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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Queremos como resumen de lo expuesto&#44; dejar una serie de conclusiones&#58;<ul class="elsevierStyleList" id="lis0005"><li class="elsevierStyleListItem" id="lsti0005"><span class="elsevierStyleLabel">1&#46;</span><p id="par0010" class="elsevierStylePara elsevierViewall">Deber&#225;n inscribirse los volumenes en el eje &#40;X&#41; y los flujos en el eje &#40;Y&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0010"><span class="elsevierStyleLabel">2&#46;</span><p id="par0015" class="elsevierStylePara elsevierViewall">No se utilizar&#225; la constante de tiempo del sistema&#46;</p></li><li class="elsevierStyleListItem" id="lsti0015"><span class="elsevierStyleLabel">3&#46;</span><p id="par0020" class="elsevierStylePara elsevierViewall">Se evitar&#225;n amplificaciones m&#225;s all&#225; de la posici&#243;n 2&#44; as&#237; como errores en la medici&#243;n&#46;</p></li><li class="elsevierStyleListItem" id="lsti0020"><span class="elsevierStyleLabel">4&#46;</span><p id="par0025" class="elsevierStylePara elsevierViewall">Se practicar&#225; un m&#237;nimo de tres trazados similares&#44; de los que se tomar&#225;n los valores m&#225;ximos&#46;</p></li><li class="elsevierStyleListItem" id="lsti0025"><span class="elsevierStyleLabel">5&#46;</span><p id="par0030" class="elsevierStylePara elsevierViewall">El flujo&#44; es un buen par&#225;metro para ver la reversibilidad de la obstruci&#243;n bronquial&#46; Posee ventajas en algunos aspectos sobre el FEV<span class="elsevierStyleInf">1</span>&#44; FEV<span class="elsevierStyleInf">1</span>&#37; y Raw&#46;</p></li><li class="elsevierStyleListItem" id="lsti0035"><span class="elsevierStyleLabel">6&#46;</span><p id="par0040" class="elsevierStylePara elsevierViewall">Habida cuenta de la reproductibilidad en los flujos&#44; para dar una positividad del efecto broncodilatador&#44; exigiremos de un 25 a un 30&#37; o m&#225;s de mejor&#237;a&#46;</p></li><li class="elsevierStyleListItem" id="lsti0040"><span class="elsevierStyleLabel">7&#46;</span><p id="par0045" class="elsevierStylePara elsevierViewall">Entre los flujos instant&#225;neos de la curva MEFV&#44; nos parece oportuno utilizar como &#237;ndice de broncodilataci&#243;n el V50&#44; ya que los flujos a m&#225;s bajos vol&#250;menes pulmonares&#44; tienen mayores errores en cuanto a la medici&#243;n&#44; y mayor variabilidad en cuanto a la reproductibilidad&#46;</p></li><li class="elsevierStyleListItem" id="lsti0045"><span class="elsevierStyleLabel">8&#46;</span><p id="par0050" class="elsevierStylePara elsevierViewall">La morfolog&#237;a de la curva MEFV nos aportar&#225; alg&#250;n dato aclaratorio sobre la broncodilataci&#243;n producida&#46;</p></li><li class="elsevierStyleListItem" id="lsti0050"><span class="elsevierStyleLabel">9&#46;</span><p id="par0055" class="elsevierStylePara elsevierViewall">Es &#250;til asimismo la inscripci&#243;n de la curva MEFV a VT&#46;</p></li></ul></p></span>"
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      "en" => array:2 [
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        "resumen" => "<span id="abst0010" class="elsevierStyleSection elsevierViewall"><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">As a summary of their work&#44; the authors have written a series of conclusions&#58;<ul class="elsevierStyleList" id="lis0010"><li class="elsevierStyleListItem" id="lsti0055"><span class="elsevierStyleLabel">1&#46;</span><p id="par0060" class="elsevierStylePara elsevierViewall">The volumes should be inscribed in the axis &#40;X&#41; and the flows in the axis &#40;Y&#41;&#46;</p></li><li class="elsevierStyleListItem" id="lsti0060"><span class="elsevierStyleLabel">2&#46;</span><p id="par0065" class="elsevierStylePara elsevierViewall">The constant of time of the System will not be used&#46;</p></li><li class="elsevierStyleListItem" id="lsti0065"><span class="elsevierStyleLabel">3&#46;</span><p id="par0070" class="elsevierStylePara elsevierViewall">Amplifications beyond position 2 are to be avoided as well as errors in measurement&#46;</p></li><li class="elsevierStyleListItem" id="lsti0070"><span class="elsevierStyleLabel">4&#46;</span><p id="par0075" class="elsevierStylePara elsevierViewall">A m&#237;nimum of three similar tracings will be made&#44; from which the m&#225;ximum val&#250;es will be taken&#46;</p></li><li class="elsevierStyleListItem" id="lsti0075"><span class="elsevierStyleLabel">5&#46;</span><p id="par0080" class="elsevierStylePara elsevierViewall">The flow is a good parameter to see the reversibility of the bronchial obstruction&#46; It has advantages&#44; in some aspects&#44; over the FEV1&#44; FEV1&#37; and Raw&#46;</p></li><li class="elsevierStyleListItem" id="lsti0080"><span class="elsevierStyleLabel">6&#46;</span><p id="par0085" class="elsevierStylePara elsevierViewall">Taking into account the reproductibility of the flows&#44; to give a positive take of the bronchodilator effect&#44; a 25 to a 30&#37; or more improvement will be required&#46;</p></li><li class="elsevierStyleListItem" id="lsti0085"><span class="elsevierStyleLabel">7&#46;</span><p id="par0090" class="elsevierStylePara elsevierViewall">Among the instantaneous flows o&#237; the curve MEFV&#44; the authors feel it opportune to use V50 as &#205;ndex of bronchodilatation&#44; as the flows at lower pulmonary volumes have greater errors with respect to measurement&#44; and greater variability with resoect to reoroductibility&#46;</p></li><li class="elsevierStyleListItem" id="lsti0090"><span class="elsevierStyleLabel">8&#46;</span><p id="par0095" class="elsevierStylePara elsevierViewall">The morphology of the curve MEFV will give some explanatory data on the bronchodilatation produced&#46;</p></li><li class="elsevierStyleListItem" id="lsti0095"><span class="elsevierStyleLabel">9&#46;</span><p id="par0100" class="elsevierStylePara elsevierViewall">The inscription of the curve MEFV to VT is also useful&#46;</p></li></ul></p></span>"
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Vol. 13. Issue 1.
Pages 21-26 (January - March 1977)
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Vol. 13. Issue 1.
Pages 21-26 (January - March 1977)
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La curva flujo-volumen como test de broncodilatacion
Flow-volume curve as a test of bronchodilatation
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F. Montemayor Rubio, J. Castillo Gómez, M. Diaz Fernández, E. Rodríguez Becerra, P. Ramis Bisellach, J. López Mejías
Sección de Fisiopatología Respiratoria Departamento de Medicina Interna Seguridad Social Virgen del Rocío. Sevilla
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Resumen

Queremos como resumen de lo expuesto, dejar una serie de conclusiones:

  • 1.

    Deberán inscribirse los volumenes en el eje (X) y los flujos en el eje (Y).

  • 2.

    No se utilizará la constante de tiempo del sistema.

  • 3.

    Se evitarán amplificaciones más allá de la posición 2, así como errores en la medición.

  • 4.

    Se practicará un mínimo de tres trazados similares, de los que se tomarán los valores máximos.

  • 5.

    El flujo, es un buen parámetro para ver la reversibilidad de la obstrución bronquial. Posee ventajas en algunos aspectos sobre el FEV1, FEV1% y Raw.

  • 6.

    Habida cuenta de la reproductibilidad en los flujos, para dar una positividad del efecto broncodilatador, exigiremos de un 25 a un 30% o más de mejoría.

  • 7.

    Entre los flujos instantáneos de la curva MEFV, nos parece oportuno utilizar como índice de broncodilatación el V50, ya que los flujos a más bajos volúmenes pulmonares, tienen mayores errores en cuanto a la medición, y mayor variabilidad en cuanto a la reproductibilidad.

  • 8.

    La morfología de la curva MEFV nos aportará algún dato aclaratorio sobre la broncodilatación producida.

  • 9.

    Es útil asimismo la inscripción de la curva MEFV a VT.

Summary

As a summary of their work, the authors have written a series of conclusions:

  • 1.

    The volumes should be inscribed in the axis (X) and the flows in the axis (Y).

  • 2.

    The constant of time of the System will not be used.

  • 3.

    Amplifications beyond position 2 are to be avoided as well as errors in measurement.

  • 4.

    A mínimum of three similar tracings will be made, from which the máximum valúes will be taken.

  • 5.

    The flow is a good parameter to see the reversibility of the bronchial obstruction. It has advantages, in some aspects, over the FEV1, FEV1% and Raw.

  • 6.

    Taking into account the reproductibility of the flows, to give a positive take of the bronchodilator effect, a 25 to a 30% or more improvement will be required.

  • 7.

    Among the instantaneous flows oí the curve MEFV, the authors feel it opportune to use V50 as Índex of bronchodilatation, as the flows at lower pulmonary volumes have greater errors with respect to measurement, and greater variability with resoect to reoroductibility.

  • 8.

    The morphology of the curve MEFV will give some explanatory data on the bronchodilatation produced.

  • 9.

    The inscription of the curve MEFV to VT is also useful.

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Copyright © 1977. Sociedad Española de Neumología y Cirugía Torácica
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