00:00 / 00:00
0 / 14 complete
0 / 5 complete
emphysema p. 698
emphysema p. 720
activity in emphysema p. 698
α1 -antitrypsin deficiency p. 401
compliance in p. 689
diffusion in p. 690
diffusion-limited gas exchange p. 690
elastin in p. 50
panacinar p. 402
presentation p. 720
emphysema p. 720
emphysema p. 698, 720
Emphysema means “inflate or swell”, which makes sense because in the lungs of people with emphysema, the alveolar air sacs, which are the thin walled air spaces at the ends of the airways where oxygen and carbon dioxide are exchanged, become damaged or destroyed.
The alveoli permanently enlarge and lose elasticity, and as a result, individuals with emphysema typically have difficulty with exhaling, which depends heavily on the ability of lungs to recoil like elastic bands.
That being said, they almost always coexist, probably because they share the same major cause—smoking.
With COPD, the airways become obstructed, the lungs don’t empty properly, and that leaves air trapped inside the lungs.
This reduction is especially noticeable in the first second of air breathed out in a single breath, called FEV1—forced expiratory volume (in one second), which typically is reduced even more than the FVC.
A useful metric therefore is the FEV1 to FVC ratio, which, since the FEV1 goes down even more than FVC, causes the FEV1 to FVC ratio to go down as well.
Alright so say normally your FVC is 5 L, and your FEV1 is 4 L, your FEV1 to FVC ratio would end up being 80%.
Now, someone with COPD’s FVC might be 4 L instead, which is lower than normal, but the volume of air that he or she can expire in the first second is only 2 L, so not only are both these values lower, but their ratio is lower as well—and this is a hallmark of COPD.
All that had to do with air breathed out right? Conversely, for air going in, the TLC, or total lung capacity, which is the maximum volume of air that can be taken in or inspired into the lungs, is actually often often higher because of the air trapping.
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