Sibilancias y obstrucción de vías aéreas

Hernández Flix, S.; Casan, P.; Sanchis, J.

doi:10.1016/S0300-2896(15)31659-8

Archivos de Bronconeumología

ISSN: 0300-2896

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Vol. 26. Issue 1.

Pages 3-7 (January - February 1990)

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Pages 3-7 (January - February 1990)

DOI: 10.1016/S0300-2896(15)31659-8

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Sibilancias y obstrucción de vías aéreas

Wheezing and airway obstruction

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S. Hernández Flix, P. Casan, J. Sanchis

Unitat de Funció Pulmonar. Hospital de la Santa Creu i de Sant Pau. Barcelona

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Se estudiaron 40 pacientes sometidos a evaluación funcional de rutina por asma o LCFA; se les asignó una puntuación según las sibilancias que presentaran antes y después de la administración de un broncodilatador y esta puntuación se correlacionó con el resultado de la espirometría y test broncodilatador.

Se obtuvo para la auscultación de sibilancias una sensibilidad del 75% y una especificidad del 81% en relación a la LCFA (considerada como FEV1/FVC ≤ 65%), y una sensibilidad del 75% y especificidad del 70% en relación a la prueba broncodilatadora, considerada como incremento de FEV1 > 11%. La correlación entre la puntuación de sibilancias y los valores de la espirometría se situó en general entre 0,40 y 0,50. Se observó el valor más alto (r = 0,523) entre las sibilancias y el incremento en el VEMS con el broncodilatador. La correlación más baja de las obtenidas, y única sin significación estadística, fue entre las sibilancias y el ápice de flujo. Si bien hay una relación significativa entre las sibilancias y la limitación al flujo aéreo y su reversibilidad, la espirometría sigue siendo indispensable para la valoración clínica de estos pacientes.

Forty-five patients undergoing routine functional study for asthma or LCFA were evaluated. They were assigned a score based on the degree of wheezing they had before and after the administration of a bronchodilator. This score was then correlated with the results of the spirometric study and the bronchodilator test.

Wheezing had a sensitivity of 75% and a specificity of 81% regarding LCFA (considered as FEV1/FVC ≤ 65%), and a sensitivity of 75% with a 70% specificity regarding the bronchodilator test, considered as an increase > 11% in FEV1. The correlation between the auscultation of wheezing and the spirometric values was generally between 0,40 and 0,50. The highest value (r = 0,523) was found between wheezing and the increase of FEV1 after the bronchodilator. The lowest correlation (the only nonsignificant one) was found between wheezing and peak flow. Although there is a signficant correlation between wheezing and the limitation to air flow and its reversibility, spirometry is still essential for the clinical evaluation of these patients.

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Bibliografía

[1.]

E. Craige.

Should auscultation be rehabilitated?.

N Engl J Med, 318 (1988), pp. 1.611-1.613

http://dx.doi.org/10.1056/NEJM198806303182602 | Medline

[2.]

N.J. Lembo, L.J. Dell’Italia, M.H. Crawford, R.A. O’Rourke.

Bed-side diagnosis of systolic murmurs.

N Engl J Med, 318 (1988), pp. 1.572-1.578

http://dx.doi.org/10.1056/NEJM198806303182602 | Medline

[3.]

R.R. Dodge, B. Burrows.

The prevalence and incidence of asthma and asthma-like symptoms in a general population sample.

Am Rev Respir Dis, 122 (1980), pp. 567-575

http://dx.doi.org/10.1164/arrd.1980.122.4.567 | Medline

[4.]

P. Forgacs.

The functional basis of pulmonary sounds.

Chest, 73 (1978), pp. 399-405

Medline

[5.]

N.E. Pardee, C.J. Martin, E.H. Morgan.

A test of the practical value of estimating breath sound intensity Breath sounds related to measured ventilatory function.

Chest, 70 (1976), pp. 341-344

Medline

[6.]

A.B. Bohadana, R. Peslin, H. Uffholtz.

Breath sounds in the clinical assessment of airflow obstruction.

Thorax, 33 (1978), pp. 345-351

Medline

[7.]

J. Giner, P. Casán, R. Miralda, E. Codina, J. Canet, J. Sanchis.

Síntomas respiratorios crónicos y test broncodilatador.

Arch Bron-coneumol, 22 (1986), pp. 5-6

[8.]

R.P. Baughman, R.G. Loudon.

Quantitation of wheezing in acute asthma.

Chest, 86 (1984), pp. 718-722

Medline

[9.]

C.S. Shim, M.H. Williams.

Relationship of wheezing to the severity of obstruction in asthma.

Arch Intern Med, 143 (1983), pp. 890-892

Medline

[10.]

J.J. Marini, D.J. Pierson, L.D. Hudson, S. Lakshminarayan.

The significance of wheezing in chronic airflow obstruction.

Am Rev Respir Dis, 120 (1979), pp. 1.069-1.072

http://dx.doi.org/10.1164/arrd.1979.120.6.1379 | Medline

[11.]

E.R. McFadden, R. Kiser, W.J. deGroot.

Acute bronchial asthma Relations between clinical and physiologic manifestations.

N Engl J Med, 288 (1973), pp. 221-225

http://dx.doi.org/10.1056/NEJM197302012880501 | Medline

[12.]

M.R. Pratter, D.M. Hingston, R.S. Irwin.

Diagnosis of bronchial asthma by clinical evaluation An unreliable method.

Chest, 84 (1983), pp. 42-47

Medline

[13.]

H.C. Smyllie, L.M. Blendis, P. Armitage.

Observed disagreement in physical signs of the respiratory System.

Lancet, 2 (1965), pp. 412-413

Medline

[14.]

H. Pasterkamp, W. Wiebicke, R. Fenton.

Subjective assessment vs Computer analysis of wheezing in asthma.

Chest, 91 (1987), pp. 376-381

Medline

[15.]

A.R. Rubinfeld, M.C.F. Pain.

Perception of asthma.

Lancet, 1 (1976), pp. 882-884

Medline

[16.]

C.S. Shim, M.H. Williams.

Evaluation of the severity of asthma: Patients versus physicians.

Am J Med, 68 (1980), pp. 11-13

Medline

[17.]

American Thoracic Society.

Standards for the diagnosis and care of patients with chronic obstructive pulmonary disease (COPD) and asthma.

Am Rev Respir Dis, 136 (1987), pp. 225-243

http://dx.doi.org/10.1164/ajrccm/136.1.225 | Medline

[18.]

J. Sanchis, P. Casan, J. Castillo, N. González, L. Palenciano, J. Roca.

Normativa para la espirometría forzada. Recomendaciones SEPAR n. ° 1.

Ed. Doyma, S.A, (1985),

[19.]

J. Roca, J. Sanchis, A. Agustí-Vidal, et al.

Spirometric reference values from a mediterranean population.

Bull Eur Physiopathol Respir, 22 (1986), pp. 217-224

Medline

[20.]

Casan Ciará P. Valores espirométricos de referencia para niños y adolescentes sanos. Tesis doctoral. Universidad Autónoma de Barcelona, 1985.

[21.]

K.P. Poirier.

A quantitative defmition of obstructive lung disease.

Am J Med, 45 (1968), pp. 329-335

Medline

[22.]

A. Wilson.

Pulmonary function testing.

Indications and inter-pretation. Orlando, Grune Stratton, (1985), pp. 24-25

[23.]

P.F. Griner, R.J. Mayewsky, A.I. Mushlin, P. Greenland.

Selection and interpretation of diagnostic tests and procedures.

Ann Intern Med, 94 (1981), pp. 553-600

[24.]

D.G. Altman, S.M. Gore, M.J. Gardner, S.J. Pocock.

Statistical guidelines for contributors to medical journals.

Br Med J, 286 (1983), pp. 1.489-1.493

[25.]

P. Gayrard, J. Orehek, C.H. Grimaud, J. Charpin.

Mechanisms of the bronchoconstrictor effects of deep inspiration in asthmatic patients.

Thorax, 34 (1979), pp. 234-240

Medline

[26.]

N. Gavriely, K.B. Kelly, J.B. Grotberg, S.H. Loring.

Forced expiratory wheezes are a manifestation of airway flow limitation.

J Appl Physiol, 62 (1987), pp. 2.398-2.403

Medline

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