Changes in residual volume during induced bronchoconstriction in healthy and asthmatic subjects

Am J Respir Crit Care Med. 1994 Aug;150(2):363-8. doi: 10.1164/ajrccm.150.2.8049816.

Abstract

The increase of residual volume (RV) was investigated during acute bronchoconstriction induced in healthy subjects by methacholine (MCh) (Group 1, n = 13) and in asthmatics by MCh (Group 2, n = 21), or housemite dust (Group 3, n = 11) during early and late airway responses (EAR and LAR), or a series of deep breaths (Group 4, n = 7). In all subjects the difference between residual volume after partial (RVp) and maximal maneuver (RV), expressed as a percentage of control FVC, increased during bronchoconstriction and was correlated with the percent increase of maximal to partial flow ratio at 50% of control FVC (M/P50) (r = 0.854, p < 0.0001). At comparable reduction of partial expiratory flow at 50% of control FVC (VP50), the decreases of FEV1 and FVC were less in healthy than asthmatic subjects, whereas the change of FEV1/FVC was similar in all groups, reflecting similar change in slope of flow-volume curves. The increase of RVp was similar in all groups (range: 15 to 19%), but the increase of RV was 6 +/- 1% (SEM) in healthy subjects and significantly greater (range: 11.1 to 13.3%) in all groups of asthmatics (p < 0.02, analysis of variance [ANOVA]). The effect of deep inhalation (DI) on the airway caliber as assessed by the increase of M/P50 was higher in normal subjects than in all groups of asthmatics (p < 0.0001). A negative correlation was found between the increases of RV and M/P50 in all groups (r = -0.358, p < 0.01), suggesting that healthy subjects had a limited increase of RV because of a marked bronchodilator effect of DI.(ABSTRACT TRUNCATED AT 250 WORDS)

MeSH terms

  • Adult
  • Allergens
  • Animals
  • Antigens, Dermatophagoides
  • Asthma / physiopathology*
  • Bronchial Provocation Tests
  • Bronchoconstriction / drug effects
  • Bronchoconstriction / physiology*
  • Female
  • Forced Expiratory Flow Rates
  • Forced Expiratory Volume
  • Glycoproteins
  • Humans
  • Male
  • Methacholine Chloride / pharmacology
  • Residual Volume / physiology*
  • Vital Capacity

Substances

  • Allergens
  • Antigens, Dermatophagoides
  • Glycoproteins
  • Methacholine Chloride