Skip to main content
Thorax logoLink to Thorax
. 1977 Apr;32(2):177–181. doi: 10.1136/thx.32.2.177

How mild is mild asthma?

A R Rubinfeld, M C Pain
PMCID: PMC470562  PMID: 867330

Abstract

Nineteen asthmatic volunteers underwent methacholine-induced asthma to the point when tightness in the chest was just sensed (threshold symptom). Changes in the following indices of lung function were measured--static lung volumes, forced expiratory volume in one second, and airways conductance. The increase in airways resistance necessary for threshold detection was at least double that previously reported in experiments using external resistive loads. Despite the mildness of the symptom, increases in lung volumes to the levels previously described during acute and severe asthma were occasionally found. It is emphasised that there may be little leeway in respiratory reserve between the development of minor and severe symptoms in some asthmatic patients.

Full text

PDF
177

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BENNETT E. D., JAYSON M. I., RUBENSTEIND, CAMPBELL E. J. The ability of man to detect added non-elastic loads to breathing. Clin Sci. 1962 Aug;23:155–162. [PubMed] [Google Scholar]
  2. CAMPBELL E. J., BENNETT E. D., RUBENSTEIN D. The ability to distinguish between added elastic and resistive loads to breathing. Clin Sci. 1963 Apr;24:201–207. [PubMed] [Google Scholar]
  3. Cade J. F., Woolcock A. J., Rebuck A. S., Pain M. C. Lung mechanics during provocation of asthma. Clin Sci. 1971 May;40(5):381–391. doi: 10.1042/cs0400381. [DOI] [PubMed] [Google Scholar]
  4. DUBOIS A. B., BOTELHO S. Y., COMROE J. H., Jr A new method for measuring airway resistance in man using a body plethysmograph: values in normal subjects and in patients with respiratory disease. J Clin Invest. 1956 Mar;35(3):327–335. doi: 10.1172/JCI103282. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Davis J. N. Contribution of somatic receptors in the chest wall to detection of added inspiratory airway resistance. Clin Sci. 1967 Oct;33(2):249–260. [PubMed] [Google Scholar]
  6. Despas P. J., Leroux M., Macklem P. T. Site of airway obstruction in asthma as determined by measuring maximal expiratory flow breathing air and a helium-oxygen mixture. J Clin Invest. 1972 Dec;51(12):3235–3243. doi: 10.1172/JCI107150. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. GOLDMAN H. I., BECKLAKE M. R. Respiratory function tests; normal values at median altitudes and the prediction of normal results. Am Rev Tuberc. 1959 Apr;79(4):457–467. doi: 10.1164/artpd.1959.79.4.457. [DOI] [PubMed] [Google Scholar]
  8. Gold W. M., Kaufman H. S., Nadel J. A. Elastic recoil of the lungs in chronic asthmatic patients before and after therapy. J Appl Physiol. 1967 Oct;23(4):433–438. doi: 10.1152/jappl.1967.23.4.433. [DOI] [PubMed] [Google Scholar]
  9. HERSCHFUS J. A., BRESNICK E., SEGAL M. S. Pulmonary function studies in bronchial asthma. I. In the control state. Am J Med. 1953 Jan;14(1):23–33. doi: 10.1016/0002-9343(53)90354-4. [DOI] [PubMed] [Google Scholar]
  10. LLOYD T. C., Jr Bronchoconstriction in man following single deep inspirations. J Appl Physiol. 1963 Jan;18:114–116. doi: 10.1152/jappl.1963.18.1.114. [DOI] [PubMed] [Google Scholar]
  11. Mansell A., Dubrawsky C., Levison H., Bryan A. C., Langer H., Collins-Williams C., Orange R. P. Lung mechanics in antigen-induced asthma. J Appl Physiol. 1974 Sep;37(3):297–301. doi: 10.1152/jappl.1974.37.3.297. [DOI] [PubMed] [Google Scholar]
  12. McFadden E. R., Jr Exertional dyspnea and cough as preludes to acute attacks of bronchial asthma. N Engl J Med. 1975 Mar 13;292(11):555–559. doi: 10.1056/NEJM197503132921103. [DOI] [PubMed] [Google Scholar]
  13. McFadden E. R., Jr, Kiser R., DeGroot W. J. Acute bronchial asthma. Relations between clinical and physiologic manifestations. N Engl J Med. 1973 Feb 1;288(5):221–225. doi: 10.1056/NEJM197302012880501. [DOI] [PubMed] [Google Scholar]
  14. NADEL J. A., TIERNEY D. F. Effect of a previous deep inspiration on airway resistance in man. J Appl Physiol. 1961 Jul;16:717–719. doi: 10.1152/jappl.1961.16.4.717. [DOI] [PubMed] [Google Scholar]
  15. Pelzer A. M., Thomson M. L. Effect of age, sex, stature, and smoking habits on human airway conductance. J Appl Physiol. 1966 Mar;21(2):469–476. doi: 10.1152/jappl.1966.21.2.469. [DOI] [PubMed] [Google Scholar]
  16. Wiley R. L., Zechman F. W., Jr Perception of added airflow resistance in humans. Respir Physiol. 1966 Dec;2(1):73–87. doi: 10.1016/0034-5687(66)90039-9. [DOI] [PubMed] [Google Scholar]
  17. Woolcock A. J., Read J. Lung volumes in exacerbations of asthma. Am J Med. 1966 Aug;41(2):259–273. doi: 10.1016/0002-9343(66)90021-0. [DOI] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES