Bronchodilator response of advanced lung function parameters depending on COPD severity

التفاصيل البيبلوغرافية
العنوان: Bronchodilator response of advanced lung function parameters depending on COPD severity
المؤلفون: Jarenbäck, Linnea, Eriksson, Göran, Peterson, Stefan, Ankerst, Jaro, Bjermer, Leif, Tufvesson, Ellen
المصدر: International Journal of COPD EpiHealth: Epidemiology for Health. 11(1):2939-2950
مصطلحات موضوعية: Body plethysmography, Bronchodilation, COPD, IOS, Lung function, Reversibility, Medicin och hälsovetenskap, Klinisk medicin, Lungmedicin och allergi, Medical and Health Sciences, Clinical Medicine, Respiratory Medicine and Allergy
الوصف: Background: COPD is defined as partly irreversible airflow obstruction. The response pattern of bronchodilators has not been followed in advanced lung function parameters. Purpose: The aim of this study was to investigate bronchodilator response pattern in advanced lung function parameters in a continuous fashion along forced expiratory volume in 1 second (FEV1) percent predicted (%p) in COPD patients and controls. Patients and methods: Eighty-one smokers/ex-smokers (41 controls and 40 COPD) performed spirometry, body plethysmography, impulse oscillometry and single-breath helium dilution carbon monoxide diffusion at baseline, after salbutamol inhalation and then after an additional inhalation of ipratropium. Results: Most pulmonary function parameters showed a linear increase in response to decreased FEV1%p. The subjects were divided into groups of FEV1%p<65 and >65, and the findings from continuous analysis were verified. The exceptions to this linear response were inspiratory capacity (IC), forced vital capacity (FVC), FEV1/FVC and expiratory resistance (Rex), which showed a segmented response relationship to FEV1%p. IC and FVC, with break points (BP) of 57 and 58 FEV1%p respectively, showed no response above, but an incresed slope below the BP. In addition, in patients with FEV1%p<65 and >65, response of FEV1%p did not correlate to response of volume parameters. Conclusion: Response of several advanced lung function parameters differs depending on patients’ baseline FEV1%p, and specifically response of volume parameters is most pronounced in COPD patients with FEV1%p<65. Volume and resistance responses do not follow the flow response measured with FEV1 and may thus be used as a complement to FEV1 reversibility to identify flow, volume and resistance responders.
URL الوصول: https://lup.lub.lu.se/record/f833f528-e8ad-431c-a6cd-23fec15bf595
http://dx.doi.org/10.2147/COPD.S111573
قاعدة البيانات: SwePub
الوصف
تدمد:11769106
DOI:10.2147/COPD.S111573