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In this issue, Hart et al. 1 describe a new respiratory muscle endurance test that could greatly impact the understanding of clinical respiratory muscle biology in a variety of patient groups. In a post-genomic era, in which breakthroughs in both the understanding of diseases at a molecular level and the treatments based on designer molecules occur daily, why should this warrant news?Look to the cardiologists. Cardiologists do not hesitate to consider developing aggressive treatment options (as ambitious as gene therapy or stem cell implantation) to combat the influence of hypertension or cardiac failure. These approaches are considered even though ventricular muscle disease does not represent the underlying cause of the disorder. Pulmonologists have traditionally been much more conservative. Their research and treatment modalities have focused exclusively on the underlying pathology of the lung, even …

A breakthrough in the functional evaluation of the inspiratory muscle pump