ABSTRACT

The natural history of chronic obstructive pulmonary disease (COPD) is character-

ized by slowly progressive limitation of expiratory airflow. This can be well assessed

by simple spirometry and only two parameters, the FEV1 and the FVC, need to be

measured to obtain almost all the useful information available. Variations in natural

history are probably related to differences in the dose and influence of various risk

factors.