THE CORRELATION OF SYMPTOMS AND OBJECTIVE WHEEZE IN ASTHMATICS

Objective: To determine the correlation between symptoms and objective wheeze in asthmatics. Study Design: A cross sectional study. Place and Duration of Study: Medicine department, Combined Military Hospital Lahore, from Jul to Dec 2019. Methodology: Two hundred patients of asthma were sel...

Full description

Bibliographic Details
Main Authors: Abdul Latif Khattak, Muhammad Khalid Azam Khan, Shazia Naz, Nauman Kashif, Syed Karamat Hussain Shah, Muhammad Tahir Ibrahim
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2020-12-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://pafmj.org/index.php/PAFMJ/article/view/4736
_version_ 1818682472022409216
author Abdul Latif Khattak
Muhammad Khalid Azam Khan
Shazia Naz
Nauman Kashif
Syed Karamat Hussain Shah
Muhammad Tahir Ibrahim
author_facet Abdul Latif Khattak
Muhammad Khalid Azam Khan
Shazia Naz
Nauman Kashif
Syed Karamat Hussain Shah
Muhammad Tahir Ibrahim
author_sort Abdul Latif Khattak
collection DOAJ
description Objective: To determine the correlation between symptoms and objective wheeze in asthmatics. Study Design: A cross sectional study. Place and Duration of Study: Medicine department, Combined Military Hospital Lahore, from Jul to Dec 2019. Methodology: Two hundred patients of asthma were selected reporting in Medicine department, CMH Lahore. Patients were interviewed regarding their primary chest symptom and it was correlated with the clinical examination for wheeze to find which particular symptom correlated most with the presence of wheeze. The 130 symptomatic cases were subjected to spirometry to assess their lung functions tests. Results: Two hundreds patients of asthma were interviewed of whom 130 patients were symptomatic. Out of 130 patients, 59 (45.3%) complained of difficulty in breathing, 40 (30.7%) complained of shortness of breath, 20 (15.3%) had wheezing, 7 (5.3%) had cough and 4 (3%) had chest pain. Eighty five (65.3%) patients when examined had wheeze. The distribution of objective wheezing in the above cases were 100% for wheezing patient, 66.1% for Difficulty in breathing, 57.5% for shortness of breath 28.5% for cough and 25% for chest pain. The FEV1/FVC ratio was lowest for wheezing patients at 0.55 and highest for cough at 0.70. Conclusion: Difficulty in breathing was the commonest symptom in symptomatic asthmatics being present in 66.1% of patients. The symptom which correlated best with the presence of wheeze was wheezy chest and difficulty in breathing and was also associated with lowest FEV1/FVC ratio.
first_indexed 2024-12-17T10:19:23Z
format Article
id doaj.art-79173b1cbf1748cdb45ae4e66aeb5316
institution Directory Open Access Journal
issn 0030-9648
2411-8842
language English
last_indexed 2024-12-17T10:19:23Z
publishDate 2020-12-01
publisher Army Medical College Rawalpindi
record_format Article
series Pakistan Armed Forces Medical Journal
spelling doaj.art-79173b1cbf1748cdb45ae4e66aeb53162022-12-21T21:52:49ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422020-12-0170618431846doi.org/10.51253/pafmj.v70i6.47364736THE CORRELATION OF SYMPTOMS AND OBJECTIVE WHEEZE IN ASTHMATICSAbdul Latif Khattak0Muhammad Khalid Azam Khan1Shazia Naz2Nauman Kashif3Syed Karamat Hussain Shah4Muhammad Tahir Ibrahim5Combined Military Hospital Lahore/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Lahore/National University of Medical Sciences (NUMS) PakistanRangers Teaching Hospital, Lahore PakistanCombined Military Hospital Lahore/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Lahore/National University of Medical Sciences (NUMS) PakistanCombined Military Hospital Lahore/National University of Medical Sciences (NUMS) PakistanObjective: To determine the correlation between symptoms and objective wheeze in asthmatics. Study Design: A cross sectional study. Place and Duration of Study: Medicine department, Combined Military Hospital Lahore, from Jul to Dec 2019. Methodology: Two hundred patients of asthma were selected reporting in Medicine department, CMH Lahore. Patients were interviewed regarding their primary chest symptom and it was correlated with the clinical examination for wheeze to find which particular symptom correlated most with the presence of wheeze. The 130 symptomatic cases were subjected to spirometry to assess their lung functions tests. Results: Two hundreds patients of asthma were interviewed of whom 130 patients were symptomatic. Out of 130 patients, 59 (45.3%) complained of difficulty in breathing, 40 (30.7%) complained of shortness of breath, 20 (15.3%) had wheezing, 7 (5.3%) had cough and 4 (3%) had chest pain. Eighty five (65.3%) patients when examined had wheeze. The distribution of objective wheezing in the above cases were 100% for wheezing patient, 66.1% for Difficulty in breathing, 57.5% for shortness of breath 28.5% for cough and 25% for chest pain. The FEV1/FVC ratio was lowest for wheezing patients at 0.55 and highest for cough at 0.70. Conclusion: Difficulty in breathing was the commonest symptom in symptomatic asthmatics being present in 66.1% of patients. The symptom which correlated best with the presence of wheeze was wheezy chest and difficulty in breathing and was also associated with lowest FEV1/FVC ratio.https://pafmj.org/index.php/PAFMJ/article/view/4736bronchial asthmashortness of breathwheeze
spellingShingle Abdul Latif Khattak
Muhammad Khalid Azam Khan
Shazia Naz
Nauman Kashif
Syed Karamat Hussain Shah
Muhammad Tahir Ibrahim
THE CORRELATION OF SYMPTOMS AND OBJECTIVE WHEEZE IN ASTHMATICS
Pakistan Armed Forces Medical Journal
bronchial asthma
shortness of breath
wheeze
title THE CORRELATION OF SYMPTOMS AND OBJECTIVE WHEEZE IN ASTHMATICS
title_full THE CORRELATION OF SYMPTOMS AND OBJECTIVE WHEEZE IN ASTHMATICS
title_fullStr THE CORRELATION OF SYMPTOMS AND OBJECTIVE WHEEZE IN ASTHMATICS
title_full_unstemmed THE CORRELATION OF SYMPTOMS AND OBJECTIVE WHEEZE IN ASTHMATICS
title_short THE CORRELATION OF SYMPTOMS AND OBJECTIVE WHEEZE IN ASTHMATICS
title_sort correlation of symptoms and objective wheeze in asthmatics
topic bronchial asthma
shortness of breath
wheeze
url https://pafmj.org/index.php/PAFMJ/article/view/4736
work_keys_str_mv AT abdullatifkhattak thecorrelationofsymptomsandobjectivewheezeinasthmatics
AT muhammadkhalidazamkhan thecorrelationofsymptomsandobjectivewheezeinasthmatics
AT shazianaz thecorrelationofsymptomsandobjectivewheezeinasthmatics
AT naumankashif thecorrelationofsymptomsandobjectivewheezeinasthmatics
AT syedkaramathussainshah thecorrelationofsymptomsandobjectivewheezeinasthmatics
AT muhammadtahiribrahim thecorrelationofsymptomsandobjectivewheezeinasthmatics
AT abdullatifkhattak correlationofsymptomsandobjectivewheezeinasthmatics
AT muhammadkhalidazamkhan correlationofsymptomsandobjectivewheezeinasthmatics
AT shazianaz correlationofsymptomsandobjectivewheezeinasthmatics
AT naumankashif correlationofsymptomsandobjectivewheezeinasthmatics
AT syedkaramathussainshah correlationofsymptomsandobjectivewheezeinasthmatics
AT muhammadtahiribrahim correlationofsymptomsandobjectivewheezeinasthmatics