COPD
Pulmonary · ~9% of blueprint- Pathophysiology
- Chronic airflow limitation from emphysema (alveolar destruction) and/or chronic bronchitis; usually smoking-related.
- Signs & Symptoms
- Chronic productive cough, progressive dyspnea, barrel chest, prolonged expiration, ↓ breath sounds.
- Gold Standard Diagnosis
- Spirometry: post-bronchodilator FEV1/FVC <0.70 (airflow obstruction that is not fully reversible).
- First-line Treatment
- Smoking cessation + inhaled bronchodilators (LAMA/LABA); add ICS for frequent exacerbations; O₂ if hypoxemic.
High-Yield Pearl
Mortality in COPD falls with smoking cessation, O₂ (PaO₂ ≤55), post-hospital pulmonary rehab, NIV, LVRS, and triple LABA/LAMA/ICS.
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Sources
Reviewed September 2026- Global Strategy for the Diagnosis, Management, and Prevention of Chronic Obstructive Pulmonary Disease, 2026 Report — Global Initiative for Chronic Obstructive Lung Disease (GOLD), 2026
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