School of Clinical Medicine, University of Cambridge, Cambridge, UK
School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Eur Respir Rev. 2021 Apr 13;30(160). doi: 10.1183/16000617.0182-2020. Print 2021 Jun 30.
Dysfunctional breathing refers to a multi-dimensional condition that is characterised by pathological changes in an individual's breathing. These changes lead to a feeling of breathlessness and include alterations in the biomechanical, psychological and physiological aspects of breathing. This makes dysfunctional breathing a hard condition to diagnose, given the diversity of aspects that contribute to the feeling of breathlessness. The disorder can debilitate individuals without any health problems, but may also be present in those with underlying cardiopulmonary co-morbidities. The ventilatory equivalent for CO ( ) is a physiological parameter that can be measured using cardiopulmonary exercise testing. This review will explore how this single measurement can be used to aid the diagnosis of dysfunctional breathing. A background discussion about dysfunctional breathing will allow readers to comprehend its multidimensional aspects. This will then allow readers to understand how can be used in the wider diagnosis of dysfunctional breathing. Whilst cannot be used as a singular parameter in the diagnosis of dysfunctional breathing, this review supports its use within a broader algorithm to detect physiological abnormalities in patients with dysfunctional breathing. This will allow for more individuals to be accurately diagnosed and appropriately managed.
功能障碍性呼吸是一种多维的病症,其特征是个体的呼吸出现病理性变化。这些变化会导致呼吸困难的感觉,并包括呼吸的生物力学、心理和生理方面的改变。由于导致呼吸困难的因素多种多样,因此功能障碍性呼吸是一种难以诊断的病症。这种疾病可能会使没有任何健康问题的个体感到虚弱,但也可能存在于有潜在心肺合并症的个体中。二氧化碳通气当量( )是一种可以使用心肺运动测试测量的生理参数。本综述将探讨如何使用这一单一测量来辅助功能障碍性呼吸的诊断。对功能障碍性呼吸的背景讨论将使读者能够理解其多维方面。这将使读者能够了解 如何在功能障碍性呼吸的更广泛诊断中使用。虽然 不能作为功能障碍性呼吸诊断的单一参数,但本综述支持在更广泛的算法中使用它来检测功能障碍性呼吸患者的生理异常。这将使更多的人能够得到准确的诊断和适当的治疗。