Bronchoconstrictor effects of a deep inspiration in patients with asthma

Am Rev Respir Dis. 1975 Apr;111(4):433-9. doi: 10.1164/arrd.1975.111.4.433.

Abstract

A deep inspiration from functional residual capacity to total lung capacity, performed at a low flow rate by a group of 40 unselected adult patients with asthma, yielded an immediate and transient increase (71 per cent, P smaller than 0.001) in specific airway resistance. In 2 of the 40, deep inspiration provoked an attack of asthma. The effect of deep inspiration can be attributed to a vagal bronchoconstrictor reflex, because it was prevented or decreased in most of the cases by inhalation of an anticholinergic drug. Beta-adrenergic blockade by propranolol potentiated in a minority of subjects the bronchoconstrictor response to deep inspiration. Deep expiration also induced a bronchoconstrictor effect, which was weaker than that of deep inspiration. It follows that functional studies of asthmatics may be biased if the technique requires maximal respiratory maneuvers.

MeSH terms

  • Adolescent
  • Adult
  • Airway Resistance
  • Asthma / drug therapy
  • Asthma / physiopathology*
  • Bronchi / drug effects
  • Female
  • Functional Residual Capacity
  • Humans
  • Ipratropium / therapeutic use
  • Male
  • Middle Aged
  • Plethysmography, Whole Body
  • Propranolol / pharmacology
  • Residual Volume
  • Respiration*

Substances

  • Propranolol
  • Ipratropium