Airway Responsiveness to Indirect Challenges in COPD

ABSTRACT Patients with chronic obstructive pulmonary disease (COPD) demonstrate airway hyperresponsiveness to a number of indirect stimuli. Hyperresponsiveness to cold air hyperventilation, exercise, and drugs like propranalol and methoxamine seem to be able to distinguish patients with COPD from th...

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Veröffentlicht in:Chronic obstructive pulmonary disease 2010-04, Vol.7 (2), p.133-140
Hauptverfasser: Hassan, Nesreen M., Hargreave, Frederick E., Nair, Parameswaran
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container_end_page 140
container_issue 2
container_start_page 133
container_title Chronic obstructive pulmonary disease
container_volume 7
creator Hassan, Nesreen M.
Hargreave, Frederick E.
Nair, Parameswaran
description ABSTRACT Patients with chronic obstructive pulmonary disease (COPD) demonstrate airway hyperresponsiveness to a number of indirect stimuli. Hyperresponsiveness to cold air hyperventilation, exercise, and drugs like propranalol and methoxamine seem to be able to distinguish patients with COPD from those with asthma, whereas hyperresponsiveness to stimuli like adenosine 5-monophosphate (AMP) and hypertonic saline seem unable to do so. The relationship of airway responsiveness to indirect stimuli and airway inflammation has received little study. The clinical relevance of hyperresponsiveness to an indirect challenge, including the impact on the natural history, relation to types of bronchitis, baseline airway calibre, and response to treatment need to be studied.
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source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Airway hyperresponsiveness
Asthma - diagnosis
Asthma - physiopathology
Biological and medical sciences
Bronchial Hyperreactivity - physiopathology
Bronchial Provocation Tests
Chronic obstructive pulmonary disease, asthma
COPD
Forced Expiratory Volume
Humans
Indirect challenge
Medical sciences
Pneumology
Pulmonary Disease, Chronic Obstructive - diagnosis
Pulmonary Disease, Chronic Obstructive - physiopathology
Pulmonary Disease, Chronic Obstructive - therapy
Respiratory Function Tests
title Airway Responsiveness to Indirect Challenges in COPD
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