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Asthma-III: Symptoms and Complications

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Pulmonary Function Tests are crucial diagnostic tools for assessing respiratory function, particularly in patients with chronic respiratory disorders. They comprehensively evaluate lung volumes, ventilatory function, breathing mechanics, diffusion, and gas exchange. These tests help diagnose pulmonary diseases and play a significant role in monitoring disease progression, evaluating disability, and assessing response to therapy.
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Related Experiment Video

Updated: May 22, 2026

Assessment of Respiratory Function in Conscious Mice by Double-chamber Plethysmography
08:58

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Published on: July 10, 2018

Pulmonary function in symptom-free asthmatics

I Yaacob1, M Mohammad

  • 1Department of Medicine, School of Medical Sciences, Hospital Universiti Sains Malaysia, Kelantan.

Singapore Medical Journal
|December 1, 1993
PubMed
Summary

Asthma can lead to lasting airflow obstruction, even when symptoms are absent. Spirometry tests reveal reduced lung function in most clinically remitted asthma patients, highlighting a disconnect between symptoms and actual respiratory health.

Area of Science:

  • Pulmonology
  • Respiratory Medicine
  • Clinical Investigation

Background:

  • Asthma is a chronic respiratory disease characterized by airway inflammation.
  • Clinical remission in asthma is often defined by the absence of symptoms.
  • The long-term impact of asthma on lung function, even in remission, requires further investigation.

Purpose of the Study:

  • To assess the respiratory function of adult asthmatic patients in clinical remission.
  • To determine the prevalence of normal spirometry results in asthma patients experiencing remission.
  • To investigate the relationship between asthma symptoms and objective respiratory function tests.

Main Methods:

  • Spirometry was performed on 75 adult patients with asthma in clinical remission.

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  • Key spirometry parameters including vital capacity (VC), forced vital capacity (FVC), forced expiratory volume in one second (FEV1), maximum mid-expiratory flow rate (MMF), and peak expiratory flow rate (PEFR) were measured.
  • Results were analyzed to identify deviations from normal lung function values.
  • Main Results:

    • Only 8.3% of the asthmatic patients in clinical remission exhibited normal spirometry results.
    • The majority of subjects demonstrated reduced lung function across multiple spirometry measures (VC, FVC, FEV1, MMF, PEFR).
    • A significant portion of patients showed evidence of airflow obstruction despite clinical remission.

    Conclusions:

    • Asthma can result in irreversible airflow obstruction, persisting even when symptoms are not apparent.
    • There is a poor correlation between the subjective experience of asthma symptoms and objective respiratory function test outcomes.
    • Regular spirometry monitoring is crucial for asthmatic patients to detect persistent lung function deficits.