Chronic Obstructive Pulmonary Disease (COPD)
What is the problem and what is known about it so far?
Chronic obstructive pulmonary disease (COPD) is a disease of the lungs and the breathing tubes that bring air to the lungs (airways). The disease usually occurs in cigarette smokers. People with COPD cough and get short of breath. Damage to the lungs and symptoms slowly worsen over time. Doctors treat COPD with drugs that widen and decrease swelling in the airways. Oxygen therapy can help some people with COPD. Pulmonary rehabilitation, which involves patient education and exercise, is another type of COPD treatment.
Spirometry is a breathing test that can diagnose COPD on the basis of a measurement called FEV1 (forced expiratory volume in 1 second), which is the amount of air that a person exhales in 1 second compared with that of a healthy person of the same age and size. A person with an FEV1 of 60% exhales about 60% the amount that a typical, healthy person the same age and size exhales in 1 second. Spirometry can sometimes find COPD in people who do not know they have the disease. For this reason, some people wonder whether doctors should include spirometry as part of routine preventive health care.
To learn more about managing COPD, visit the ACP COPD Portal.
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