Chronic obstructive pulmonary disease (COPD) is an independent nosological form, which is characterized by limitation of the air flow rate associated with the pathological inflammatory process in the lungs. This disease is one of the most common diseases in the world, its prevalence in different countries is from 6% to 26%. causes complications. Currently, special attention is paid to the study of OSOK risk factors, including urban air pollution, an increase in the amount of industrial dust, age, smoking, infectious diseases of the respiratory tract, their frequent exacerbations, obstructive lung. the condition of the disease is getting worse. In clinical practice, there are no standards for identifying comorbidities, treating physicians are not always focused on the search for concomitant pathology, which leads to late detection of cardiovascular pathology , as a result of which complications and mortality increase.