What is a Pulmonary Function Test (PFT)?
A Pulmonary Function Test (PFT) measures how well the lungs are working. Certain lung disorders can be diagnosed and treated with the help of this information. During the tests, lung volume, capacity, and flow rates are measured. It is an invasive procedure, which means, a doctor doesn’t cut you or insert any instruments.
When a patient has a suspected or previously diagnosed respiratory disease, pulmonary function tests are valuable investigations. Diagnoses, monitoring responses to treatments, and making decisions on further treatment and intervention can be aided by them. Understanding respiratory physiology is necessary to interpret pulmonary function tests. While symptoms do not provide a diagnosis per se, different patterns of abnormalities can be seen in various respiratory diseases which may help to establish a diagnosis.
What is the Pulmonary Function Test (PFT) used for?
- Assess patients before surgery
- Monitoring lung disease progression
- Follow up on the efficacy of the treatment
- If your symptoms indicate a lung condition
- To assess your lung function before surgery
- Check for possible toxic side effects of certain drugs (such as amiodarone, an antiarrhythmic)
- Monitoring chronic lung diseases, such as asthma or chronic obstructive pulmonary disease (COPD)
- Examine respiratory symptoms (e.g. wheezing, cyanosis, dyspnea) for evidence of respiratory disease.
Understanding the test results of the Pulmonary Function Test (PFT)
SPIROMETRY TEST |
NORMAL |
ABNORMAL |
FVC and FEV1 |
Equal to or greater than 80% |
Mild = 70-79% Moderate = 60-69% Severe – Less than 60% |
FEV1/FVC |
Equal to or greater than 70% |
Mild = 60-69% Moderate = 50-59% Severe – Less than 50% |
FVC – Forced Vital Capacity (Volume of air exhaled after maximum inhalation)
FEV1 – Forced expiratory volume in one second (Volume of air exhaled in one breath)
Why do I need a Pulmonary Function Test (PFT)?
- History of asthma
- Infections of the respiratory system
- Inhaling asbestos fibers at workplace causing asbestosis, a lung disease
- An injury to the chest or a recent surgery that causes trouble breathing
- Lung conditions like bronchiectasis, emphysema, or chronic bronchitis
- Scleroderma makes the connective tissue thicken and harden
- Airway restriction due to scoliosis, tumors, or inflammation or scarring of the lungs