Measures - Spirometry
Measures
- Forced Expired Volume in the first second (FEV1):
This is a measure of how much of the FVC the subject exhaled in the first second. A normal person will exhale around 80% of their FVC in the first second. - FEV1/FVC:
This is the percent of the FVC that person exhaled in the first second (see above). Both measures are important to look at together because if the FVC is low, the FEV1 will also be low (as in restrictive diseases such as idiopathic pulmonary fibrosis; however in these diseases, the person’s ability to exhale is not usually compromised).
Other Flow Measures
- While the FEV1 and the FEV1/FVC are the most useful flow measures, others are available and often obtained.
- Forced Expiratory Flow between 25% and 75% (FEF25-75): This is the average flowrate calculated as the subject is exhaling between 25% and 75% of his/her FVC. Think about it this way: As the subject forcibly exhales the FVC, the rate at which the flow is leaving the lungs is not constant, but rather changes over the length of exhalation.
- Peak Expiratory Flow (PEF or sometimes PEFR): The highest flowrate the subject attains during exhalation. It usually occurs at the beginning of exhalation. Often used as an indication of effort.
Authors and Sources
Authors and Reviewers
- EKG heart rhythm modules: Thomas O'Brien.
- EKG monitor simulation developer: Steve Collmann
-
12 Lead Course: Dr. Michael Mazzini, MD.
- Spanish language EKG: Breena R. Taira, MD, MPH
- Medical review: Dr. Jonathan Keroes, MD
- Medical review: Dr. Pedro Azevedo, MD, Cardiology
- Last Update: 11/8/2021
Sources
-
Electrocardiography for Healthcare Professionals, 5th Edition
Kathryn Booth and Thomas O'Brien
ISBN10: 1260064778, ISBN13: 9781260064773
McGraw Hill, 2019 -
Rapid Interpretation of EKG's, Sixth Edition
Dale Dublin
Cover Publishing Company -
12 Lead EKG for Nurses: Simple Steps to Interpret Rhythms, Arrhythmias, Blocks, Hypertrophy, Infarcts, & Cardiac Drugs
Aaron Reed
Create Space Independent Publishing -
Heart Sounds and Murmurs: A Practical Guide with Audio CD-ROM 3rd Edition
Elsevier-Health Sciences Division
Barbara A. Erickson, PhD, RN, CCRN -
The Virtual Cardiac Patient: A Multimedia Guide to Heart Sounds, Murmurs, EKG
Jonathan Keroes, David Lieberman
Publisher: Lippincott Williams & Wilkin)
ISBN-10: 0781784425; ISBN-13: 978-0781784429 - Project Semilla, UCLA Emergency Medicine, EKG Training Breena R. Taira, MD, MPH