Description

The response to inhaled bronchodilator is helpful in distinguishing between chronic obstructive lung disease (COLD) and asthma.


In chronic obstructive lung disease the airway resistance is relatively fixed and unresponsive to inhalation of a bronchodilator.

 

In asthma the bronchoconstriction responds to inhalation of a bronchodilator.

 

Response to Bronchodilators

FVC (after)-to-FVC (before)

FEV1 (after)-to-FEV1 (before)

FEF(25-75%) (after)-to-FEF(25-75) (before)

not responsive

< 1.05

< 1.05

< 1.10

not clearly responsive

1.05 - 1.14

1.05 - 1.11

1.10 - 1.44

responsive

1.15 - 1.24

1.12 - 1.24

1.45 - 1.99

markedly responsive

>= 1.25

>= 1.25

>= 2.00

 


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