
PFT INTERPRETATION
PFT Normals (FEV1 & FVC)
Normal >80%
Mild 70-79%
Moderate 55-69%
Severe <55%
per ATS a significant BDR is:
FEV1 change >/= 12% &
FEF25-75 change >/= 25%
PFT Normals (FEV1/FVC%)
Age <40:
Normal >75%
Age 40-60:
Normal >70%
Age >60:
Normal >65%
per ATS, airflow limitation (i.e. obstruction) is defined as abnormally low FEV1/FVC ratio for age (the absolute ratio, not the reported % of predicted). A low FEV1 or FEF25-75 by themselves DO NOT constitue obstruction. Once obstruction is confirmed by an abnormally low FEV1/FVC ratio, then the degree of obstruction (i.e. mild, moderate, severe) is determined by the FEV1 % of predicted value (see above). To accuratelly diagnose restrictive ventilatory defects, formal measurement of TLC is needed.
PFT Normals (Diffusion)
Normal >75%
Mild 60-74%
Moderate 40-59%
Severe <40%
PFT Normals Max. expiratory force (MEF)
age 20-54 >55
men: 233+/-84 218+/-74
women: 152+/-54 140+/-40
PFT Normals Max. inspiratory force (MIF)
age 20-54 >55
men: 124+/-44 103+/-44
women: 87+/-32 73+/-26
PFT Normals (TLC)
Normal 80-120%
Mild 70-79 121-130%
Moderate 60-69 131-150%
Severe <60% >150%
PFT Normal Variations |
||||||
| FEV1 | FVC | FEF25-75 | ||||
| Within day | ||||||
| Normal | W5% | W5% | W13% | |||
| COPD | W11% | W13% | W23% | |||
| Wk to wk | ||||||
| Normal | W11% | W12% | W21% | |||
| COPD | W20% | W20% | W30% | |||
| Yr to yr | W15% | W15% | ||||