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Shortness of Breath

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Abstract

Exercise is rarely limited by pulmonary causes in healthy individuals. During exercise, large, steep rises in ventilatory demands are met efficiently by the respiratory system while maintaining a substantial breathing reserve. The respiratory system including the lungs and chest wall are often considered “overbuilt” in meeting the demands of exercise.

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References

  1. Rundell KW, Jenkinson DM. Exercise-induced bronchospasm in the elite athlete. Sports Med 2002; 32:583–600

    Article  PubMed  Google Scholar 

  2. Gotshall RW. Exercise-induced bronchoconstriction. Drugs 2002; 62:1725–1739

    Article  PubMed  Google Scholar 

  3. Parsons JP, Kaeding C, Phillips G, et al. Prevalence of exercise-induced bronchospasm in a cohort of varsity college athletes. Med Sci Sports Exerc 2007; 39:1487–1492

    Article  PubMed  Google Scholar 

  4. Parsons JP, Mastronarde JG. Exercise-induced bronchoconstriction in athletes. Chest 2005; 128:3966–3974

    Article  PubMed  Google Scholar 

  5. McFadden ER, Jr., 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

    Article  PubMed  Google Scholar 

  6. Anderson SD, Daviskas E. The mechanism of exercise-induced asthma is. J Allergy Clin Immunol 2000; 106:453–459

    Article  PubMed  CAS  Google Scholar 

  7. Finnerty JP, Holgate ST. Evidence for the roles of histamine and prostaglandins as mediators in exercise-induced asthma: the inhibitory effect of terfenadine and flurbiprofen alone and in combination. Eur Respir J 1990; 3:540–547

    PubMed  CAS  Google Scholar 

  8. Hallstrand TS, Moody MW, Wurfel MM, et al. Inflammatory basis of exercise-induced bronchoconstriction. Am J Respir Crit Care Med 2005; 172:679–686

    Article  PubMed  Google Scholar 

  9. Helenius I, Haahtela T. Allergy and asthma in elite summer sport athletes. J Allergy Clin Immunol 2000; 106:444–452

    Article  PubMed  CAS  Google Scholar 

  10. Brauer M, Spengler JD. Nitrogen dioxide exposures inside ice skating rinks. Am J Public Health 1994; 84:429–433

    Article  PubMed  CAS  Google Scholar 

  11. Peden DB. Air pollutants, exercise, and risk of developing asthma in children. Clin J Sport Med 2003; 13:62–63

    Article  PubMed  Google Scholar 

  12. Brudno DS, Wagner JM, Rupp NT. Length of postexercise assessment in the determination of exercise-induced bronchospasm. Ann Allergy 1994; 73:227–231

    PubMed  CAS  Google Scholar 

  13. Godfrey S. Clinical variables of exercise-induced bronchospasm. In: Dempsey J, ed. Muscular exercise and the lung. Madison: The University of Wisconsin Press, 1977; 247–288

    Google Scholar 

  14. Holzer K, Brukner P. Screening of athletes for exercise-induced bronchoconstriction. Clin J Sport Med 2004; 14:134–138

    Article  PubMed  Google Scholar 

  15. Wilber RL, Rundell KW, Szmedra L, et al. Incidence of exercise-induced bronchospasm in Olympic winter sport athletes. Med Sci Sports Exerc 2000; 32:732–737

    Article  PubMed  CAS  Google Scholar 

  16. Hallstrand TS, Curtis JR, Koepsell TD, et al. Effectiveness of screening examinations to detect unrecognized exercise-induced bronchoconstriction. J Pediatr 2002; 141:343–348

    Article  PubMed  Google Scholar 

  17. Parsons JP, O’Brien JM, Lucarelli MR, et al. Differences in the evaluation and management of exercise-induced bronchospasm between family physicians and pulmonologists. J Asthma 2006; 43:379–384

    Article  PubMed  Google Scholar 

  18. Rundell KW, Wilber RL, Szmedra L, et al. Exercise-induced asthma screening of elite athletes: field versus laboratory exercise challenge. Med Sci Sports Exerc 2000; 32:309–316

    Article  PubMed  CAS  Google Scholar 

  19. Anderson SD, Fitch K, Perry CP, et al. Responses to bronchial challenge submitted for approval to use inhaled beta2-agonists before an event at the 2002 Winter Olympics. J Allergy Clin Immunol 2003; 111:45–50

    Article  PubMed  CAS  Google Scholar 

  20. Eliasson AH, Phillips YY, Rajagopal KR, et al. Sensitivity and specificity of bronchial provocation testing. An evaluation of four techniques in exercise-induced bronchospasm. Chest 1992; 102:347–355

    Article  PubMed  CAS  Google Scholar 

  21. Holzer K, Anderson SD, Douglass J. Exercise in elite summer athletes: Challenges for diagnosis. J Allergy Clin Immunol 2002; 110:374–380

    Article  PubMed  Google Scholar 

  22. Rundell KW, Anderson SD, Spiering BA, et al. Field exercise vs laboratory eucapnic voluntary hyperventilation to identify airway hyperresponsiveness in elite cold weather athletes. Chest 2004; 125:909–915

    Article  PubMed  Google Scholar 

  23. Holzer K, Anderson SD, Chan HK, et al. Mannitol as a challenge test to identify exercise-induced bronchoconstriction in elite athletes. Am J Respir Crit Care Med 2003; 167:534–537

    Article  PubMed  Google Scholar 

  24. Anderson SD, Argyros GJ, Magnussen H, et al. Provocation by eucapnic voluntary hyperpnoea to identify exercise induced bronchoconstriction. Br J Sports Med 2001; 35:344–347

    Article  PubMed  CAS  Google Scholar 

  25. National Heart Lung and Blood Institute Expert Panel Report 3. Guidelines for the diagnosis and management of asthma. Bethesda, 2007

    Google Scholar 

  26. McKenzie DC, McLuckie SL, Stirling DR. The protective effects of continuous and interval exercise in athletes with exercise-induced asthma. Med Sci Sports Exerc 1994; 26:951–956

    PubMed  CAS  Google Scholar 

  27. Shturman-Ellstein RZR, Buckley JM, Souhrada JF. The beneficial effect of nasal breathing on exercise-induced bronchoconstriction. Am Rev Respir Dis 1978; 118:65–73

    PubMed  CAS  Google Scholar 

  28. Schacter E. The protective effects of a cold weather mask on EIA. Ann Allergy 1982:12–16

    Google Scholar 

  29. Miller MG, Weiler JM, Baker R, et al. National athletic trainers’ association position statement: management of asthma in athletes. J Athl Train 2005; 40:224–245

    PubMed  Google Scholar 

  30. Rundell KW, Spiering BA. Inspiratory stridor in elite athletes. Chest 2003; 123:468–474

    Article  PubMed  Google Scholar 

  31. Hicks M, Brugman SM, Katial R. Vocal cord dysfunction/paradoxical vocal fold motion. Prim Care 2008; 35:81–103, vii

    Article  PubMed  Google Scholar 

  32. McFadden ER, Jr., Zawadski DK. Vocal cord dysfunction masquerading as exercise-induced asthma. a physiologic cause for “choking” during athletic activities. Am J Respir Crit Care Med 1996; 153:942–947

    PubMed  Google Scholar 

  33. Torrego Fernandez A, Santos Perez S, Brea Folco J, et al. Dysfunction of the vocal cords simulating exercise-induced asthma. Arch Bronconeumol 2000; 36:533–535

    PubMed  CAS  Google Scholar 

  34. Eisen GM, Sandler RS, Murray S, et al. The relationship between gastroesophageal reflux disease and its complications with Barrett’s esophagus. Am J Gastroenterol 1997; 92:27–31

    PubMed  CAS  Google Scholar 

  35. Pandolfino JE, Bianchi LK, Lee TJ, et al. Esophagogastric junction morphology predicts susceptibility to exercise-induced reflux. Am J Gastroenterol 2004; 99:1430–1436

    Article  PubMed  Google Scholar 

  36. Jozkow P, Wasko-Czopnik D, Medras M, et al. Gastroesophageal reflux disease and physical activity. Sports Med 2006; 36:385–391

    Article  PubMed  Google Scholar 

  37. Powell DM, Karanfilov BI, Beechler KB, et al. Paradoxical vocal cord dysfunction in juveniles. Arch Otolaryngol Head Neck Surg 2000; 126:29–34

    PubMed  CAS  Google Scholar 

  38. Truwit J. Pulmonary disorders and exercise. Clin Sports Med 2003; 22:161–180

    Article  PubMed  Google Scholar 

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Correspondence to Jonathan P. Parsons .

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© 2011 Springer Science+Business Media, LLC

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Parsons, J.P. (2011). Shortness of Breath. In: Lawless, C. (eds) Sports Cardiology Essentials. Springer, New York, NY. https://doi.org/10.1007/978-0-387-92775-6_6

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  • DOI: https://doi.org/10.1007/978-0-387-92775-6_6

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-92774-9

  • Online ISBN: 978-0-387-92775-6

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