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Changes in dyspnea related to decrements in inspiratory reserve volume

Changes in dyspnea related to decrements in inspiratory reserve volume
During constant work rate exercise (cycling), as tidal volume (VT) encroaches on inspiratory capacity (IC) reducing the inspiratory reserve volume, the level of dyspnea rises markedly, with a threshold for severe dyspnea around VT/IC = 70 to 80% (gray zone). The 4 lines (Q1 to Q4) display quartiles of resting lung function (forced expiratory volume in one second [FEV1] with Q4 being the lowest quartile) and demonstrate how the onset of dyspnea is similar despite varying baseline lung function.
Reproduced from: O'Donnell DE, Guenette JA, Maltais F, et al. Decline of resting inspiratory capacity in COPD: the impact on breathing pattern, dyspnea, and ventilatory capacity during exercise. Chest 2012; 141:753. Illustration used with the permission of Elsevier Inc. All rights reserved.
Graphic 123015 Version 1.0

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