Internists prescribe cardioselective beta-blockers for COPD

Jose Antonio Diaz Peromingo, Maria Gomez Antunes and Jesus Diaz Manglano.

The consensus on the comorbidities of Chronic Obstructive Pulmonary Disease (COPD) is another topic of the meeting Inside Valencia. In fact, specialists highlight a series of agreements and adjust use of cardioselective beta-blockers in COPD to address the pathology by gaining the approval of all internists.

And it is that the application of these cardioselective beta-blockers in COPD is “imperative” against the background of concomitant diseases in case of exacerbation of the pathology. In this sense, Jose Antonio Diaz Peromingofrom the Internal Medicine Service of the University Clinical Hospital of Santiago de Compostela, assures that it should “maintenance of beta-blocker therapy in COPDespecially with co-morbidities such as heart failure or associated ischemic heart disease.”

Consensus on the use of beta-blockers, which the internist advocates in XV Meeting of the COPD Group of the Spanish Society of Internal Medicine (SEMI). In this sense, and despite the fact that there is unanimous agreement on its use, Díaz Peromingo points out “the lack of inclusion of this use in the manuals regarding aspects such as comorbidity managementthe prevention of disability and care at the end of life”. And this is essential for “making a correct diagnosis and the most appropriate treatment”, according to the specialist.


Jose Antonio Díaz Peromingo: To manage comorbidities in stable COPD, “nutrition, anxiety, depression and osteoporosis should be assessed”


A request that makes along with that of treatment of comorbidities in stable COPD. In this case, Díaz Peromingo states that “to manage them in a better way, according to the consensus, nutrition, anxiety, depression and osteoporosis should be evaluated, but it does not need to be done routinely.” This should be done first of all “c patients with ischemic heart disease and smokers and in addition these people must have a spirometry to assess COPD“.

Simple intervention in COPD exacerbation

Another consensus of internists regarding the approach to this respiratory pathology is “ A simple intervention in COPD exacerbationsas this can be very useful,” as he pointed out Jesus Dies Manglano, president of SEMI and specialist at the Internal Medicine Service of Hospital Royo Villanova in Zaragoza. He also adds that “performing this intervention is necessary because most internists misdiagnose these patients.”

And is that this simple intervention “can improve the attention of Patients with exacerbation of COPDespecially in the treatment of pulmonary diseases, with small changes in comorbidities”. A comprehensive approach that requires, according to Díez Manglano, “specialized care because we cannot forget that we are internists”.


Jesus Dies Manglano: “We must take advantage of the admission of patients with COPD to analyze more deeply the behavior of this respiratory pathology”


a whole series of consensus and recommendations which the President of SEMI shared with the attendees as he is also one of the coordinators of the “Protocol for Diagnostic and Therapeutic Management of COPD Comorbidities”. This has “a big impact not only for pulmonologists, but also for all internal medicine services in Spain”.

In short, the two specialists emphasize that ” COPD is a heterogeneous, underdiagnosed disease whose prevalence increases with age and smokingrepresenting the third leading cause of death in the world“. For all these reasons “the main purpose of internal medicine is analyzed the diagnostic and therapeutic management of cardiovascular comorbidities in COPD such as ischemic heart disease, heart failure and atrial fibrillation, so it is necessary to take advantage of the intake of these patients to further analyze the behavior of this respiratory pathology,” they conclude.

Although it may contain statements, data or notes from health institutions or professionals, the information contained in Medical Writing is edited and prepared by journalists. We recommend that the reader consult a health professional for all health-related questions.

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