The perception of dyspnea after bronchoconstriction and bronchodilation in patients with asthma

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Abstract

Background: It is well documented that the perception of dyspnea (POD), subjectively reported by patients, is an important index used to guide treatment. The severity of dyspnea following methacholine-induced bronchoconstriction and added mechanical loads is increasing in popular. No format attention has been addressed to the reduction in dyspnea following bronchodilators. Study objective: To investigate if the magnitude of dyspnea perceived by a subject is independent on the direction (e.g., bronchoconstriction or bronchodilation) of the change in airway resistance. Methods: The POD was measured in 26 mild-moderate asthmatic patients following bronchoditation, using β2-agonists, and following bronchoconstriction, induced by methacholine challenge, to almost the same magnitude. Results: The increase in forced expiratory volume in 1 s (FEV1), 30 min after the inhalation of β2-agonist (mean ± SEM 22.3 ± 0.8%), was associated with a statistically significant decrease (P<0.005) in the POD. The mean decrease in FEV1 following methacoline challenge, was 23 ± 0.7% and was followed by a statistically significant increase (P < 0.005) in the POD. The magnitude of the decrease in the POD following albuterol was almost identical to the magnitude of the increase in the POD following methacholine. Conclusions: In stable mild-moderate asthmatic patients, the changes in the magnitude of dyspnea, perceived by a subject, is independent on the direction of the change in the FEV1. © 2003 Elsevier Ltd. All rights reserved.

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Weiner, P., Beckerman, M., Berar-Yanay, N., & Magadle, R. (2003). The perception of dyspnea after bronchoconstriction and bronchodilation in patients with asthma. Respiratory Medicine, 97(10), 1120–1125. https://doi.org/10.1016/S0954-6111(03)00161-6

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