Crackles: recording, analysis and clinical significance

Eur Respir J. 1995 Dec;8(12):2139-48. doi: 10.1183/09031936.95.08122139.

Abstract

Crackles are short interrupted breath sounds usually associated with pulmonary disorders. According to present opinion, a crackle is generated when an abnormally closed airway opens during inspiration or closes at the end of expiration. The timing of crackles in breathing cycles can be assessed with phonopneumography, their duration with time-expanded waveform analysis, and their pitch with analysis of frequency spectra. The timing, pitch and waveform of crackles are different in pulmonary disorders reflecting different pulmonary pathophysiology. This review deals with the genesis, auscultation, recording and analysis of crackles, with an emphasis on modern signal-processing methods.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Asbestosis / diagnosis
  • Auscultation
  • Bronchiectasis / diagnosis
  • Heart Failure / diagnosis
  • Humans
  • Lung Diseases, Obstructive / diagnosis
  • Pneumonia / diagnosis
  • Pulmonary Fibrosis / diagnosis
  • Respiratory Sounds / classification
  • Respiratory Sounds / diagnosis*
  • Respiratory Sounds / etiology
  • Sarcoidosis, Pulmonary / diagnosis
  • Signal Processing, Computer-Assisted