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EasyRespiratoryChronic obstructive pulmonary disease diagnosisau-amcau-racgpau-racp

A 66-year-old former smoker (40 pack-years) has chronic cough and exertional dyspnoea. Spirometry shows FEV1/FVC ratio 0.58 post-bronchodilator, FEV1 60% predicted. According to the COPD-X Plan, what is the key criterion for the diagnosis of chronic obstructive pulmonary disease?

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