TABLE 1

Contraindications for bronchial challenge testing

Airflow limitation
 FEV1 <60% predicted (adults or children) or 1.5 L (adults)
 FEV1 <75% predicted (adults or children) for exercise or eucapnic voluntary hyperpnoea challenge
Spirometry quality
 Inability to perform acceptable and repeatable spirometry manoeuvres throughout the test procedure
Cardiovascular problems
 Myocardial infarction or stroke in last 3 months
 Uncontrolled hypertension
 Known aortic aneurysm
 Recent eye surgery or intracranial pressure elevation risk
General
 Inability to perform any of the testing manoeuvres, such as inhaling the challenge agent consistently  or difficulty with exercise on treadmill or bike; most commonly in young children or elderly patients

FEV1: forced expiratory volume in 1 s.