M. Fujimura et al., CORRELATION OF NONSPECIFIC BRONCHIAL RESPONSIVENESS TO BASE-LINE PULMONARY-FUNCTION IN PATIENTS WITH ASTHMA AND SINOBRONCHIAL SYNDROME, Japanese journal of medicine, 32(1), 1993, pp. 1-5
To examine the relationship of nonspecific bronchial responsiveness to
baseline pulmonary function, and to compare the reactivity in asthma
and sinobronchitis, we measured the provocative concentration of metha
choline, causing a 20% fall in forced expiratory volume in one second
(PC20-FEV1) in 82 asthmatic patients, 54 patients with sinobronchial s
yndrome and 57 normal subjects. Log PC20-FEV1 was directly correlated
to baseline pulmonary function. The strongest correlation was seen bet
ween log PC20-FEV1 and baseline FEV1 as a % of the predicted FEV1 (%FE
V1), both in asthma (log PC20-FEV1 = 0.020 X %FEV1 -1.988, r = 0.54, p
< 0.01) and in sinobronchial syndrome (log PC20-FEV1 = 0.025 x %FEV1
-1.233, r - 0.64, p < 0.01). From the regression equations, the mean v
alue Of PC20-FEV1 at 100% FEV1 was calculated as 1.02 and 18.5 mg/ml i
n asthmatic and sinobronchitic patients, respectively, and the value w
as 35.5 mg/ml in normal subjects. The PC20-FEV1 to %FEV1 relationship
may be helpful to assess individually measured PC20-FEV1 values in pat
ients with airway obstruction.