Exercise-induced Bronchoconstriction
Publication Date: September 21, 2016
Last Updated: December 16, 2022
Diagnosis
Summary Statement (SS)1: In asthmatic patients EIB can indicate lack of control of the underlying asthma. Therefore treat the uncontrolled asthma to get control of EIB. ( S , D )
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Treatment
SS15: Refer to appropriate specialists (eg, cardiologist or pulmonologist) to perform cardiopulmonary testing when breathlessness with exercise, with or without chest pain, might be caused by heart disease or other conditions in the absence of EIB. ( M , C)
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SS16: Refer patients for psychological evaluation when the symptoms (eg, hyperventilation and anxiety disorders) are in the differential diagnosis of EIB. ( W , D )
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SS17: Schedule regular office visits with patients because medications can differ in effectiveness over time because of variability of asthma, environmental conditions, intensity of the exercise stimulus, and tachyphylaxis. ( S , A)
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Title
Exercise-induced Bronchoconstriction
Authoring Organizations
American College of Allergy, Asthma, and Immunology
American Academy of Allergy, Asthma & Immunology