0
Clinical Investigations: DYSPNEA |

The Perception of Dyspnea in Patients With Mild Asthma*

Marc H. Lavietes, MD, FCCP; Jyoti Matta, MD; Lana A. Tiersky, MD; Benjamin H. Natelson, MD; Leonard Bielory, MD; Neil S. Cherniack, MD
Author and Funding Information

*From the UMD-New Jersey Medical School, Division of Pulmonary Medicine (Drs. Lavietes, Matta, and Cherniack), Newark, NJ; Asthma and Allergy Research Center (Dr. Bielory), UMD-New Jersey Medical School, Newark, NJ; Chronic Fatigue Syndrome Research Center (Dr. Natelson), Veterans Administration Medical Center, Newark, NJ; and School of Psychology (Dr. Tiersky), Fairleigh Dickinson University, Hackensack, NJ.

Correspondence to: Marc H. Lavietes, MD, FCCP, UMD-New Jersey Medical School, University Hospital, I-354, 100 Bergen St, Newark, NJ 07103-2406



Chest. 2001;120(2):409-415. doi:10.1378/chest.120.2.409
Text Size: A A A
Published online

Background: Airway function, as assessed by standard spirometry, and the intensity of dyspnea reported by asthmatic patients correlate poorly.

Objective: This study tests the following two hypotheses: (1) that measures of the tendency of a patient to somatize will reduce the variation in the report of dyspnea not explained by airway function; and (2) that plethysmography is a better tool with which to estimate the degree of dyspnea associated with asthma.

Design: A prospective laboratory study carried out over one study session.

Participants: Forty asthmatic subjects who had withheld bronchodilator (BD) therapy overnight.

Interventions: We performed spirometry, plethysmography, and an assessment of dyspnea (ie, modified Borg scale) on all subjects before and after they received BD therapy. Standard questionnaires pertaining to psychological state and trait were administered as well.

Results: The change in specific airway conductance with BD therapy correlated with a decline in the Borg score (r = 0.47; p = 0.007). By contrast, neither spirographic measures nor measures of static lung volumes correlated. Correlation with the Borg scale score was not improved by adding indexes of either somatization or psychological state or trait.

Conclusion: The relief of dyspnea reported by patients with mild asthma after BD therapy is related to dilatation of the central airways.

Figures in this Article

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543