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(Chest. 2005;128:3966-3974.)
© 2005 American College of Chest Physicians

Exercise-Induced Bronchoconstriction in Athletes*

Jonathan P. Parsons, MD and John G. Mastronarde, MD, FCCP

* From the Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, The Ohio State University, Columbus, OH.

Correspondence to: Jonathan P. Parsons, MD, Division of Pulmonary and Critical Care Medicine, The Ohio State University, 201 HLRI, 473 W 12th Ave, Columbus, OH 43210; e-mail: Johnathan.Parsons{at}osumc.edu

Exercise-induced bronchoconstriction (EIB) describes airway narrowing that occurs in association with exercise. EIB occurs in up to 90% of asthmatic patients and is estimated to occur in > 10% of the general population. Recent reviews have identified asthma as a risk factor for sudden death and have reported many deaths that have been attributed directly to EIB. We present a review of the literature related to EIB in athletes including sections discussing its pathogenesis, diagnosis, and treatment, and which athletes are most at risk for experiencing EIB.

Key Words: asthma • bronchial hyperreactivity • exercise-induced bronchospasm • exercise test




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