Lung Function Tests: Results


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Results


Lung function tests (also called pulmonary function tests, or PFTs) evaluate how well your lungs work. The normal value ranges for lung function tests will be adjusted for your age, height, sex, and sometimes weight and race. Results are often expressed in terms of a percentage of the expected value. Most test results are available right away.

Normal

Test results are within the normal ranges for a person with healthy lungs.

Abnormal

Test results are outside of the normal range for a person with healthy lungs. This may mean that some kind of lung disease is present. There are two main types of lung disease that can be found with lung function tests: obstructive and restrictive.

Obstructive

In obstructive lung conditions, the airways are narrowed, usually causing an increase in the time it takes to empty the lungs. Obstructive lung disease can be caused by conditions such as emphysema, bronchitis, infection (which produces inflammation), and asthma.

Lung function values in obstructive disease
Lung function test Result as predicted for age, height, sex, weight, or race

Forced vital capacity (FVC)

Normal or lower than predicted value

Forced expiratory volume (FEV1)

Lower

FEV1 divided by FVC

Lower

Forced expiratory flow 25% to 75%

Lower

Peak expiratory flow (PEF)

Lower

Maximum voluntary ventilation (MVV)

Lower

Slow vital capacity (SVC)

Normal or lower

Total lung capacity (TLC) (VT)

Normal or higher

Functional residual capacity (FRC)

Higher

Residual volume (RV)

Higher

Expiratory reserve volume (ERV)

Normal or lower

RV divided by TLC ratio

Higher

FEV1 often increases after using medicine that expands the airways in people with reversible obstructive disease like asthma.

Restrictive

In restrictive lung conditions, there is a loss of lung tissue, a decrease in the lungs' ability to expand, or a decrease in the lungs' ability to transfer oxygen to the blood (or carbon dioxide out of the blood). Restrictive lung disease can be caused by conditions such as pneumonia, lung cancer, scleroderma, pulmonary fibrosis, sarcoidosis, or multiple sclerosis. Other restrictive conditions include some chest injuries, being very overweight (obesity), pregnancy, and loss of lung tissue due to surgery.

Lung function values in restrictive disease
Lung function test Result as predicted for age, height, sex, weight, or race

Forced vital capacity (FVC)

Lower than predicted value

Forced expiratory volume (FEV1)

Normal or lower

FEV1 divided by FVC

Normal or higher

Forced expiratory flow 25% to 75%

Normal or lower

Peak expiratory flow (PEF)

Normal or lower

Maximum voluntary ventilation (MVV)

Normal or lower

Slow vital capacity (SVC)

Lower

Total lung capacity (TLC) (VT)

Lower

Functional residual capacity (FRC)

Normal or lower

Residual volume (RV)

Normal, lower, or higher

Expiratory reserve volume (ERV)

Normal or lower

RV divided by TLC ratio

Normal or higher



Healthwise Logo
Last updated: July 03, 2007
Author: Maria G. Essig, MS, ELS
Reviewed By: Caroline S. Rhoads, MD - Internal Medicine, Robert L. Cowie, MB, FCP(SA), MD, MSc, MFOM - Pulmonology
Editors: Sydney Youngerman-Cole, RN, BSN, RNC, Tracy Landauer

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