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There is growing evidence that psychological stress is a trigger. It can modulate the immune system, causing an increased inflammatory response to allergens and pollutants. [23] Cold weather can make it harder for patients to breathe. [24] Whether high altitude helps or worsens asthma is debatable and may vary from person to person. [25]
But, no evidence or studies can be offered. In 2004, a multi-site study determined that persons with persistent asthma per the HEDIS definition at the time had more "asthma-related adverse events" if they were classified by HEDIS as having appropriate asthma therapy than if they did not have appropriate therapy. [23]
Asthma phenotyping and endotyping is a novel approach to asthma classification inspired by precision medicine.It seeks to separate the clinical presentations or clusters of signs and symptoms of asthma, known as asthma phenotypes, from their underlying etiologies or causes, known as asthma endotypes.
[9] [10] Symptoms include episodes of wheezing, coughing, chest tightness, and shortness of breath. [3] These may occur a few times a day or a few times per week. [4] Depending on the person, asthma symptoms may become worse at night or with exercise. [4] Asthma is thought to be caused by a combination of genetic and environmental factors. [3]
May also include herbal medications or nutritional supplements. May include data on dosage and compliance. past medical history (PMH) "none" Although remote childhood PMH is sometimes omitted, this information can sometimes be useful (for example, childhood asthma can be associated with adult atopic disorders.) past surgical history (PSH) "none"
The goal of asthmatic agents is to reduce asthma exacerbation frequencies and related hospital visits. Anti-asthmatic agents as rescue medications for acute asthma attacks include short-acting β 2-adrenergic receptor agonists (SABA), short-acting muscarinic antagonists (SAMA), systemic glucocorticoids, and magnesium sulfate.