[Airway hyperreactivity test by measurement of specific airway conductance during quiet breathing].
In asthmatic patients, the threshold for specific airway conductance during quiet breathing (sGawqt) in the airway hypersensitivity test was determined using our newly developed pressure corrected flow type body plethysmograph and compared with that measured by means of respiratory resistance (Grs) Astograph in relation to the following parameters: 1) Dmin, an index of airway sensitivity (accumulated methacholine concentration at the time of onset of linear decrease in the dose-response curve), 2) SsGawqt and SGrs, indicators of airway sensitivity (slope when the value begins to decrease) and 3) PD35 (accumulated methacholine concentration when the valve has decreased to 35% of the initial value). Although no significantly difference was observed in SsGawqt and SGrs, significantly lower values of Dmin and PD35, indexes of airway sensitivity, were obtained with sGawqt method as compared to Astograph. These findings may indicate that the airway hypersensitivity test using our body plethysmography technique can be performed using a smaller amount of inhaled methacholine with less patient burden as compared to Astograph.
Kubota
K
K
Third Department of Medicine, Iwate Medical University, Morioka, Japan.
Kagami
H
H
Ogawa
J
J
Yaegashi
J
J
Hirano
H
H
Ohura
M
M
Unoura
T
T
Mayer
N
N
Mohri
H
H
Tamura
M
M
D000328:Adult; D000403:Airway Resistance / Q000502:physiology*; D016535:Bronchial Hyperreactivity / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D010993:Plethysmography, Whole Body