Breathing pattern disorder in difficult asthma: Characteristics and improvement in asthma control and quality of life after breathing re‐training
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Abstract
Breathing pattern disorderin difficult asthma: characteristics and improvement in asthma control and quality of life after breathing re-trainingTo the Editor:Breathing pattern disorder (BPD), or dysfunctional breathing,encompasses heterogeneous disorders characterised by abnormal breathing patternsresulting in symptoms that mimic asthma.(1)BPDaffects24-29%ofpatients with asthma and 30-64% of patients with difficult asthma.(1-4)Diagnosis is generally based on Nijmegenscore, a questionnaire that detects hyperventilation, just one BPD form.(1,4, 5)Difficult asthma is distinct from severe asthma (6)and patient factors including comorbidities such as BDP are thought to be particularly important in patients with difficult asthma.In primary care, breathing retrainingfor patients with asthma improves quality of life (QOL).(7)Patients with difficult asthma present a much greater health burden and BPD is independently associated with worse asthma control and QOL, therefore, treatment may deliver a greater benefit.(8)This study,in patients with difficult asthma,examines BPDcharacteristicsand reportsoutcomes following breathing retraining.
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