New Insights into the Pathophysiology of Mild Chronic Obstructive Pulmonary Disease

The classification of mild chronic obstructive pulmonary disease (COPD) requires a postbronchodilator forced expiratory volume in 1 s (FEV1) to forced vital capacity ratio <0.7 and an FEV1 ≥80% predicted. Given their relatively well-preserved spirometry, some have argued that respiratory symptoms...

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Main Author: Jordan A Guenette
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Canadian Respiratory Journal
Online Access:http://dx.doi.org/10.1155/2014/580396
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author Jordan A Guenette
author_facet Jordan A Guenette
author_sort Jordan A Guenette
collection DOAJ
description The classification of mild chronic obstructive pulmonary disease (COPD) requires a postbronchodilator forced expiratory volume in 1 s (FEV1) to forced vital capacity ratio <0.7 and an FEV1 ≥80% predicted. Given their relatively well-preserved spirometry, some have argued that respiratory symptoms in patients with mild COPD are unlikely to be related to pulmonary function abnormalities and that early detection of COPD is a ‘waste of resources’. Despite this viewpoint, there is emerging clinical and physiological evidence of peripheral airway dysfunction, diminished quality of life and reduced physical activity levels, and increased mortality, hospitalizations, dyspnea and exercise intolerance in patients with mild COPD compared with healthy controls. The purpose of the present focused review was to summarize recent research regarding the pathophysiology and treatment of mild COPD.
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spelling doaj-art-fc2ce675ae454f1ca502de9840a462ae2025-02-03T00:59:02ZengWileyCanadian Respiratory Journal1198-22412014-01-01211252710.1155/2014/580396New Insights into the Pathophysiology of Mild Chronic Obstructive Pulmonary DiseaseJordan A Guenette0Department of Physical Therapy and Centre for Heart Lung Innovation, University of British Columbia, Vancouver, British Columbia, CanadaThe classification of mild chronic obstructive pulmonary disease (COPD) requires a postbronchodilator forced expiratory volume in 1 s (FEV1) to forced vital capacity ratio <0.7 and an FEV1 ≥80% predicted. Given their relatively well-preserved spirometry, some have argued that respiratory symptoms in patients with mild COPD are unlikely to be related to pulmonary function abnormalities and that early detection of COPD is a ‘waste of resources’. Despite this viewpoint, there is emerging clinical and physiological evidence of peripheral airway dysfunction, diminished quality of life and reduced physical activity levels, and increased mortality, hospitalizations, dyspnea and exercise intolerance in patients with mild COPD compared with healthy controls. The purpose of the present focused review was to summarize recent research regarding the pathophysiology and treatment of mild COPD.http://dx.doi.org/10.1155/2014/580396
spellingShingle Jordan A Guenette
New Insights into the Pathophysiology of Mild Chronic Obstructive Pulmonary Disease
Canadian Respiratory Journal
title New Insights into the Pathophysiology of Mild Chronic Obstructive Pulmonary Disease
title_full New Insights into the Pathophysiology of Mild Chronic Obstructive Pulmonary Disease
title_fullStr New Insights into the Pathophysiology of Mild Chronic Obstructive Pulmonary Disease
title_full_unstemmed New Insights into the Pathophysiology of Mild Chronic Obstructive Pulmonary Disease
title_short New Insights into the Pathophysiology of Mild Chronic Obstructive Pulmonary Disease
title_sort new insights into the pathophysiology of mild chronic obstructive pulmonary disease
url http://dx.doi.org/10.1155/2014/580396
work_keys_str_mv AT jordanaguenette newinsightsintothepathophysiologyofmildchronicobstructivepulmonarydisease