Improvement of alveolar-capillary membrane
diffusing capacity with exercise training in chronic heart failure.
(1972) Cigarette smoking and pulmonary
diffusing capacity. (Transfer factor).
"After the man stopped keeping birds, his lung volume increased and
diffusing capacity apparently improved slightly" (16 words).
Clinical usefulness of the single-breath pulmonary
diffusing capacity test.
(%) Clinical (e) <.001 Serologic <.001 Morphologic Radiographic (f) <.001 Pathologic (g) <.001 NSIP <.001 OP <.001 NSIP/OP overlap .07 Interstitial lymphoid aggregates .02 with GCs Diffuse lymphoplasmacytic infiltrates .006 Multicompartment involvement (h) .14 Intrinsic airway disease .12 Pleural or pericardial effusion or .05 thickening Pulmonary vasculopathy .29 UIP pattern <.001 Abbreviations: BMI, body mass index;DLCO,
diffusing capacity of the lungs for carbon monoxide;FVC, forced vital capacity;GC, germinal center; IPAF, interstitial pneumonia with autoimmune features;NSIP, nonspecific interstitial pneumonia;OP, organizing pneumonia;TLC, total lung capacity; UIP, usual interstitial pneumonia.
The major types of pulmonary function tests include measurement of lung volume using spirometry and quantization of
diffusing capacity. Measurements of maximal respiratory pressures and flow volume loops, which record forced inspiratory and expiratory flow rates are also useful in specific clinical circumstances.
Pulmonary function tests (PFT) including dynamic lung volume,
diffusing capacity of lung for carbon monoxide (DLCO) and DLCO divided by alveolar volume were performed.
Routine special investigations should include an HRCT scan (to estimate heterogeneity, integrity of fissures and degree of tissue destruction, and to exclude occult malignancy), full pulmonary function testing (including measurements of forced expiratory volume in 1 second, forced vital capacity, residual volume (RV), RV/total lung capacity (TLC), TLC, carbon monoxide
diffusing capacity and 6MWD), arterial blood gas measurement and echocardiography (to exclude pulmonary artery pressures >50 mmHg).
A variety of other tests are often helpful in narrowing the differential diagnosis--for example, chest imaging, blood eosinophil measurement, allergy testing, bronchial challenges,
diffusing capacity of the lung for carbon monoxide, lung volumes, and elasticity.
Diffusing Capacity Decreased with Increasing GOLD Stage.