emic effects.РDiagnosis of COPD (1)РDiagnosis of COPD should be considered in any patient who has the following:?symptoms of cough?sputum production?dyspnoea?history of exposure to risk factors for the disease?Spirometry should be obtained in all persons with the following history:?exposure to cigarettes and/or environmental or occupational pollutants?family history of chronic respiratory illness?presence of cough, sputum production or dyspnoeaРDiagnosis of COPD (2) SpirometryРSpirometric classification of COPD:?Post-bronchodilator FEV1/forced vital capacity <0.7 confirms the presence of airflow limitation that is not fully reversible.Р(GOLD1)РMILDРFEV1 ≥ 80% PredictedР(GOLD2)РMODERETEР50% ≤ FEV1˂ 80% predictedР(GOLD3)РSEVEREР30% ≤ FEV1˂ 50%predictedР(GOLD4)РVERY SEVEREРFEV1˂ 30% predicted
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