Bronchodilator Reversibility Calculator

This calculates how much a person's FEV₁ improves after using a bronchodilator — the key spirometry test used to confirm an asthma diagnosis.

Bronchodilator Reversibility

L
Baseline FEV₁.
Enter a value between 0.2 and 8.
L
FEV₁ after the bronchodilator.
Enter a value between 0.2 and 8.
FEV₁ Change
+15%
+300 mL
Significant reversibility
% change
15.0%
Absolute
300 mL

How It's Calculated

Formula
% change = (post FEV₁ − pre FEV₁) ÷ pre FEV₁ × 100

A positive test needs both ≥ 12% and ≥ 200 mL improvement.

Frequently Asked Questions

Can COPD patients show some reversibility too?

Yes — partial reversibility can occur in COPD, which is why the diagnosis relies on the overall clinical picture rather than this one test alone.

What counts as a positive response?

An increase of at least 12% AND at least 200 mL in FEV₁ after the bronchodilator is generally considered significant, supporting asthma over fixed obstruction.

Why require both a percentage and an absolute amount?

The percentage alone can exaggerate small changes in people with low baseline FEV₁, so pairing it with a 200 mL minimum keeps the result meaningful.

Does a negative test rule out asthma?

No — asthma is variable, so a single non-reversible test doesn't exclude it. Repeat testing or other measures may still support the diagnosis.

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