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Órgano Oficial del Instituto de Ciencias de la Salud, Hospital Escuela y Facultad de Medicina-Xalapa

2004, Number 1

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Rev Med UV 2004; 4 (1)

Asma inducida por ejercicio

Landa OV

Language: Spanish
References: 39
Page: 17-25
PDF size: 434.31 Kb.


ABSTRACT

This article is a review of exercise-induced asthma and summarize the antecedents, the definition, the pathophysiology, clinical features, diagnosis, prevention, treatment and the relationship with exercise. The exercise-induced asthma occurs in 70 to 80% of individuals with asthma and in 10 to 15% of the population without asthma. It is characterized by a transient airways obstruction following 5 to 15 minutes of exercise. The typical presentation of a patient with exercise-induced asthma is coughing, wheezing, dyspnea, and/or chest tightness. Proposed mechanisms for bronchoconstriction include: mucosal drying and increased osmolarity stimulating mast cell degranulation; and rapid airway rewarming after exercise causing congestion, increased permeability and edema leading to obstruction. Pulmonary function tests are required for the diagnosis. The treatment is linked to preventing and/or modifying the severity and can be categorised into nonpharmacological modalities and pharmacological modalities including inhaled beta agonist and cromolyn as initial options. Education of patients, parents and athletic coaches on the nature of exercise-induced asthma can help individuals with asthma maintain a normal and active lifestyle and to reach their full physical potential.


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