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[Functional approach to asthma (author's transl)].

F Ruff, M Bernadou

    Revue Francaise Des Maladies Respiratoires
    |March 1, 1979
    PubMed
    Summary
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    For asthma diagnosis in epidemiology, forced expiration parameters like FEV1 are recommended for quick, non-invasive assessments. Additional tests like closing volume and flow-volume curves can further support diagnosis and confirm reversible bronchial obstruction.

    Area of Science:

    • Pulmonology
    • Respiratory Medicine
    • Diagnostic Testing

    Context:

    • Asthma diagnosis in epidemiological studies requires rapid, non-invasive methods.
    • Traditional pulmonary function tests may not always be suitable for "on-the-spot" assessments.
    • Evaluating reversible bronchial obstruction is key to asthma diagnosis.

    Purpose:

    • To review pulmonary function tests for asthma diagnosis.
    • To identify the most appropriate tests for epidemiological settings.
    • To highlight methods for confirming reversible bronchial obstruction.

    Summary:

    • Forced expiration parameters, such as forced expiratory volume in 1 second (FEV1), are suitable for rapid asthma diagnosis in epidemiological research.
    • Measurements of closing volume, slope of phase III, and flow-volume curves using two gas mixtures can supplement FEV1.

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  • Bronchomotricity modifiers can confirm the reversible nature of bronchial obstruction, a hallmark of asthma.

    • Impact:

    • Provides guidance on selecting optimal pulmonary function tests for large-scale asthma studies.
    • Facilitates efficient and accurate asthma diagnosis in field research settings.
    • Aims to improve the reliability of asthma prevalence and incidence data in epidemiological surveys.