This case concerns an elite road cyclist who complained of occasional dyspnoea and inspiratory difficulty during intense exercise. Clinical examination was normal and the final diagnosis was vocal cord dysfunction, a paradoxical closure of the vocal cords during inspiration which is highly associated with inspiratory stridor at high rates of ventilation. Awareness by the sports physician of this not uncommon condition is important to avoid misdiagnosis.
- FEV1, forced expiratory volume in 1 s
- FVC, forced vital capacity
- VCD, vocal cord dysfunction
- exercise induced broncospasm
- vocal cord dysfunction
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Conflict of interest: none declared.