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Pulmonary and Critical Care Pearls |

Cardiovascular Collapse in a 77-Year-Old-Woman With an Asthma Exacerbation Following Bronchodilator Treatment*

Markus F. Meyer; William E. Hopkins; David A. Kaminsky
Author and Funding Information

*From the Department of Medicine (Dr. Meyer), and Divisions of Cardiology (Dr. Hopkins) and Pulmonary Disease and Critical Care Medicine (Dr. Kaminsky), Fletcher Allen Health Care, University of Vermont College of Medicine, Burlington, VT.

Correspondence to: David A. Kaminsky, MD, Associate Professor of Medicine, Pulmonary Disease and Critical Care Medicine, University of Vermont College of Medicine, Given C-317, Burlington, VT 05405; e-mail: dkaminsk@zoo.uvm.edu



Chest. 2003;124(3):1160-1163. doi:10.1378/chest.124.3.1160
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Extract

A 77-year-old woman presented to the walk-in clinic with a 1-week history of increasing dyspnea and wheezing. She had a history of frequent episodes of shortness of breath triggered by various irritants such as dust and fumes, and asthma was diagnosed 12 years earlier. Recent pulmonary function studies showed a reduced FEV1 and FVC but a preserved ratio. Lung volumes showed a normal total lung capacity but elevated residual volume/total lung capacity ratio consistent with airtrapping; specific airway conductance was normal and a methacholine challenge test had not been done.

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