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Spirometry principles - Grace

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Different patterns: Mixed<br />

• A reduced FVC together with a low FEV1/FVC%<br />

ratio is a feature of a mixed ventilatory defect in<br />

which a combination of both obstruction and<br />

restriction appear to be present, or alternatively<br />

may occur in airflow obstruction as a consequence<br />

of airway closure resulting in gas trapping, rather<br />

than as a result of small lungs. It is necessary to<br />

measure the patient's total lung capacity to<br />

distinguish between these two possibilities.

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