The Curbsiders Internal Medicine Podcast

#356 Chronic Obstructive Pulmonary Disease (COPD) Update with Dr. Antonio Anzueto

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Sep 26, 2022
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ANECDOTE

Airline Timetables Became A Lifelong Hobby

  • Antonio Anzueto memorized airline schedules as a child and follows aviation economics closely.
  • He compares airline coordination to hospital operations and uses travel planning as a hobby.
INSIGHT

COPD Demographics Have Shifted

  • COPD now often presents in younger women, not just elderly male smokers.
  • Early-life exposures and cumulative insults shape COPD risk decades before diagnosis.
ADVICE

Use Spirometry To Diagnose COPD

  • Always confirm suspected COPD with spirometry and post-bronchodilator testing.
  • Use the fixed FEV1/FVC ratio <0.70 to define airflow obstruction.
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