Pulmonology Book

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Exercise Spirometry

Aka: Exercise Spirometry, Exercise Test to Assess Respiratory Status, Spirometry with Exercise Test, Exercise Challenge with Pulmonary Function Testing, Eucapnic Voluntary Hyperpnea
  1. See Also
    1. Pulmonary Function Test
    2. Lung Volumes
    3. Diffusing Capacity
    4. Inhalation Challenge Test
    5. Functional Residual Capacity
    6. Vital Capacity
    7. Peak Expiratory Flow Rate (PEFR)
    8. Spirometry Lower Limit of Normal (PFT LLN)
    9. Obstructive Lung Disease
    10. Restrictive Lung Disease
  2. Indications
    1. Exercise Induced Bronchospasm diagnosis
  3. Protocol
    1. Obtain baseline Pulmonary Function Tests
    2. Perform Exercise
      1. Patient wears nose clip
      2. Reach 80-90 of maximal Heart Rate within 2 minutes
      3. Maintain increased Heart Rate for 8 minutes
      4. Test performed under constant conditions (humidity <50%, air Temperature 60 to 70 F or 20 to 25 C)
    3. Obtain post-exercise Pulmonary Function Tests
      1. Minute 1-3 post-Exercise
      2. Minute 5 post-Exercise
      3. Minute 10 post-Exercise
      4. Minute 15 post-Exercise
      5. Minute 20 post-Exercise
      6. Minute 30 post-Exercise
      7. Minute 45 post-Exercise
  4. Interpretation: Positive test criteria
    1. FEV1 or FVC declines 10% or more between any 2 consecutive points in the first 30 minutes post-Exercise
  5. Diagnostics: Eucapnic Voluntary Hyperpnea
    1. Specialized lung function testing at designated centers (per International Olympic Committee)
    2. Indicated for olympic level athletes to be approved for Bronchodilator use prior to Exercise
  6. References
    1. Johnson (2014) Am Fam Physician 89(5): 359-66 [PubMed]
    2. Randolph (2011) Curr Allergy Asthma 11(6): 482-90 [PubMed]

Exercise testing to assess respiratory status (C0841558)

Concepts Diagnostic Procedure (T060)
ICD10 1848, 11503-04
English Exercise testing to assess respiratory status
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Spirometry with exercise testing (C0842266)

Concepts Diagnostic Procedure (T060)
ICD10 11503-05
English Spirometry with exercise testing
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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