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2017, Number 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
Full text How to cite this article

Language: Spanish
References: 25
Page: 11-18
PDF size: 588.76 Kb.


Key words:

Bronchoconstriction, Exercise, Asthma, Beta 2 agonists, Corticosteroids.

ABSTRACT

Exercise-induced bronchoconstriction refers to the airway narrowing associated with physical activity. Common symptoms presented are coughing, wheezing, chest tightness and dyspnea. An initial spirometry should be performed to evaluate for underlying asthma. In a great num- ber of athletes results are normal. In this case, additional tests such as eucapnica voluntary hyperpnea test or laboratory or field-based exercise challenge should be performed. Short-acting beta 2 agonists are the first-line agents for pharmacologic treatment. Leukotriene receptor antagonists or inhaled corticosteroids with or without longacting beta 2 agonists may be used persistent cases.


REFERENCES

  1. Boulet L, O'Byrne P. Asthma and exercise-induced Bronchoconstriction in Athletes. N. Engl. J. Med. 2015; 372:641–648.

  2. Craig T, Dispenza M. Benefits of exercise in asthma. Ann Allergy Asthma Immunol. 2013; 110(3):133–140.

  3. Krafczyk M, Asplund C. Exercise-Induced Bronchoconstriction: Diagnosis and Management. Am Fam Physician. 2011. 84(4):427-434.

  4. Weiss P, Rundell KW. Imitators of exercise-induced bronchoconstriction. Allergy Asthma Clin Immunol. 2009; 5(1):7–15

  5. Kippelen P, Anderson S. Pathogenesis of exercise- induced bronchoconstriction. Immunol Allergy Clin North Am. 2013; 33: 299–312.

  6. Pongdee T, Li J. Exercise-induced bronchoconstriction. Ann Allergy Asthma Immunol. 2013; 110(5): 311-315

  7. 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.

  8. 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.

  9. Strauss RH, McFadden ER, Ingram RH, et al. Influence of heat and humidity on the airway

  10. Argyros GJ, Phillips YY, Rayburn DB, et al. Water loss without heat flux in exercise-induced bronchospasm. Am Rev Respir Dis. 1993;147:1419e1424.

  11. Park C, Stafford C, Lockette W. Exercise-induced asthma may be associated with diminished sweat secretion rates in humans. Chest 2008;134:552–8.

  12. Hallstrand TS, Moody MW, Wurfel MM, et al. Inflammatory basis of exercise induced bronchoconstriction. Am J Respir Crit Care Med 2005;172:679–86.

  13. Walsh P, Gleeson M, Shephard J, et al. Position statement. Part one. Immune function and exercise. Exercise Immunology Review. 2011;17:6– 63.

  14. 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.

  15. Parsons J. Exercise-induced Bronchoconstriction. Otolaryngol Clin N Am. 2014; 47:119–126.

  16. 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.

  17. 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.

  18. 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.

  19. Backer V, Sverrild A, Porsjberg C. Treatment of Exercise-Induced Bronchoconstriction. Immunol Allergy Clin North Am. 2013; 3: 347–362.

  20. 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.

  21. 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.

  22. 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.

  23. Peroni D, Pescollderungg L, Sandri M et al. Time-effect of montelukast on protection against exercise-induced bronchoconstriction. Respir Med. 2011; 105:1790-1797.

  24. Philip G, Pearlman D, Villarán C, et al. Singledose montelukast or salmeterol as protection against exercise-induced bronchoconstriction. Chest. 2007; 132(3):875-883.

  25. Caja Costarricense de Seguro Social. Gerencia Médica. Dirección de Farmacoepidemiología. Lista Oficial de Medicamentos. 2014.




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Rev Clin Esc Med. 2017;7