Vocal cord dysfunction

Place, Rick; Morrison, Alan L.; Arce, Elda

doi:10.1016/s1054-139x(99)00088-9

Cited by 12 publications

(12 citation statements)

References 17 publications

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“…Categories of alternative diagnoses to be considered in older children and adults include: hyperventilation syndrome and panic attacks; upper airway obstruction and inhaled foreign bodies [34]; vocal cord dysfunction [35]; other forms of obstructive lung disease, particularly chronic obstructive pulmonary disease (COPD); nonobstructive forms of lung disease (e.g. diffuse parenchymal lung disease); and nonrespiratory causes of symptoms (e.g.…”

Section: Diagnostic Challenges and Differential Diagnosismentioning

confidence: 99%

Global strategy for asthma management and prevention: GINA executive summary

Bateman

Ss²,

Barnes³

et al. 2007

Eur Respir J

2,666

2,301

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Asthma is a serious health problem throughout the world. During the past two decades, many scientific advances have improved our understanding of asthma and ability to manage and control it effectively. However, recommendations for asthma care need to be adapted to local conditions, resources and services. Since it was formed in 1993, the Global Initiative for Asthma, a network of individuals, organisations and public health officials, has played a leading role in disseminating information about the care of patients with asthma based on a process of continuous review of published scientific investigations. A comprehensive workshop report entitled ''A Global Strategy for Asthma Management and Prevention'', first published in 1995, has been widely adopted, translated and reproduced, and forms the basis for many national guidelines. The 2006 report contains important new themes. First, it asserts that ''it is reasonable to expect that in most patients with asthma, control of the disease can and should be achieved and maintained,'' and recommends a change in approach to asthma management, with asthma control, rather than asthma severity, being the focus of treatment decisions. The importance of the patient-care giver partnership and guided self-management, along with setting goals for treatment, are also emphasised.

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Section: Diagnostic Challenges and Differential Diagnosismentioning

confidence: 99%

Global strategy for asthma management and prevention: GINA executive summary

Bateman

Ss²,

Barnes³

et al. 2007

Eur Respir J

2,666

2,301

View full text Add to dashboard Cite

show abstract

“…In normal movement of the vocal cords, there is inspiratory abduction (opening) followed by a brief expiratory phase adduction (closing) of 2 mm from the fully abducted position to generate physiological autoPEEP 6,9. This is the positive end expiratory pressure generated in part by the vocal cords to prevent early airway closure.…”

Section: Introductionmentioning

confidence: 99%

“…In non-organic VCD, inspiratory adduction of the anterior two-thirds of the cords can produce a diamond-shaped opening in the posterior segment 9. This can generate the pitch of wheeze similar to asthma, but the wheeze is loudest over the larynx and is usually audible 8.…”

Section: Introductionmentioning

confidence: 99%

“…Treatment to relieve symptoms is recommended before attempting to deal with the psychological stress 8,9. Without this symptom relief, addressing psychological conditions can aggravate vocal cord dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…Without this symptom relief, addressing psychological conditions can aggravate vocal cord dysfunction. Treatments to date include:4 “panting” and other behavioral techniques to encourage abduction of the vocal cords,2,9 with such patient education performed by a speech and language therapist 7. Tranquillizers are also recommended 3.…”

Section: Introductionmentioning

confidence: 99%

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The successful treatment of vocal cord dysfunction with low-dose amitriptyline – including literature review

Varney¹

2009

JAA

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Vocal cord dysfunction is an asthma mimic. Diagnosis of this condition requires a high index of suspicion if unnecessary treatments are to be avoided. We describe the findings from our case series of 62 patients (age range 18 to 90 years) in whom the diagnosis was confirmed. Our findings show low-dose amitriptyline to be very effective in 90% of cases, with rapid benefit for those patients whose symptoms had been present for less than 12 months. This treatment, in conjunction with psycho-therapeutic and behavioral therapies may reduce unnecessary hospital admissions. Future studies may show whether this treatment regimen may reduce demands on the speech and language therapists.

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