Ontology highlight
ABSTRACT: Background
Asthmatic patients with chest tightness as their only presenting symptom (chest tightness variant asthma [CTVA]) have clinical characteristics of eosinophilic airway inflammation similar to those of classic asthma (CA); however, whether CTVA has similar response to antiasthma treatment as compared with CA remains unclear.Objective
The response of 76 CTVA patients to standard asthma treatments with inhaled corticosteroids with long-acting beta-agonists was explored in a 52-week multicenter, prospective, real-world study.Results
After 52 weeks of treatment with therapy regimens used for CA, the mean 5-point Asthma Control Questionnaire (ACQ-5) score decreased markedly from 1.38(first administration) to 0.71 (52 weeks, mean decrease: 0.674, 95%CI: 0.447-0.900, P<.001).The mean asthma quality-of-life questionnaire (AQLQ) score increased from 5.77 (first administration) to 6.20 (52 weeks, mean increase: 0.441, 95% CI 0.258-0.625, P<.001). Furthermore, at week 52, FVC, FEV1 %, the diurnal variation in PEFand the PD20-FEV1 were significantly improved. Subgroup analysis revealed that the patients at first administration in the responsive group had higher ACQ-5 scores than those in the nonresponsive group (P < .05).Conclusion
In conclusion, patients with CTVA had a good therapeutic response to the guideline-recommended routine treatment (containing inhaled corticosteroids). The association between the treatment response and the severity of CTVA suggested that CTVA patients with higher ACQ-5 scores had better therapeutic effects.
SUBMITTER: Yan F
PROVIDER: S-EPMC7503098 | biostudies-literature | 2020 Sep
REPOSITORIES: biostudies-literature
Yan Fugui F Li Wen W Guan Wei-Jie WJ Chen Min M Qiu Chen C Tang Wei W Liu Xiansheng X Xiang Xudong X Li Jing J Jin Meiling M Dai Yuanrong Y Chen Ping P Wu Xiaohong X Qiu Zhongmin Z Dong Liang L Zhao Limin L Lin Xiaoping X Wu Changgui C Wu Bin B Yuan Yalian Y Shi Fei F Zhang Ting T Zhou Jun J Xie Min M Fang Xiaoyu X Zhang Hongliang H Xiao Bing B Xian Mo M Wang Jian J Qiu Zhangwei Z Lin Jie J Ji Bingbing B Zhou Yong Y Li Yu Y Liu Chunhong C Chen Yiping Y Zeng Yiming Y Zeng Yiming Y Liu Lingli L Hua Wen W Huang Huaqiong H Zhou Jiesen J Hu Yue Y Che Luanqing L Ying Songmin S Chen Zhihua Z Zhong Nanshan N Shen Huahao H
Clinical and translational medicine 20200901 5
<h4>Background</h4>Asthmatic patients with chest tightness as their only presenting symptom (chest tightness variant asthma [CTVA]) have clinical characteristics of eosinophilic airway inflammation similar to those of classic asthma (CA); however, whether CTVA has similar response to antiasthma treatment as compared with CA remains unclear.<h4>Objective</h4>The response of 76 CTVA patients to standard asthma treatments with inhaled corticosteroids with long-acting beta-agonists was explored in a ...[more]