Diagnostic Exercise Challenge Testing

Author:

Randolph Christopher

Publisher

Springer Science and Business Media LLC

Subject

Pulmonary and Respiratory Medicine,Immunology and Allergy,Immunology

Reference77 articles.

1. •• Anderson SD, Brannan JD. Bronchial provocation testing; the future. Current Opinion in Allergy and Clinical Immunology. 2011;11:46–52. This is an excellent discussion of the rationale and performance of the present direct and indirect challenges and the future of this testing.

2. •• Weiler J, Anderson SD, Randolph CC, et al. Pathogenesis, prevalence, diagnosis and management of exercise-induced bronchoconstriction: a practice parameter. Annals Allergy Asthma Immunol. 2010;105:S1–S48. This is a comprehensive, state-of-the-art discussion developed by an international workforce of experts of the practice parameters for EIB. The discussion encompasses evidence-based guidelines for the definition, pathogenesis, diagnosis, and management of EIB with and without asthma for the recreational and competitive or elite athlete.

3. Aaron SD, Vandemheem KL, Boulet LP, et al. Overdiagnosis of asthma in obese and nonobese adults. CMAJ. 2008;179:1121–31.

4. Miedinger D, Chhajped PN, Tamm M, et al. Diagnostic tests for asthma in firefighters. Chest. 2007;131:1760–67.

5. ••Miedinger D, Mosimann, Meier R, et al. Asthma tests in the assessment of military conscripts. Clin Exp Allergy. 2010;40:224–31. This was the first investigation using mannitol in a military setting. Mannitol and methacholine had similar sensitivity and specificity to physician diagnosis. Mannitol was less expensive because it did not require a nebulizer. Bronchoprovocation tests are useful as objective measures to confirm asthma in those candidates without objective testing.

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