FEV1/FVC ratio

The FEV1/FVC ratio (or Tiffeneau-Pinelli index) is a spirometric parameter and refers to a calculated ratio which represents the proportion of a patients vital capacity that they are able to expire in the first second of forced expiration.

Is used in the diagnosis and assessment of obstructive (e.g. COPD) and restrictive lung disease. FEV1 is by far the most frequently used index for assessing airway obstruction, bronchoconstriction or bronchodilatation; FEV1 expressed as a percentage of the VC is the standard index for assessing and quantifying airflow limitation. FEV1%VC declines with age and height.

Interpretation

Normal values are approximately 0.7 or 80% or predicted.

Predicted normal values can be calculated on graphs and various online tools are available

They depend on age, sex, height, mass and ethnicity as well as the research study that they are based upon.

A derived value of FEV1% is FEV1% predicted, which is defined as FEV1% of the patient divided by the average FEV1% in the population for any person of similar age, sex and body composition.

 

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Article Information

rID: 50350
System: Chest
Synonyms or Alternate Spellings:
  • Tiffeneau-Pinelli index
  • FEV1
  • Forced expiratory volume in 1 second

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