Page 23 - Škrgat, Sabina, ed. 2023. Severe Asthma Forum - Monitoring and Treatable Traits in Severe Asthma. Koper: University of Primorska Press. Severe Asthma Forum, 2
P. 23
functional Breathing 1.2
– View of Pulmonologist
Ivan Kopitović1,2, Milica Mirić1
Abstract 1 Institute for Pulmonary
Dysfunctional breathing (DB) is a respiratory disorder defined by non-regular breathing pat- Diseases of Vojvodina,
terns. It is a breathing condition where long term changes in breathing pattern result in symp- Sremska Kamenica, Serbia
toms (main is dyspnoea) but also non-respiratory symptoms, with no prominent cardio-res-
piratory or neuro-psychiatric disease (sometimes secondary to them). It has been identified in 2 Univeristy of Novi Sad,
different age groups and also among asthma patients. Although DB has been investigated for Faculty of Medicine, Serbia
long time, it is poorly understood because of lack in clinical trials and validated outcome meas-
ures specific to this population. DB irregularity is often missed, because of the similarity of its
associated symptoms (dyspnoea, tachycardia, and dizziness) to those of other common car-
diorespiratory diseases such as heart failure, asthma and chronic obstructive pulmonary dis-
ease (COPD). The high rates of misdiagnosis of DB suggest that health care professionals do
not fully understand this condition and may therefore fail to provide patients with an appro-
priate treatment. A holistic assessment is the most appropriate way to improve understanding
and diagnostic accuracy.
Keywords: d ysfunctional breathing, h yperventilation, pulmonary function tests
Abbreviations
ACQ - Asthma Control Questionnaire
AQLQ - Asthma Quality of Life Questionnaire
BMI - Body Mass Index
BHT - Breath Holding Time
BPAT - Brompton Breathing Pattern Assessment Tool
CART - capnography-assisted respiratory therapy
COPD - Chronic Obstructive Pulmonary Disease
CPET - Cardiopulmonary Exercise Testing
DB - Dysfunctional breathing
ET-CO2 - end-tidal carbon dioxide measurement
HVPT - Hyperventilation Provocation Test
HVS - Hyperventilation syndrome
MARM - Manual Assessment of Respiratory Motion
NQ - Nijmegen Questionnaire
SEBQ - Self-Evaluation of Breathing Questionnaire
https://doi.org/10.26 493/978 -961-293 -297-8.23 -38
– View of Pulmonologist
Ivan Kopitović1,2, Milica Mirić1
Abstract 1 Institute for Pulmonary
Dysfunctional breathing (DB) is a respiratory disorder defined by non-regular breathing pat- Diseases of Vojvodina,
terns. It is a breathing condition where long term changes in breathing pattern result in symp- Sremska Kamenica, Serbia
toms (main is dyspnoea) but also non-respiratory symptoms, with no prominent cardio-res-
piratory or neuro-psychiatric disease (sometimes secondary to them). It has been identified in 2 Univeristy of Novi Sad,
different age groups and also among asthma patients. Although DB has been investigated for Faculty of Medicine, Serbia
long time, it is poorly understood because of lack in clinical trials and validated outcome meas-
ures specific to this population. DB irregularity is often missed, because of the similarity of its
associated symptoms (dyspnoea, tachycardia, and dizziness) to those of other common car-
diorespiratory diseases such as heart failure, asthma and chronic obstructive pulmonary dis-
ease (COPD). The high rates of misdiagnosis of DB suggest that health care professionals do
not fully understand this condition and may therefore fail to provide patients with an appro-
priate treatment. A holistic assessment is the most appropriate way to improve understanding
and diagnostic accuracy.
Keywords: d ysfunctional breathing, h yperventilation, pulmonary function tests
Abbreviations
ACQ - Asthma Control Questionnaire
AQLQ - Asthma Quality of Life Questionnaire
BMI - Body Mass Index
BHT - Breath Holding Time
BPAT - Brompton Breathing Pattern Assessment Tool
CART - capnography-assisted respiratory therapy
COPD - Chronic Obstructive Pulmonary Disease
CPET - Cardiopulmonary Exercise Testing
DB - Dysfunctional breathing
ET-CO2 - end-tidal carbon dioxide measurement
HVPT - Hyperventilation Provocation Test
HVS - Hyperventilation syndrome
MARM - Manual Assessment of Respiratory Motion
NQ - Nijmegen Questionnaire
SEBQ - Self-Evaluation of Breathing Questionnaire
https://doi.org/10.26 493/978 -961-293 -297-8.23 -38
