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"b" "identificador" => "aff0010" ] 1 => array:2 [ "etiqueta" => "c" "identificador" => "aff0015" ] ] ] ] "afiliaciones" => array:3 [ 0 => array:3 [ "entidad" => "Servicio de Neumología, Hospital Universitario Lucus Augusti, Lugo, Spain" "etiqueta" => "a" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Servicio de Neumología y Cirugía Torácica, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain" "etiqueta" => "b" "identificador" => "aff0010" ] 2 => array:3 [ "entidad" => "University Institute of Tropical Disease and Public Health of the Canary Islands, University of La Laguna, Santa Cruz de Tenerife, Spain" "etiqueta" => "c" "identificador" => "aff0015" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "⁎" "correspondencia" => "Corresponding author." ] ] ] ] "textoCompleto" => "The special article “Multidisciplinary Management of Patients with Chronic Obstructive Pulmonary Disease and Cardiovascular Disease” represents an interesting and much-needed effort to create a comprehensive guideline on an important yet somewhat neglected topic.<a class="elsevierStyleCrossRef" href="#bib0030">1</a> However, we would like to make some considerations regarding the manuscript.The authors have discussed the potential risks of pulmonary toxicity associated with commonly used cardiovascular drugs such as amiodarone and beta-blockers, as well as the cardiovascular risks of respiratory medications like bronchodilators. Long-term use of azithromycin is recommended for COPD patients with chronic bronchial infection and frequent exacerbations<a class="elsevierStyleCrossRef" href="#bib0035">2</a>; however, there are concerns about serious adverse cardiovascular effects due to its potential proarrhythmic effects, especially in patients with a high baseline risk of cardiovascular disease.<a class="elsevierStyleCrossRef" href="#bib0040">3</a> Therefore, it is advisable to use this antibiotic with caution in patients with cardiovascular disease, avoiding its use in those with a prolonged QT interval in their electrocardiogram, and to monitor the QT interval after initiating treatment.Furthermore, theophylline is recommended as a third-line therapy for COPD patients with uncontrolled dyspnea.<a class="elsevierStyleCrossRef" href="#bib0035">2</a> As theophylline has a narrow therapeutic window and can cause cardiac arrhythmias, it should be avoided or closely monitored in patients with cardiovascular disease, especially those who are taking multiple medications due to potential interactions.Regarding the recommendation stated in Table 3 of prescribing triple therapy for COPD exacerbators to reduce exacerbations and mortality, we believe that it should be somewhat tempered. We agree with the authors comment that the benefits of triple therapy over double bronchodilation (LABA plus LAMA) in COPD are mostly seen in exacerbator patients with a baseline blood eosinophil count of 100cells/mm3 or higher.<a class="elsevierStyleCrossRef" href="#bib0030">1</a> Taking into account the broad audience of the manuscript beyond the pulmonology field, it may be advisable to explicitly state caution in using triple therapy in patients with low eosinophil counts. These patients are unlikely to benefit from inhaled corticosteroids (ICS), which may have significant adverse effects, particularly in patients with cardiovascular disease. There is controversy surrounding the potential impact of prolonged use of inhaled ICS on worsening diabetes mellitus (DM) control or increasing the incidence of DM.<a class="elsevierStyleCrossRef" href="#bib0045">4</a> DM is both a cardiovascular risk factor and a risk factor for exacerbation and death in COPD.<a class="elsevierStyleCrossRef" href="#bib0050">5</a> Therefore, caution should be exercised when considering long-term use of ICS, especially in those patients with poor glycemic control since this could promote respiratory infection or chronic bronchial colonization, including those caused by potentially pathogenic microorganisms (i.e. Pseudomonas aeruginosa), which has been associated with an increased risk of cardiovascular events.Artificial intelligence involvementNo AI tool or software has been used to produce this manuscript.FundingThis manuscript has received no funding.Conflicts of interestRafael Golpe declares that he has received speaking or advisory fees, or economic aid to attend congresses from Astra-Zeneca, GSK, Novartis, FAES, Chiesi, Mundipharma, Menarini, TEVA, Grifols, Ferrer, Boehringer-Ingelheim, Rovi, and Gebro.Juan Marco Figueira-Gonçalves has received speaking or advisory fees, or economic aid to attend congresses from Laboratorio Esteve, Mundipharma, Astra-Zeneca, Boehringer-Ingelheim, Ferrer, Menarini, Rovi, GlaxoSmithKline, Chiesi, Novartis y GebroPharma." "textoCompletoSecciones" => array:1 [ "secciones" => array:4 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Artificial intelligence involvement" ] 1 => array:2 [ "identificador" => "sec0010" "titulo" => "Funding" ] 2 => array:2 [ "identificador" => "sec0015" "titulo" => "Conflicts of interest" ] 3 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Multidisciplinary management of patients with chronic obstructive pulmonary disease and cardiovascular disease" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "J. de Miguel-Díez" 1 => "J. Núñez Villota" 2 => "S. Santos Pérez" 3 => "N. Manito Lorite" 4 => "B. Alcázar Navarrete" 5 => "J.F. Delgado Jiménez" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2024.01.013" "Revista" => array:7 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2024" "volumen" => "60" "paginaInicial" => "226" "paginaFinal" => "237" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/38383272" "web" => "Medline" ] ] "itemHostRev" => array:3 [ "pii" => "S0749806322002869" "estado" => "S300" "issn" => "07498063" ] ] ] ] ] ] ] 1 => array:3 [ "identificador" => "bib0035" "etiqueta" => "2" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Spanish COPD Guidelines (GesEPOC) 2021: updated pharmacological treatment of stable COPD" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M. Miravitlles" 1 => "M. Calle" 2 => "J. Molina" 3 => "P. Almagro" 4 => "J.T. Gómez" 5 => "J.A. Trigueros" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.arbres.2022.02.006" "Revista" => array:6 [ "tituloSerie" => "Arch Bronconeumol" "fecha" => "2022" "volumen" => "58" "paginaInicial" => "69" "paginaFinal" => "81" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/35431085" "web" => "Medline" ] ] ] ] ] ] ] ] 2 => array:3 [ "identificador" => "bib0040" "etiqueta" => "3" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Azithromycin and the risk of cardiovascular death" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:5 [ 0 => "W.A. Ray" 1 => "K.T. Murray" 2 => "K. Hall" 3 => "P.G. Arbogast" 4 => "C.M. Stein" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1056/NEJMoa1003833" "Revista" => array:6 [ "tituloSerie" => "N Engl J Med" "fecha" => "2012" "volumen" => "366" "paginaInicial" => "1881" "paginaFinal" => "1890" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/22591294" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Impact of inhaled and intranasal corticosteroids on glucose metabolism and diabetes mellitus: a mini review" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:1 [ 0 => "K.C. See" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.4239/wjd.v14.i8.1202" "Revista" => array:6 [ "tituloSerie" => "World J Diabetes" "fecha" => "2023" "volumen" => "14" "paginaInicial" => "1202" "paginaFinal" => "1211" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/37664474" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Diabetes as a risk factor for severe exacerbation and death in patients with COPD: a prospective cohort study" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "M.T. Castañ-Abad" 1 => "J. Montserrat-Capdevila" 2 => "P. Godoy" 3 => "J.R. Marsal" 4 => "M. Ortega" 5 => "M. Alsedà" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1093/eurpub/ckz219" "Revista" => array:6 [ "tituloSerie" => "Eur J Public Health" "fecha" => "2020" "volumen" => "30" "paginaInicial" => "822" "paginaFinal" => "827" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/31951259" "web" => "Medline" ] ] ] ] ] ] ] ] ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/03002896/0000006000000006/v2_202408290625/S030028962400067X/v2_202408290625/en/main.assets" "Apartado" => array:4 [ "identificador" => "97467" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Discussion Letters" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/03002896/0000006000000006/v2_202408290625/S030028962400067X/v2_202408290625/en/main.pdf?idApp=UINPBA00003Z&text.app=https://archbronconeumol.org/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S030028962400067X?idApp=UINPBA00003Z"]

Archivos de Bronconeumología

ISSN: 0300-2896

Archivos de Bronconeumologia is an international journal that publishes original studies whose content is based upon results of research initiatives dealing with several aspects of respiratory medicine including epidemiology, respiratory physiology, pathophysiology of respiratory diseases, clinical management, thoracic surgery, pediatric lung diseases, respiratory critical care, respiratory allergy and basic research. Other types of articles such as editorials, reviews, and different types of letters are also published in the journal. Additionally, the journal expresses the voice of the following scientific societies: the Spanish Respiratory Society of Pneumology and Thoracic Surgery (SEPAR; https://www.separ.es/), the Latin American Thoracic Society (ALAT; https://alatorax.org/), and the Iberian American Association of Thoracic Surgery (AIACT; http://www.aiatorax.com/).

It is a monthly journal in which all manuscripts are sent to peer-review and handled by the editor or an associate editor from the team and the final decision is made on the basis of the comments from the expert reviewers and the editors. The journal is published solely in English. All the published data is composed of novel manuscripts not previously published in any other journal and not being in consideration for publication in any other journal..

The journal is indexed at Science Citation Index Expanded, Medline/Pubmed, Embase and SCOPUS. Access to any published article is possible through the journal's web page as well as from Pubmed, ScienceDirect, and other international databases. Furthermore, the journal is also present in X, Facebook and Linkedin. Manuscripts can be submitted electronically using the following web site: https://www.editorialmanager.com/ARBR/.

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© Clarivate Analytics, Journal Citation Reports 2022

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8.7

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3.5

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0.464

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0.482

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Arch Bronconeumol. 2024;60:i

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Arch Bronconeumol. 2024;60:CO1

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Respiratory Syncytial Virus Vaccination Recommendations for Adults Aged 60 Years and Older: The NeumoExperts Prevention Group Position Paper

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Archivos de Bronconeumología is a member and subscribes the principles of, the Committee on Publication Ethics (COPE)
www.publicationethics.org.

Archivos de Bronconeumología follows the Recommendations for the Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals

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