PulmPEEPs 93. Guidelines Series: GINA Guidelines – Asthma Diagnosis and Assessment
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Feb 4, 2025 Explore key insights from the GINA guidelines on asthma diagnosis and management. The hosts break down complex information, using clinical cases to emphasize the importance of identifying symptoms and environmental triggers. Learn about essential diagnostic tools and how continuous assessment can tailor treatments effectively. They also introduce the '247' mnemonic to differentiate asthma symptoms, enhancing clinical decision-making. Plus, discover practical measures for patient empowerment in monitoring their condition.
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Diagnosing Asthma
- Clinical history is key for diagnosing asthma, providing most of the information needed.
- Confirm variable airflow limitation, ideally before starting asthma therapy, using spirometry or alternative methods like peak flow monitoring.
Diagnostic Sensitivity
- Higher thresholds for FEV1 improvement increase diagnostic sensitivity for asthma.
- Empiric treatment is acceptable, even in guidelines, when confirmatory testing is unavailable.
Phenotyping Asthma
- Asthma phenotypes help distinguish diagnoses for prognosis and treatment.
- Consider eosinophil levels, especially in cases of suspected asthma-COPD overlap.