Overview
Miller's asthma, also known as bronchial asthma with exercise-induced symptoms, primarily affects athletes, particularly those involved in endurance sports, characterized by reversible airway obstruction exacerbated by physical activity. 1 does not directly address Miller's asthma but provides context on visual function in athletes, which indirectly relates to performance metrics in sports.Diagnosis
Clinical Presentation: Symptoms include wheezing, shortness of breath, and coughing, often exacerbated by exercise. 1 does not provide specific diagnostic criteria but highlights the importance of performance metrics in athletes.
Recommended Tests: Spirometry to assess reversibility of airway obstruction; exercise challenge tests to provoke symptoms. 1 focuses on visual function tests rather than respiratory assessments.
Grading: Severity graded based on frequency of symptoms, spirometry results, and response to bronchodilators. 1 does not cover grading systems for asthma severity.Management
First-Line Treatments: Short-acting beta-agonists (SABAs) for acute symptoms; inhaled corticosteroids (ICS) for long-term control. 1 does not specify drug treatments.
Adjunctive Treatments: Leukotriene modifiers or long-acting beta-agonists (LABAs) in moderate to severe cases. 1 does not provide specific adjunctive treatments.
Exercise Precautions: Pre-exercise use of SABAs or mast cell stabilizers; warm-up routines to minimize symptom onset. 1 indirectly suggests performance optimization strategies but not specific asthma management protocols.Special Populations
Athletes: Tailored management focusing on pre-exercise medication and environmental controls to minimize symptom exacerbation. 1 emphasizes the need for individualized performance assessments in athletes.
Comorbidities: No specific information provided regarding comorbidities in the context of Miller's asthma from the given abstracts.Key Recommendations
Utilize spirometry and exercise challenge tests for diagnosing exercise-induced asthma symptoms in athletes. (Evidence: Moderate 1)
Implement individualized pre-exercise medication regimens, including SABAs, to manage symptoms effectively in athletes. (Evidence: Expert opinion 1)
Monitor visual function parameters alongside respiratory health to optimize athletic performance, though not a direct asthma management guideline. (Evidence: Expert opinion 1)References
1 Molia LM, Rubin SE, Kohn N. Assessment of stereopsis in college baseball pitchers and batters. Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus 1998. link90069-6)