Article Text

Download PDFPDF
Upper airway obstruction masquerading as exercise induced bronchospasm in an elite road cyclist
  1. K E Fallon
  1. Correspondence to:
 Kieran Edward Fallon
 Australian Institute of Sport, Sports Medicine, PO Box 176, Belconnen, ACT 2616, Australia;


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
  • stridor
  • vocal cord dysfunction

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Conflict of interest: none declared.

Linked Articles

  • Miscellanea
    BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine