D Stănescu1. 1. Pulmonary Laboratory and Division, Cliniques Universitaires Saint-Luc, Université Catholique de Louvain, Brussels, Belgium. Stanescu@pneu.ucl.ac.be
Abstract
STUDY OBJECTIVES: To clarify the significance of a functional lung pattern characterized by a decreased vital capacity (VC) and an increased residual volume (RV), but with a normal FEV1/VC ratio. SETTING: A university teaching hospital. SUBJECTS: Patients with bronchial asthma, pulmonary emphysema, and small airways disease, and older subjects. MEASUREMENTS: Measurements of static and dynamic lung volumes, diffusing capacity of the lung for carbon monoxide (as measured by the single-breath method), nitrogen slope of the alveolar plateau, and closing volume (as measured by the single-breath O2 test). CONCLUSION: A functional pattern characterized by a decreased VC and FEV1 and increased RV, but with a normal FEV1/VC ratio and total lung capacity, reflects an obstructive impairment of small airways.
STUDY OBJECTIVES: To clarify the significance of a functional lung pattern characterized by a decreased vital capacity (VC) and an increased residual volume (RV), but with a normal FEV1/VC ratio. SETTING: A university teaching hospital. SUBJECTS:Patients with bronchial asthma, pulmonary emphysema, and small airways disease, and older subjects. MEASUREMENTS: Measurements of static and dynamic lung volumes, diffusing capacity of the lung for carbon monoxide (as measured by the single-breath method), nitrogen slope of the alveolar plateau, and closing volume (as measured by the single-breath O2 test). CONCLUSION: A functional pattern characterized by a decreased VC and FEV1 and increased RV, but with a normal FEV1/VC ratio and total lung capacity, reflects an obstructive impairment of small airways.
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