2017, Número 2
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Rev Clin Esc Med 2017; 7 (2)
Broncoconstricción inducida por ejercicio y asma desencadenada por ejercicio
Sedó MG, Hernández RG, Montero SG, Vega CJC
Idioma: Español
Referencias bibliográficas: 25
Paginas: 11-18
Archivo PDF: 588.76 Kb.
RESUMEN
La broncoconstricción inducida por el ejercicio se refiere al estrechamiento transitorio de esta
asociado al ejercicio. Se presenta con síntomas
comunes como tos, sibilancias, opresión torácica
y disnea. Una espirometría inicial debería realizarse
para evaluar si existe asma subyacente. En
un gran número de atletas se obtienen resultados
normales. En este caso, se deberían realizar pruebas
adicionales como la prueba de hiperpnea eucapnica
voluntaria (HEV) o la prueba de ejercicio
en campo deportivo o laboratorio. Los beta 2
agonistas de acción corta son los agentes de primera
línea para tratamiento farmacológico. Los
antagonistas de receptores de leucotrienos o los
corticoesteroides inhalados con o sin beta 2 agonistas
de acción larga pueden ser usados en casos
persistentes.
REFERENCIAS (EN ESTE ARTÍCULO)
Boulet L, O'Byrne P. Asthma and exercise-induced Bronchoconstriction in Athletes. N. Engl. J. Med. 2015; 372:641–648.
Craig T, Dispenza M. Benefits of exercise in asthma. Ann Allergy Asthma Immunol. 2013; 110(3):133–140.
Krafczyk M, Asplund C. Exercise-Induced Bronchoconstriction: Diagnosis and Management. Am Fam Physician. 2011. 84(4):427-434.
Weiss P, Rundell KW. Imitators of exercise-induced bronchoconstriction. Allergy Asthma Clin Immunol. 2009; 5(1):7–15
Kippelen P, Anderson S. Pathogenesis of exercise- induced bronchoconstriction. Immunol Allergy Clin North Am. 2013; 33: 299–312.
Pongdee T, Li J. Exercise-induced bronchoconstriction. Ann Allergy Asthma Immunol. 2013; 110(5): 311-315
McFadden ER, Lenner KA, Strohl KP. Postexertional airway rewarming and thermally induced asthma. New insights into pathophysiology and possible pathogenesis.J Clin Invest 1986; 78:18– 25.
Aitken ML, Marini JJ. Effect of heat delivery and extraction on airway conductance in normal and in asthmatic subjects. Am Rev Respir Dis. 1985; 131:357e361.
Strauss RH, McFadden ER, Ingram RH, et al. Influence of heat and humidity on the airway
Argyros GJ, Phillips YY, Rayburn DB, et al. Water loss without heat flux in exercise-induced bronchospasm. Am Rev Respir Dis. 1993;147:1419e1424.
Park C, Stafford C, Lockette W. Exercise-induced asthma may be associated with diminished sweat secretion rates in humans. Chest 2008;134:552–8.
Hallstrand TS, Moody MW, Wurfel MM, et al. Inflammatory basis of exercise induced bronchoconstriction. Am J Respir Crit Care Med 2005;172:679–86.
Walsh P, Gleeson M, Shephard J, et al. Position statement. Part one. Immune function and exercise. Exercise Immunology Review. 2011;17:6– 63.
Mayers L, Rundell K, Im J et al. Self-reported symptoms and exercise-induced asthma in the elite athlete. Med Sci Sports Exerc. 2001;33(2):208-213.
Parsons J. Exercise-induced Bronchoconstriction. Otolaryngol Clin N Am. 2014; 47:119–126.
De Baets F, Bodart E, Dramaix-Wilmet M et al. Exercise-induced respiratory symptoms are poor predictors of bronchoconstriction. Pediatr. Pulmonol. 2005; 39: 301-305.
Parsons J, Hallstrand S, Mastronarde J et al. An official American Thoracic Society clinical practice guideline: exercise-induced bronchoconstriction. Am J Respir Crit Care Med. 2013; 187(9):1016-1027.
Weiler J, Hallstrand T, Parsons J et al. Improving screening and diagnosis of exercise-induced bronchoconstriction: a call to action. J Allergy Clin Immunol Pract. 2014; 2(3):275-280.
Backer V, Sverrild A, Porsjberg C. Treatment of Exercise-Induced Bronchoconstriction. Immunol Allergy Clin North Am. 2013; 3: 347–362.
Mickleborough T, Lindley M, Ionescu A, Fly A. Protective effect of fish oil supplementation on exercise-induced bronchoconstriction in asthma. Chest. 2006; 129(1):39-49.
Hancox R, Subbarao P, Kamada D, Watson R, Hargreave F, Inman M. Beta2-agonist tolerance and exercise-induced bronchospasm. Am J Respir Crit Care Med. 2002; 165:1068–1070.
Koh MS, Tee A, Lasserson TJ, Irving LB. Inhaled corticosteroids compared to placebo for prevention of exercise induced bronchoconstriction. Cochrane Database Syst Rev. 2007; (3):CD002739.
Peroni D, Pescollderungg L, Sandri M et al. Time-effect of montelukast on protection against exercise-induced bronchoconstriction. Respir Med. 2011; 105:1790-1797.
Philip G, Pearlman D, Villarán C, et al. Singledose montelukast or salmeterol as protection against exercise-induced bronchoconstriction. Chest. 2007; 132(3):875-883.
Caja Costarricense de Seguro Social. Gerencia Médica. Dirección de Farmacoepidemiología. Lista Oficial de Medicamentos. 2014.