weight can help reduce the risk of COPD and improve overall lung health.
Get Vaccinated Vaccination against respiratory infections, such as pneumonia and influenza, can help prevent exacerbations and complications for individuals with COPD.

By taking these steps, people can protect their lungs and fight against COPD29.

WHO Response to COPD

COPD is now a big health issue worldwide. The World Health Organization (WHO) is taking big steps to tackle it3. It’s the third biggest cause of death globally, with 3.23 million deaths in 2019. It hits hard in low- and middle-income countries (LMICs)3.

The WHO has put COPD in the Global Action Plan for NCDs and the UN 2030 Agenda3. They’re also using the PEN to improve managing NCDs, including COPD, in primary care3.

The WHO knows rehab is key for COPD care. They launched the Rehabilitation 2030 initiative to boost rehab services3. This shows how important it is to give full care to people with COPD.

Tobacco smoke is a big risk for COPD. The WHO is fighting this with the Framework Convention on Tobacco Control and other efforts3. These plans aim to cut tobacco use and help prevent COPD.

The WHO’s plan for COPD is wide-ranging, covering global action, specific disease help, and health system strengthening3. They’re working to better handle COPD, improve life quality for those with it, and tackle its causes.

WHO Initiatives and Strategies Objectives
Global Action Plan for the Prevention and Control of NCDs Includes COPD as a priority noncommunicable disease
United Nations 2030 Agenda for Sustainable Development Addresses COPD as part of the global health and development agenda
WHO Package of Essential Noncommunicable Disease Interventions (PEN) Enhances NCD management, including chronic respiratory diseases, in primary health care
Rehabilitation 2030 Initiative Prioritizes and strengthens rehabilitation services for COPD and other conditions
WHO Framework Convention on Tobacco Control Aims to reduce tobacco use and exposure, a key risk factor for COPD

The WHO is fully committed to tackling COPD globally3. They’re using many initiatives and partnerships to improve COPD diagnosis, treatment, and prevention. Their goal is to lessen COPD’s impact worldwide.

“The WHO’s response to COPD reflects a holistic and multifaceted approach, encompassing global action plans, disease-specific interventions, and initiatives to strengthen health systems and promote healthier lifestyles.”

Conclusion

Chronic Obstructive Pulmonary Disease (COPD) is a serious lung condition that affects many people around the world. By 2020, COPD is expected to be the third leading cause of death30. This shows how important it is to find ways to prevent and manage COPD.

Even though COPD can’t be cured, there are ways to manage it. Quitting smoking is key, as it’s the main cause of COPD. About 1 in 6 Americans with COPD have quit30. Also, avoiding pollution, staying away from harmful work environments, and joining rehab programs can help a lot31.

Working together, healthcare providers and patients can lessen the impact of COPD. In the U.S., 12 million people have been diagnosed with COPD, and just as many might not know they have it30. By using proven treatments, making lifestyle changes, and doing more research, we can help people with COPD live better lives.

FAQ

What is COPD?

COPD stands for chronic obstructive pulmonary disease. It’s a long-term lung disease that makes it hard to breathe. It includes emphysema and chronic bronchitis under its umbrella.

What are the main symptoms of COPD?

COPD symptoms include trouble breathing and a constant cough. You might also feel very tired. Early signs are shortness of breath during exercise, wheezing, and chest tightness.

What are the main causes of COPD?

Smoking is the top cause of COPD in developed countries. Other causes include being exposed to dust and chemicals at work, and a rare genetic condition.

How does COPD affect the lungs?

COPD makes the lungs lose their elasticity and expand too much. This traps air in the lungs. Emphysema damages the air sacs, reducing gas exchange area. Chronic bronchitis inflames the airway lining, narrowing it.

How is COPD diagnosed?

Doctors use a test called spirometry to diagnose COPD. This test checks how well the lungs work. It confirms COPD and tells it apart from other lung issues.

What are the treatment options for COPD?

COPD treatments include medicines like bronchodilators and corticosteroids. These help open and shrink swollen airways. Oxygen therapy and rehab programs also help manage symptoms.

How can COPD be prevented?

Quitting smoking is the best way to prevent COPD. Avoiding pollution and protecting yourself at work can also help.

Source Links

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  3. Chronic obstructive pulmonary disease (COPD) – https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-(copd)
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