Mild asthma. For patients showing wheezing and shortness of breath on moderate exertion, it’s one of the most common diagnoses, even when breath sounds are clear and pulmonary function testing is normal. 

What makes mild asthma “mild”? The key guidelines base the stage of a patient’s asthma on how difficult it is to treat. Does that mean the frequency of symptom occurrence? How often a rescue inhaler needs to be used? The frequency and severity of pulmonary exacerbations? 

How should mild asthma be treated? What are the risks and benefits of short-acting beta agonists versus long-acting beta agonists versus inhaled corticosteroids? Which combinations might be appropriate for which patients?

Join us in this issue of ePulmonology Review, as Dr. Fawzy from the Johns Hopkins University School of Medicine’s Division of Pulmonary and Critical Care discusses these and other issues important to providing the best care for patients with mild asthma.

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Pulmonary hypertension. The 2022 ESC/ERS revised guidelines have redefined it. New evidence from ongoing and completed clinical trials have led to updates in diagnostic thresholds and treatment algorithms. New agents — some approved, others advancing through the pipeline — promise improved efficacy and safety for a variety of patients. What does it all mean to practitioners in the clinic?

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In early 2022, the state of the art for managing patients with COPD continues to present challenges. When, how, and in whom are inhaled steroids the most effective way to reduce exacerbations? Are the GOLD guidelines still relevant? What do patients with COPD need to know about the dangers and long-term effects of COVID-19 infection?  

These are some of the questions we discuss with our guest, Dr. Nirupama Putcha from the Division of Pulmonology and Critical Care at the Johns Hopkins University School of Medicine, in this issue of ePulmonology Review. 

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Managing patients with asthma continues to grow more complex. Two key guidelines have recently been updated. Where do their recommendations concur? Where do they differ, and why? Where do the newer biologic agents fit into evolving treatment paradigms? Which patients are likely to benefit, and in which are specific biologics inappropriate? 

These are some of the questions we discuss with Dr. Ashraf Fawzy, from the Division of Pulmonology and Critical Care at Johns Hopkins University, in this ePulmonology Review podcast. 

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In this podcast Dr. Paul Hasson from Johns Hopkins explains the complexity of pulmonary hypertension and the importance of a rigorous diagnostic workup and describes the basic diagnostic algorithm to accurately classify the type of pulmonary hypertension encountered in a specific patient.

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In this podcast, Dr. Nadia Hansel discusses the evidence describing the preferred treatment for symptomatic patients with COPD who have a low risk of exacerbations, describes the evidence for the preferred treatment strategy for patients with GOLD grade D COPD, and explains the role of supplemental oxygen therapy in patients with COPD.

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In this podcast, Dr. Michelle Eakin from Johns Hopkins University School of Medicine discusses the high prevalence of medication nonadherence and its negative impact on clinical outcomes in patients with COPD, identifying patient risk factors that are associated with poor medication use in COPD, and and describes efficacious interventions to support medication adherence.

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