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Updated: May 30, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Exercise-induced bronchoconstriction: diagnosis and management.

Michael A Krafczyk¹, Chad A Asplund

¹St. Luke's Hospital and Health Network Primary Care Sport Medicine Fellowship Program, Bethlehem, PA 18017, USA. mkrafczyk@gmail.com

American Family Physician

|August 17, 2011

Summary

This summary is machine-generated.

Exercise-induced bronchoconstriction (EIB) affects many, including athletes, causing airway narrowing during exercise. Diagnosis involves spirometry and may require further testing, with various treatment options available.

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Last Updated: May 30, 2026

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

Area of Science:

Pulmonology
Sports Medicine
Exercise Physiology

Background:

Exercise-induced bronchoconstriction (EIB) is airway narrowing during physical activity.
Affects over 10% of the general population and up to 90% of individuals with asthma.
Symptoms range from classic wheezing to nonspecific fatigue and performance decline in athletes.

Purpose of the Study:

To outline the diagnosis and management of exercise-induced bronchoconstriction.
To differentiate EIB from other potential causes of exercise-related symptoms.

Main Methods:

Initial evaluation with spirometry to assess for underlying asthma.
Consideration of empiric short-acting beta₂ agonists trial or bronchial provocation testing for diagnosis.
Review of nonpharmacologic and pharmacologic treatment strategies.

Main Results:

Spirometry results for EIB can be normal.
Nonpharmacologic strategies include trigger avoidance and environmental modifications.
First-line pharmacologic treatment involves short-acting beta₂ agonists; other agents may be used for refractory cases.

Conclusions:

Accurate diagnosis of EIB is crucial, sometimes requiring advanced testing.
A multi-faceted approach combining nonpharmacologic and pharmacologic treatments is effective.
Persistent symptoms warrant consideration of alternative diagnoses beyond EIB.