Unresolved issues of diagnosis of restrictive ventilation disorders
https://doi.org/10.18093/0869-0189-2015-25-3-363-367
Abstract
The aim of this study was to determine diagnostic value of an algorithm for restrictive ventilation disorders recommended by the American Thoracic and European Respiratory Society. Methods. We analyzed pulmonary function tests of 148 patients with interstitial lung disease with increased lung elasticity and without airways obstruction. A specific type of restrictive disorders referred to as «non-classic», because it does not match existing diagnostic criteria, was observed in most patients (n = 86). The recommended diagnostic algorithm had low sensitivity (0.42) mainly due to a low informative value of spirometry (VC was within a normal range in 80% of patients with non-classic restrictive pattern).
About the Authors
M. Yu. Kameneva
State Institution «Academician I.P.Pavlov First Saint-Petersburg State Medical University», Healthcare Ministry of Russia: 6 / 8, L'va Tolstogo str., Saint-Petersburg, 197089, Russia
Russian Federation
Russian Federation
PhD, Chief Scientist at the Scientific Center of State Institution “Academician I.P.Pavlov First Saint-Petersburg State Medical University”, Healthcare Ministry of Russia; tel.: 8-921-753-66-31;
A. V. Tishkov
State Institution «Academician I.P.Pavlov First Saint-Petersburg State Medical University», Healthcare Ministry of Russia: 6 / 8, L'va Tolstogo str., Saint-Petersburg, 197089, Russia
Russian Federation
Russian Federation
PhD in Physics and Mathematics, Head of Department of Physics, Mathematics and Informatics, State Institution “Academician I.P.Pavlov First Saint-Petersburg State Medical University”, Healthcare Ministry of Russia; tel.: 8-921-952-91-85;
V. I. Trofimov
State Institution «Academician I.P.Pavlov First Saint-Petersburg State Medical University», Healthcare Ministry of Russia: 6 / 8, L'va Tolstogo str., Saint-Petersburg, 197089, Russia
Russian Federation
Russian Federation
MD, Professor, Head of Department of Hospital Internal Medicine, State Institution “Academician I.P.Pavlov First Saint-Petersburg State Medical University”, Healthcare Ministry of Russia; tel.: (812) 234-54-51;
References
1. Pellegrino R., Viegi G., Brusasco V. et al. Interpretative strategies for lung function tests. Eur. Respir. J. 2005; 25: 948–968.
2. Doherty M.J., Pearson M.G., O'Grady E.A. et al. Cryptogenic fibrosing alveolitis with preserved lung volumes. Thorax. 1997; 52: 998–1002.
3. Aaron S.D., Dales R.E., Cardinal P. How accurate is spirometry at predicting restrictive pulmonary impairment? Chest. 1999; 115 (3): 869–873.
4. Wesotowski S., Boros P. Restrictive pattern in spirometry. Does FEV1 / FVC need to be increased? Pneumonol. Alergol. Pol. 2011; 79 (6): 382–387.
5. Каменева М.Ю. Стратегия применения легочных функциональных тестов в работе врача общей практики. Российский семейный врач. 2012; 16 (2): 4–8.
6. Свидетельство № 2014620056 РФ. База данных интерстициальных заболеваний легких / Каменева М.Ю., Трофимов В.И., Тишков А.В. Программы для ЭВМ. Базы данных. Топологии интегральных микросхем. 2014; 2.
7. Report working party Standardization of lung function tests, European Community for Steel and Coal. Official statement of European Respiratory Society. Eur. Respir. J. 1993; 6 (Suppl. 16): 5–40.
8. Клемент Р.Ф., Зильбер Н.А. Диагностика нарушений функции внешнего дыхания. В кн.: Путов Н.В., ред. Диссеминированные процессы в легких. М.: Медицина; 1984: 53–66.
Review
For citations:
Kameneva M.Yu., Tishkov A.V., Trofimov V.I. Unresolved issues of diagnosis of restrictive ventilation disorders. PULMONOLOGIYA. 2015;25(3):363-367. (In Russ.) https://doi.org/10.18093/0869-0189-2015-25-3-363-367
Views:
1704
Email this article 