Clinical Treatment Observation of Elderly Patients with Chronic Cor Pulmonale Combined with Coronary Artery Disease

As populations age worldwide, chronic cor pulmonale and coronary artery disease frequently coexist in elderly patients, with each condition exacerbating the other’s pathophysiology, leading to more complex clinical presentations and greater therapeutic challenges. In this conceptual study, we propose an integrated clinical-observation framework for managing elderly patients who have both chronic cor pulmonale and coronary artery disease. Drawing on four key dimensions—pathophysiological characteristics, diagnostic and assessment indices, treatment-plan design, and efficacy-monitoring methods—we outline a systematic intervention strategy and evaluation model. By synthesizing existing literature, we identify the critical interaction targets between respiratory and cardiovascular systems and, guided by evidence-based principles, recommend a personalized combination of pharmacological therapies (including diuretics, β-blockers, and agents targeting pulmonary hypertension), non-pharmacological interventions (pulmonary rehabilitation, nutritional support), and, when appropriate, cardiac interventional or surgical procedures. Within this conceptual framework, we establish core efficacy metrics centered on exercise tolerance, hemodynamic parameters, and quality-of-life assessments to inform future clinical trials. Our findings suggest that a structured, multidisciplinary treatment approach may significantly improve cardiopulmonary function, reduce hospitalization rates, and enhance quality of life in elderly patients, while providing theoretical and practical guidance for clinical decision-making and guideline development.