Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease
Bronchial responsiveness to bronchodilator medications is usually tested to establish reversibility of airflow obstruction. Among the various tests to establish bronchodilator response, FEV1, FEF25-75% or FEF50%, and FVC are the most widely used. In a cross-sectional study, we assessed spirometric r...
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Tehran University of Medical Sciences
2010-08-01
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doaj-87de51938633485eabeb6027caed8c392020-11-25T02:52:01ZengTehran University of Medical SciencesActa Medica Iranica0044-60251735-96942010-08-014844032Spirometric Indices after Bronchodilator Test in Obstructive Lung DiseaseAmir Houshang Mehrparvar0Seyed Jalil Mirmohammadi1Mohammad Mehdi Sohrabi2Department of Occupational Medicine, Shahid Rahnamoun Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Department of Occupational Medicine, Shahid Rahnamoun Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Department of Occupational Medicine, Shahid Rahnamoun Hospital, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.Bronchial responsiveness to bronchodilator medications is usually tested to establish reversibility of airflow obstruction. Among the various tests to establish bronchodilator response, FEV1, FEF25-75% or FEF50%, and FVC are the most widely used. In a cross-sectional study, we assessed spirometric responses after administration of bronchodilator in 187 workers with obstructive pattern in spirometry. Considering responsiveness to bronchodilator (200cc and 12% increase in FEV1 or FVC), the study cases were divided into responsive or non-responsive groups, and the average increase in spirometric indices were measured and compared between two groups. 35.8% of cases were responsive to bronchodilator. Among responsive cases, FEV1 was the most frequent index increased significantly; And PEF and FVC were the least frequent ones. The highest mean increase from baseline after administration of bronchodilator was observed in FEF75%. Increases in all indices were significantly higher in responsive group. The increase in FEV1% predicted was inversely correlated with baseline FEV1. In conclusion, we consider that FEV1 is the most reliable spirometric index for assessing bronchodilator response. And Bronchial reversibility has an inverse relationship with baseline measures. https://acta.tums.ac.ir/index.php/acta/article/view/4036Spirometrybronchodilator agentslung diseaseobstructive |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Amir Houshang Mehrparvar Seyed Jalil Mirmohammadi Mohammad Mehdi Sohrabi |
spellingShingle |
Amir Houshang Mehrparvar Seyed Jalil Mirmohammadi Mohammad Mehdi Sohrabi Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease Acta Medica Iranica Spirometry bronchodilator agents lung disease obstructive |
author_facet |
Amir Houshang Mehrparvar Seyed Jalil Mirmohammadi Mohammad Mehdi Sohrabi |
author_sort |
Amir Houshang Mehrparvar |
title |
Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease |
title_short |
Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease |
title_full |
Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease |
title_fullStr |
Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease |
title_full_unstemmed |
Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease |
title_sort |
spirometric indices after bronchodilator test in obstructive lung disease |
publisher |
Tehran University of Medical Sciences |
series |
Acta Medica Iranica |
issn |
0044-6025 1735-9694 |
publishDate |
2010-08-01 |
description |
Bronchial responsiveness to bronchodilator medications is usually tested to establish reversibility of airflow obstruction. Among the various tests to establish bronchodilator response, FEV1, FEF25-75% or FEF50%, and FVC are the most widely used. In a cross-sectional study, we assessed spirometric responses after administration of bronchodilator in 187 workers with obstructive pattern in spirometry. Considering responsiveness to bronchodilator (200cc and 12% increase in FEV1 or FVC), the study cases were divided into responsive or non-responsive groups, and the average increase in spirometric indices were measured and compared between two groups. 35.8% of cases were responsive to bronchodilator. Among responsive cases, FEV1 was the most frequent index increased significantly; And PEF and FVC were the least frequent ones. The highest mean increase from baseline after administration of bronchodilator was observed in FEF75%. Increases in all indices were significantly higher in responsive group. The increase in FEV1% predicted was inversely correlated with baseline FEV1. In conclusion, we consider that FEV1 is the most reliable spirometric index for assessing bronchodilator response. And Bronchial reversibility has an inverse relationship with baseline measures.
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topic |
Spirometry bronchodilator agents lung disease obstructive |
url |
https://acta.tums.ac.ir/index.php/acta/article/view/4036 |
work_keys_str_mv |
AT amirhoushangmehrparvar spirometricindicesafterbronchodilatortestinobstructivelungdisease AT seyedjalilmirmohammadi spirometricindicesafterbronchodilatortestinobstructivelungdisease AT mohammadmehdisohrabi spirometricindicesafterbronchodilatortestinobstructivelungdisease |
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