Residual Volume and Total Lung Capacity to Assess Reversibility in Obstructive Lung Disease.

Publication/Presentation Date

11-1-2016

Abstract

BACKGROUND: Reversibility of obstructive lung disease is traditionally defined by changes in FEV

METHODS: Responsiveness of residual volume and total lung capacity to bronchodilators was assessed with a retrospective analysis of pulmonary function tests of 965 subjects with obstructive lung disease as defined by the lower limit of normal based on National Health and Nutritional Examination Survey III prediction equations.

RESULTS: A statistically significant number of subjects demonstrated response to bronchodilators in their residual volume independent of response defined by FEV

CONCLUSIONS: A significant number of subjects classified as being nonresponsive based on spirometry have reversible residual volumes. Subjects whose residual volumes improve in response to bronchodilators represent an important subgroup of those with obstructive lung disease. The identification of this subgroup better characterizes the heterogeneity of obstructive lung disease. The clinical importance of these findings is unclear but warrants further study.

Volume

61

Issue

11

First Page

1505

Last Page

1512

ISSN

1943-3654

Disciplines

Medicine and Health Sciences

PubMedID

27555617

Department(s)

Department of Medicine

Document Type

Article

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