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Mayo Clinic researchers previously described, in about 10% of their patients undergoing pulmonary function tests (PFTs), a “nonspecific” pattern — normal total lung capacity and normal ratio of forced expiratory volume in 1 second (FEV1) to forced vital capacity (FVC), but a low FEV1 or FVC (or both). This pattern is neither classically obstructive (because of the normal FEV1/FVC ratio) nor restrictive (because of the normal total lung capacity).
To determine the natural history of nonspecific PFTs, researchers identified 1284 patients with this pattern who had at least one follow-up study. Mean age was 60; half were current or former smokers. On average, patients underwent three tests during 3 years of follow-up. Final PFTs were still nonsp…