Wheeze
None
Moderate
Severe/absent
Work of breathing
None
Moderate
Severe
Prolonged Expiration
None
Moderate
Severe
Diagnosis
Objective Measurements Spirometry is the gold standard of objective measurements
for asthma. Airflow obstruction is indicated by reduced FEV1 (forced expiratory volume in
1 second) and a reduced FEV1:FVC (forced vital capacity) ratio. Since spirometry should
be a part of routine care, physicians who treat many asthma patients should have a
spirometer in the office. An adequate unit with automated printouts and predicted values
can now be purchased for less than $2000.
Epidemiology
Asthma is a reversible obstructive lung disease, caused by
increased reaction of the airways to various stimuli. It is a chronic
inflammatory condition with acute exacerbations. Asthma can be a
life-threatening disease if not properly managed.