TY - JOUR T1 - <em>From the authors:</em> JF - European Respiratory Journal JO - Eur Respir J SP - 934 LP - 934 DO - 10.1183/09031936.00181509 VL - 35 IS - 4 AU - F. Laghi AU - N. Adiguzel AU - M. J. Tobin Y1 - 2010/04/01 UR - http://erj.ersjournals.com/content/35/4/934.abstract N2 - S. Andreas asks two questions about dysfunction of the autonomic nervous system in chronic obstructive pulmonary disease (COPD). Does it occur? And if it does, why? To clarify our response, we add a third question: what are the clinical implications of autonomic dysfunction in COPD? Regarding the question whether autonomic dysfunction occurs in COPD, there is accumulating evidence for sympathetic activation and sympathovagal imbalance in COPD 1, 2. There is also growing support for the presence of sympathetic 3, 4 and parasympathetic neuropathy … ER -