Respiratory disease · Brussels

Understanding and treating COPD.

COPD (chronic obstructive pulmonary disease) is a common respiratory condition, silent for a long time, most often linked to smoking. At the CIRCAE centre in Woluwe-Saint-Lambert (Brussels), a pulmonologist provides spirometry screening, diagnosis and follow-up of COPD.

Signs & risk factors

Our goal

Screen early, slow the disease

·

Diagnose chronic respiratory disorders

·

Assess overall lung function

·

Measure bronchial inflammation and allergic risk

·

Offer personalised, adaptive care

Understanding

What is COPD?

Chronic obstructive pulmonary disease (COPD) is a long-term respiratory condition marked by a permanent, progressive obstruction of the airways. Inflammation of the bronchi and destruction of lung tissue (emphysema) gradually reduce breathing capacity. The main cause is smoking, although prolonged exposure to dust or fumes can also play a part.

COPD progresses quietly for a long time: breathlessness is often blamed on age or being out of shape, and the diagnosis comes late. Yet early screening by spirometry and stopping smoking can markedly slow its progression and preserve quality of life.

Screening & care

Acting early

Three key levers for people at risk, particularly smokers and ex-smokers.

Spirometry screening

Smoker, ex-smoker

A simple, quick test measures your breathing (FEV1, Tiffeneau ratio) and confirms or rules out airway obstruction, even before clear symptoms appear.

Diagnosis & severity

Pulmonologist

Confirmation of the diagnosis, assessment of severity and screening for complications, to tailor treatment to your situation.

Treatment & rehabilitation

Long-term

Smoking cessation, inhaled treatments, vaccination and exercise-based respiratory rehabilitation to regain independence.

Diagnosis

The respiratory tests

Diagnosing and following up COPD relies on a pulmonology consultation and pulmonary function tests carried out on site.

First pulmonology consultation

Consultation · Specialist pulmonologist

An in-depth clinical assessment and referral to the most relevant examinations.

  • Analysis of respiratory symptoms (dyspnoea, cough, tightness, wheezing)
  • Assessment of medical and family history
  • Review of exposures (tobacco, environment, allergens)
  • Full respiratory clinical examination
  • Proposal of a personalised breathing assessment

Overnight oximetry: OtwoFellow

Home examination · Non-invasive

Analysis of overnight oximetry using the connected Oxyring. Assessment of the cardiovascular risk associated with apnoea.

  • Oxygen saturation (SpO₂) and heart rate
  • Pulse wave and Hypoxic Burden
  • PWAD: Pulse Wave Amplitude Drops (overnight vascular stress)

Pulmonary function tests (PFTs)

Gold-standard examination · Pulmonology

Essential tests for the diagnosis, severity assessment and follow-up of respiratory diseases.

  • Spirometry: FEV1, FVC, Tiffeneau ratio
  • Plethysmography: lung volumes and residual volume
  • CO diffusing capacity (DLCO): oxygen transfer into the blood
  • Measurement of airway resistance
  • Bronchodilator test: reversibility of obstruction

Exhaled nitric oxide measurement (FeNO)

Simple examination · Bronchial inflammation

A non-invasive marker of eosinophilic bronchial inflammation. A quick, painless examination.

  • Aids the diagnosis of asthma
  • Assessment of the level of airway inflammation
  • Monitoring the effectiveness of anti-inflammatory treatment
  • Adjustment of inhaled corticosteroid doses

Exercise challenge test

Cardio-respiratory examination · Exertion

Detects exercise-induced asthma, exercise hypoxaemia or unexplained dyspnoea.

  • Spirometry before and after exercise (FEV1, flow rates)
  • Oxygen saturation, heart rate and ECG
  • Continuous monitoring of reported symptoms

Objectives

  • Trigger and measure exercise-induced bronchoconstriction
  • Assess exercise tolerance
  • Adjust respiratory treatment

Allergy skin tests (Prick tests)

Allergy · Gold-standard diagnosis

Identification of allergic sensitisation to the main respiratory and food allergens.

  • Pollens, dust mites, animal dander, moulds
  • Food allergens based on the case history
  • Reading after 15–20 min: results in mm

Indications

  • Asthma and allergic rhinitis
  • Atopic eczema, urticaria
  • Assessment before allergen immunotherapy

Explore the assessments