Dynamic hyperinflation during bronchoconstriction in asthma: implications for symptom perception.

@article{Lougheed2006DynamicHD,
  title={Dynamic hyperinflation during bronchoconstriction in asthma: implications for symptom perception.},
  author={M. Diane Lougheed and Thomas Fisher and Denis E. O’Donnell},
  journal={Chest},
  year={2006},
  volume={130 4},
  pages={
          1072-81
        }
}
OBJECTIVE The objective of this study was to examine the relationship between respiratory symptom intensity and quality and dynamic lung hyperinflation (DH) during induced bronchoconstriction in asthma. PATIENTS AND METHODS Subjects with asthma (n = 116) underwent baseline spirometry and lung volume measurement followed by high-dose methacholine challenge testing (MCT) [maximum decrease in FEV(1) of 50% from baseline]. Dyspnea intensity (Borg scale) was measured after each dose of… 
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References

SHOWING 1-10 OF 55 REFERENCES
Breathlessness during acute bronchoconstriction in asthma. Pathophysiologic mechanisms.
TLDR
Of the 21 subjects, 19 reported increased inspiratory rather than expiratory difficulty and predominantly described sensations of reduced inspiratory capacity and unrewarded inspiratory effort, and it was the strongest predictor of symptom recovery.
Dynamic hyperinflation and flow limitation during methacholine-induced bronchoconstriction in asthma.
TLDR
Dyspnoea appears to be related to the increase in end-expiratory lung volume and not to the onset of expiratory flow limitation in acute methacholine-induced bronchoconstriction, and it is concluded that dynamic hyperinflation may occur in the absence of expiral flow limitation and that expiratories flow limitation does not represent the triggering factor to generate dynamichyperinflation.
Breathlessness during induced lung hyperinflation in asthma: the role of the inspiratory threshold load.
TLDR
Responses to IPAP of the same magnitude as CPAP OPT at maximum response were similar to those during CPAPOPT, except that IPAP did not counteract ITL or reduce breathlessness.
Respiratory sensation and ventilatory mechanics during induced bronchoconstriction in spontaneously breathing low cervical quadriplegia.
TLDR
The quality and intensity of dyspnea during methacholine-induced bronchoconstriction and dynamic hyperinflation was not altered by extensive chest wall deafferentation and was linear and consistent across groups.
A comparison of breathlessness during spontaneous asthma and histamine-induced bronchoconstriction.
TLDR
It is found that the intensity of dyspnea sensed during histamine-induced bronchoconstriction was very variable among subjects and cannot be used to identify the asthmatics who perceive dysPnea poorly.
Expiratory airflow limitation and hyperinflation during methacholine-induced bronchoconstriction.
TLDR
The results suggest that hyperinflation during MCh-induced bronchoconstriction is triggered by dynamic compression of the airways and is associated with moderate increase of DIA during expiration.
The role of respiratory muscles in the hyperinflation of bronchial asthma.
TLDR
It is concluded that the increase in FRC in induced asthma is substantially influenced by persistent inspiratory intercostal and accessory muscle activity during expiration, which results in a chest wall configuration that tends to optimize diaphragmatic function.
Quality of dyspnea in bronchoconstriction differs from external resistive loads.
TLDR
It is concluded that in mild asthma, the sensation of chest tightness is distinct from the feeling of work and effort and is not attributable to the mechanical load imposed on the respiratory system.
Symptom perception during acute bronchoconstriction.
TLDR
Dyspnea was more intense with broncho-constriction, baseline pulmonary impairment, weight, and sex (being female), and was less intense with age and as airway responsiveness to methacholine increased (p < 0.05 for all factors).
Limited maximal airway narrowing in nonasthmatic subjects. Role of neural control and prostaglandin release.
TLDR
It is concluded that limited maximal airway narrowing to methacholine in nonasthmatics is not due to a change in adrenergic, cholinergic, or ganglion-transmitted-nonadrenergic inhibitory activity nor to the release of prostaglandins.
...
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5
...