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Exercise-Induced Bronchospasm in Elite Athletes.
Konstantinos M Pigakis1, Vasileios T Stavrou2, Ioannis Pantazopoulos3
1Respiratory Medicine, Creta Interclinic Hospital, Heraklion, GRC.
Cureus
|February 11, 2022
Summary
Exercise-induced bronchospasm (EIB) affects elite athletes, impacting performance. Diagnosis requires specific tests beyond standard spirometry, and early detection in asymptomatic athletes is lacking.
Area of Science:
- Sports Medicine
- Pulmonology
- Exercise Physiology
Background:
- Exercise-induced bronchospasm (EIB) is prevalent in elite athletes, affecting performance and quality of life.
- Pathophysiological mechanisms include osmotic and thermal theories, airway inflammation, and potential neuronic modulation.
- Current diagnostic methods like spirometry are often insufficient for EIB in athletes.
Purpose of the Study:
- To review the pathophysiology of EIB in elite athletes.
- To discuss clinical diagnostic challenges and therapeutic strategies for EIB.
- To highlight the need for improved screening and diagnostic approaches.
Main Methods:
- Literature search for studies on EIB pathophysiology, diagnosis, and treatment in elite athletes.
- Synthesis of findings related to classical and emerging EIB mechanisms.
- Analysis of diagnostic limitations and therapeutic interventions.
Main Results:
- EIB is common in elite athletes, with symptoms often nonspecific.
- Diagnosis is challenging, requiring specific tests beyond standard spirometry.
- No organized screening exists for asymptomatic elite athletes with EIB.
Conclusions:
- EIB is a significant condition in elite athletes requiring accurate diagnosis.
- Specific diagnostic tests are crucial for confirming EIB.
- Further research and screening protocols are needed for early EIB detection.
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