Pulmonary function threshold for distinguishing, ventilatory- and nonventilatory-limited patients with airflow obstruction

G. Fink, J. Lebzelter, D. Turner, E. Klainman, M. Shlomo, I. Katz, M. Kramer, S. Spitzer

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Patients with chronic obstructive pulmonary disease (COPD) may demonstrate great variability between results on the pulmonary function test (PFT) compared to those on the cardiopulmonary exercise test (CPXT). The purpose of this study was to correlate PFT and CPXT indices and to identify PFT threshold values for predicting exercise capacity in patients with airflow limitation. Fifty-seven patients (48 men and 9 women) of mean age 66.4 ± 4.8 years with COPD and 40 age-matched control patients underwent PFT and CPXT. Based on the CPXT results, the patients were divided into ventilatory-limited (VL) and nonventilatory-limited (NVL), and the findings were correlated with the PFT indices. Linear regression analysis was used to determine the relationship between dyspnea index (VE(max)/MVV) and forced expiratory volume in one second (FEV1). The cutoff value for VL was FEV1 < 38% and for NVL FEV1 > 68%. The prominent limiting symptom (61%) in the VL group was dyspnea sensation, with leg discomfort presenting in only 14%; corresponding rates in the NVL group were 38% and 31%. We conclude that the FEV1 is a reliable index for distinguishing VL from NVL COPD patients during CPXT at two extremes: below 38% of the predicted value (VL) and above 68% of the predicted value (NVL).

Original languageEnglish
Pages (from-to)1245-1250
Number of pages6
JournalRespiratory Medicine
Volume92
Issue number10
DOIs
StatePublished - 1 Jan 1998

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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