El flujo maximo espiratorio medio (MMEF) en los asmaticos
Maximum average expiratory flow in asthmatic patients
J. López Mejías, P. Ramis Bisellach, Andrea Kern, López Mejías
Ciudad Sanitaria Virgen del Rocío. Departamento de Medicina Interna. Servicio de Aparato Respiratorio
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Ramis Bisellach, Andrea Kern" "autores" => array:4 [ 0 => array:2 [ "nombre" => "J." "apellidos" => "López Mejías" ] 1 => array:2 [ "nombre" => "P." "apellidos" => "Ramis Bisellach" ] 2 => array:2 [ "nombre" => "Andrea" "apellidos" => "Kern" ] 3 => array:2 [ "nombre" => "López" "apellidos" => "Mejías" ] ] "afiliaciones" => array:1 [ 0 => array:2 [ "entidad" => "Ciudad Sanitaria Virgen del Rocío. Departamento de Medicina Interna. Servicio de Aparato Respiratorio" "identificador" => "aff0005" ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Maximum average expiratory flow in asthmatic patients" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "tieneResumen" => true "resumen" => array:2 [ "es" => array:2 [ "titulo" => "Resumen" "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">El estudio del flujo máximo mesoespiratorio (MMEF) en una serie de asmáticos muestra que el MMEF es un parámetro más sensible que el VEMS en la prueba broncodilatadora Por otra parte encontramos que en los últimos intervalos asintomáticos es muy frecuente la persistencia de un descenso patológico del MMEF aun cuando el índice de Tiffenneau esté dentro de límites normales. Los autores piensan que esto puede indicar la persistencia de una obstrucción de las vías aéreas de pequeño calibre.</p></span>" ] "en" => array:2 [ "titulo" => "Summary" "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">The study of máximum average expiratory flow (MAEF) in a series of asthmatic patients shows that MAEF is a more sensitive parameter thanVEMS in the bronchodilatory test. The authors also foun that in asymptomatic interval the persistence of a pathological decrease of the MAEF, even when Tiffenneau's Índex is within normal limits, is very frequent.The authors feel that this can indicate the persistence of an obstruction of the airways of small calliber.</p></span>" ] ] "bibliografia" => array:2 [ "titulo" => "Bibliografia" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0005" "bibliografiaReferencia" => array:10 [ 0 => array:3 [ "identificador" => "bib0005" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Maximal MidexpiratoryFlow" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "E.C. Leuallen" 1 => "W.S. Fowler" ] ] ] ] ] "host" => array:1 [ 0 => array:1 [ "Revista" => array:4 [ "tituloSerie" => "Am Rev Tub." 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