Pulmonary function testing in COPD: looking beyond the curtain of FEV1
Autor: | Konstantinos I. Gourgoulianis, Ioannis Pantazopoulos, Sotirios Kakavas, Fotis Perlikos, Ourania S. Kotsiou, Maria Mermiri, Georgios Mavrovounis |
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Jazyk: | angličtina |
Rok vydání: | 2021 |
Předmět: |
Pulmonary and Respiratory Medicine
Spirometry medicine.medical_specialty Vital Capacity Pulmonary disease Review Article Disease Pulmonary function testing Pulmonary Disease Chronic Obstructive Diseases of the respiratory system Airway resistance Forced Oscillation Technique Forced Expiratory Volume Respiratory signs and symptoms medicine Humans Intensive care medicine Lung COPD medicine.diagnostic_test RC705-779 business.industry Chronic obstructive pulmonary disease Public Health Environmental and Occupational Health Primary care physician medicine.disease respiratory tract diseases Respiratory Function Tests business |
Zdroj: | npj Primary Care Respiratory Medicine, Vol 31, Iss 1, Pp 1-11 (2021) NPJ Primary Care Respiratory Medicine |
ISSN: | 2055-1010 |
Popis: | Chronic obstructive pulmonary disease (COPD) management remains challenging due to the high heterogeneity of clinical symptoms and the complex pathophysiological basis of the disease. Airflow limitation, diagnosed by spirometry, remains the cornerstone of the diagnosis. However, the calculation of the forced expiratory volume in the first second (FEV1) alone, has limitations in uncovering the underlying complexity of the disease. Incorporating additional pulmonary function tests (PFTs) in the everyday clinical evaluation of COPD patients, like resting volume, capacity and airway resistance measurements, diffusion capacity measurements, forced oscillation technique, field and cardiopulmonary exercise testing and muscle strength evaluation, may prove essential in tailoring medical management to meet the needs of such a heterogeneous patient population. We aimed to provide a comprehensive overview of the available PFTs, which can be incorporated into the primary care physician’s practice to enhance the efficiency of COPD management. |
Databáze: | OpenAIRE |
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