Синдром одышки: три в одной

Консультировал больного по просьбе знакомых, и надо же - три умножающие друг друга причины одышки:
1) дыхательная недостаточность вследствие хронического обструктивного заболевания легких как естественный результат рьяного курильщика
2) сердечная недостаточность вслествие атеросклеротического аортального стеноза, понимаю, "подстегнутого" все тем же рьяным курением
3) тяжелая анемия, которая, боюсь, связана с онкопатологией, скорее всего,пищеварительного канала, на счет чего проводим дообследование.
По п.3 окончательное решение после дообследования будет принято, но уже сегодня рекомендован препарат железа.
По п.п. 1) и 2) трудные решения в связи с некоторым антагинизмом используемых в лечении лекарственных средств. По минимуму назначены бронходилялатор, S-амлодипин, ингибитор АПФ и аторвастатин.
Все на фоне рекомендаций по образу жизни.

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