Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease

"nBronchial 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 sp...

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Main Authors: Amir Houshang Mehrparvar, Seyed Jalil Mirmohammadi, Mohammad Mehdi Sohrabi
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2010-07-01
Series:Acta Medica Iranica
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/16198.pdf&manuscript_id=16198
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author Amir Houshang Mehrparvar
Seyed Jalil Mirmohammadi
Mohammad Mehdi Sohrabi
author_facet Amir Houshang Mehrparvar
Seyed Jalil Mirmohammadi
Mohammad Mehdi Sohrabi
author_sort Amir Houshang Mehrparvar
collection DOAJ
description "nBronchial 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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spelling doaj.art-fd0299887d87457797ed8923ccd4dd3b2022-12-21T20:16:47ZengTehran University of Medical SciencesActa Medica Iranica0044-60252010-07-01Vol. 48No. 4226230Spirometric Indices after Bronchodilator Test in Obstructive Lung DiseaseAmir Houshang MehrparvarSeyed Jalil MirmohammadiMohammad Mehdi Sohrabi"nBronchial 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.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/16198.pdf&manuscript_id=16198Spirometrybronchodilator agentslung diseaseobstructive
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
title 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_short Spirometric Indices after Bronchodilator Test in Obstructive Lung Disease
title_sort spirometric indices after bronchodilator test in obstructive lung disease
topic Spirometry
bronchodilator agents
lung disease
obstructive
url http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/16198.pdf&manuscript_id=16198
work_keys_str_mv AT amirhoushangmehrparvar spirometricindicesafterbronchodilatortestinobstructivelungdisease
AT seyedjalilmirmohammadi spirometricindicesafterbronchodilatortestinobstructivelungdisease
AT mohammadmehdisohrabi spirometricindicesafterbronchodilatortestinobstructivelungdisease