2022
DOI: 10.1136/thoraxjnl-2021-217904
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BTS clinical statement for the assessment and management of respiratory problems in athletic individuals

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Cited by 5 publications
(6 citation statements)
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References 94 publications
(115 reference statements)
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“…Further investigations (e.g., bronchoprovocation testing and peak expiratory flow [PEF] monitoring) were performed if the baseline spirometry and reversibility results were not suggestive of airway obstruction, but the participant had a history of exercise-induced respiratory symptoms and was clinically well at the time. Based on thorough clinical history, clinical signs and symptoms, results of the investigations, and a robust evaluation of the likelihood of the diagnosis, the diagnosis of asthma/EIB was confirmed by a highly trained senior respiratory specialist with experience in sports medicine (5,14,18,19).…”
Section: Methodsmentioning
confidence: 99%
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“…Further investigations (e.g., bronchoprovocation testing and peak expiratory flow [PEF] monitoring) were performed if the baseline spirometry and reversibility results were not suggestive of airway obstruction, but the participant had a history of exercise-induced respiratory symptoms and was clinically well at the time. Based on thorough clinical history, clinical signs and symptoms, results of the investigations, and a robust evaluation of the likelihood of the diagnosis, the diagnosis of asthma/EIB was confirmed by a highly trained senior respiratory specialist with experience in sports medicine (5,14,18,19).…”
Section: Methodsmentioning
confidence: 99%
“…Pulmonary function variables were expressed as percentages of the predicted values using the Global Lung Function Initiative reference equations (28). In cases of suspected asthma, the following tests were performed according to the Global Initiative for Asthma document and international guidelines: reversibility testing after 400 μg of salbutamol inhalation (positive if FEV 1 increases >200 mL and >12% of the predicted value), indirect bronchial challenge test with hypertonic potassium chloride solution inhalation (positive if FEV 1 falls >15% of the predicted value), and/or daily and pre-and postexercise PEF measurements (positive if variability is >20% over a 2-wk period) (5,14,29).…”
Section: Methodsmentioning
confidence: 99%
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“…Key symptoms of EILO are inspiratory breathing problems during high-intensity exercise, often accompanied by coarse or high-pitched inspiratory breath sounds, feeling of tightness in the throat or neck area and sometimes stridor. 3 These symptoms are associated with a paradoxical obstruction of laryngeal structures that otherwise appear normal, most often predominantly involving the supraglottic folds, but often followed by adduction also of the vocal cords. Symptoms of EILO typically resolve within minutes after exercise has ended but may also be prolonged in some cases.…”
Section: Introductionmentioning
confidence: 99%