الفهرس 
? COPDOnly 14 pages are availabe for public view
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Abstract
Coronary artery disease (CAD) is one of the leading causes of mortality in COPD cases. Smoking undoubtedly, it is significantly related to causation of chronic bronchitis and emphysema and also is a major risk factor for CAD. In Egypt majority of deaths result from ischemic heart attacks and other cardiovascular diseases, and respiratory diseases caused by tobacco.
Cardiac rehabilitation is recommended according to the ESC as it is associated with a reduction in morbidity. It includes a systematic approach to the measurement and treatment of coronary risk factors, along with the better-known exercise training component and nutritional.
In this prospective study randomized case-control study which was conducted at a sample of 40 patients collected randomly from Ain shams university hospitals (outpatient clinic). Patients were assessed by clinical examination, ECG, ECHO, spirometry, SGRQ and modified Bruce protocol then they were divided into 2 groups: group 1 (cardiac rehabilitation) and group 2 (cardiopulmonary rehabilitation). Patients were subjected to 8-12 weeks of rehabilitation and reassessed by spirometry, modified Bruce protocol and SGRQ.
Both groups improved as regard spirometry (FEV1 & FEV1/FVC), SGRQ and METs but there was there statistical significant improvement as regard resting heart rate in cardiopulmonary rehabilitation group.