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Smoking (long-term exposure to chemical irritants) can cause COPD, increasing the risk of lung cancer and heart disease. [14] Asthma is a common inflammatory disease causing the airway to swell and disturb breathing and ventilation(low V/A ratio). The cause is unrevealed, but allergens such as pollen, mold, respiratory infections, and air ...
Symptoms of cardiac asthma are related to the heart's inability to effectively and efficiently pump blood in a CHF patient. [2] This can lead to accumulation of fluid in and around the lungs (pulmonary congestion), disrupting the lung's ability to oxygenate blood.
The most common cause of emphysema is smoking and smoking cessation is mandatory if this incurable disease is to be treated. Prevention of bronchoconstriction by this pathway is vital for people with emphysema and there are several anticholinergic medications that in combination with mucous thinning agents such as Guaifenesin cause significant ...
GERD may be common in difficult-to-control asthma, but according to one study, treating it does not seem to affect the asthma. [33] When there is a clinical suspicion for GERD as the cause of the asthma, an Esophageal pH Monitoring is required to confirm the diagnosis and establish the relationship between GERD and asthma.
However, while attenuating chronic airway inflammation using inhaled corticosteroids is effective at preventing asthma exacerbations, it does not seem to impact the progression of airway remodelling. [ 1 ] [ 2 ] Also, as mentioned, airway remodelling may be seen as soon as at 2 years of age, before any airway inflammation is detectable. [ 1 ]
Airway muscular vasculature controls the flow of nutrients to the airways, the temperature of the airways, as well as the clearance of insoluble particles in the airways, which may play an important role in the activity of inhaled bronchodilators, thus affecting airway reactivity and airway tone changes in obstructive lung diseases. [9]
Measurement of PEFR requires training to correctly use a meter and the normal expected value depends on the patient's sex, age, and height. It is classically reduced in obstructive lung disorders such as asthma. Due to the wide range of 'normal' values and the high degree of variability, peak flow is not the recommended test to identify asthma.
Drugs can greatly influence the rate of respiration. Opioids and anesthetics tend to depress ventilation, by decreasing the normal response to raised carbon dioxide levels in the arterial blood. Stimulants such as amphetamines can cause hyperventilation. Pregnancy tends to increase ventilation (lowering plasma carbon dioxide tension below ...
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