Document Detail

Exercise-induced respiratory symptoms are not always asthma.
MedLine Citation:
PMID:  10581663     Owner:  NLM     Status:  MEDLINE    
Eighty-eight patients with a history of exercise-induced respiratory symptoms performed a maximal exercise test in order to study the reasons for stopping the test. There was a wide range of percentage maximal fall in peak expiratory flow (PEF), from minus 3% to 63%, mean 11%, recorded 0-30 min, mean 12 min after the break. In the controls the maximal decrease was 0-16%, mean 6%. Diagnostic criteria for asthma were fulfilled by 48 patients (55%). Of these patients 42% had a fall in PEF > or = 15% (exercise-induced asthma). Of the non-asthma patients 10% had a fall > or = 15%. The most common reason for stopping the exercise in the asthma group was breathing troubles (46%), the most common reason in the non-asthma group was chest pain/discomfort (35%). In about 20% of the patients dizziness and/or pricking sensations in arms or legs indicated hyperventilation as an additional reason for stopping the exercise. It is concluded that other kinds of reaction, than bronchial obstruction such as breathing troubles not directly related to bronchial obstruction and chest pain, may be important factors that can restrict physical capacity in patients with exercise-induced respiratory symptoms.
O Löwhagen; M Arvidsson; P Bjärneman; N Jörgensen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Respiratory medicine     Volume:  93     ISSN:  0954-6111     ISO Abbreviation:  Respir Med     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-12-23     Completed Date:  1999-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8908438     Medline TA:  Respir Med     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  734-8     Citation Subset:  IM    
Asthma and Allergy Centre, Sahlgrenska University Hospital, Göteborg, Sweden.
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MeSH Terms
Asthma, Exercise-Induced / physiopathology*
Case-Control Studies
Chest Pain / etiology*,  physiopathology
Exercise Test
Exercise Tolerance*
Hyperventilation / etiology*,  physiopathology
Lung / physiopathology*
Middle Aged
Peak Expiratory Flow Rate

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