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In obstructive lung disease, the FEV1 is reduced due to an obstruction of air escaping from the lungs. Thus, the FEV1/FVC ratio will be reduced. [4] More specifically, according to the National Institute for Clinical Excellence, the diagnosis of COPD is made when the FEV 1 /FVC ratio is less than 0.7 or [8] the FEV 1 is less than 75% of predicted; [9] however, other authoritative bodies have ...
Average values for forced vital capacity (FVC), forced expiratory volume in 1 second (FEV1) and forced expiratory flow 25–75% (FEF25–75%), according to a study in the United States 2007 of 3,600 subjects aged 4–80 years. [12] Y-axis is expressed in litres for FVC and FEV1, and in litres/second for FEF25–75%.
FVC: Forced vital capacity: the determination of the vital capacity from a maximally forced expiratory effort: FEV t: Forced expiratory volume (time): a generic term indicating the volume of air exhaled under forced conditions in the first t seconds: FEV 1: Volume that has been exhaled at the end of the first second of forced expiration: FEF x
In obstructive lung disease however, the FEV1/FVC is less than 0.7, indicating that FEV1 is significantly reduced when compared to the total expired volume. This indicates that the FVC is also reduced, but not by the same ratio as FEV1. [8] One definition requires a total lung capacity which is 80% or less of the expected value. [9]
An initial spirometry is performed to assess the patient's native respiratory status. The patient will be asked to take a deep breath and then blow into the mouthpiece of the spirometer as hard as you can.
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Output of a spirometer. Vital capacity (VC) is the maximum amount of air a person can expel from the lungs after a maximum inhalation.It is equal to the sum of inspiratory reserve volume, tidal volume, and expiratory reserve volume.