scholarly journals Cardiopulmonary exercise testing in clinical practice

2021 ◽  
Vol 3 (2) ◽  
pp. 58-70
Author(s):  
Oleg B. Kerbikov ◽  
Alexander V. Averyanov ◽  
Ekaterina N. Borskaya ◽  
Tamara V. Krutova
Keyword(s):  
Clinical Practice ◽  
Exercise Testing ◽  
Mitochondrial Myopathy ◽  
Lung Diseases ◽  
Pulmonary Resection ◽  
Cardiopulmonary Exercise Testing ◽  
Skeletal Muscle Fiber ◽  
Testing Methods ◽  
Cardiopulmonary Exercise ◽  
Physiological Values

The review is dedicated to the use of the cardiopulmonary exercise testing (CPET) in clinical practice. Main modes of CPET, most popular protocols and testing methods are discussed in details. Ample space is dedicated to main parameters measuring during CPET, their physiological values and changes in different pathological states. Main indications for CPET are presented and special attention is given to the use of CPET in chronic heart failure, apnea, lung diseases, skeletal muscle fiber and mitochondrial myopathy, rehabilitation. Emerging applications of CPET like congenital heart disease, pulmonary resection and several other are also discussed.

scholarly journals Standardisation of cardiopulmonary exercise testing in chronic lung diseases: summary of key findings from the ERS task force

2019 ◽  
Vol 54 (6) ◽  
pp. 1901441 ◽  
Author(s):  
Thomas Radtke ◽  
Ioannis Vogiatzis ◽  
Don S. Urquhart ◽  
Pierantonio Laveneziana ◽  
Richard Casaburi ◽  
...  
Keyword(s):  
Exercise Testing ◽  
Lung Diseases ◽  
Task Force ◽  
Cardiopulmonary Exercise Testing ◽  
Cardiopulmonary Exercise ◽  
Chronic Lung Diseases

Cardiopulmonary Exercise Testing in Clinical Practice

Cardiology ◽  
1987 ◽  
Vol 74 (1) ◽  
pp. 62-70 ◽  
Author(s):  
Karl T. Weber ◽  
Joseph S. Janicki ◽  
Patricia A. McElroy ◽  
Carol S. Maskin
Keyword(s):  
Clinical Practice ◽  
Exercise Testing ◽  
Cardiopulmonary Exercise Testing ◽  
Cardiopulmonary Exercise

Value of cardiopulmonary exercise testing in interstitial lung diseases

2018 ◽  
Author(s):  
Gonçalo António Cintrão Samouco ◽  
Rebeca Natal ◽  
João Costa ◽  
Andreia Filipa Carriço ◽  
Ana Filipa Fernandes ◽  
...  
Keyword(s):  
Exercise Testing ◽  
Lung Diseases ◽  
Cardiopulmonary Exercise Testing ◽  
Interstitial Lung Diseases ◽  
Cardiopulmonary Exercise

Cardiopulmonary Exercise Testing Predicting Postoperative Morbidity in Patients with Pulmonary Resection

2020 ◽  
Author(s):  
Carolina España Dominguez ◽  
María Morales González ◽  
Alfonso Marín Andreu ◽  
Aurelio Arnedillo Muñoz ◽  
Isabel Muñoz Ramírez
Keyword(s):  
Exercise Testing ◽  
Postoperative Morbidity ◽  
Pulmonary Resection ◽  
Cardiopulmonary Exercise Testing ◽  
Cardiopulmonary Exercise

scholarly journals ERS statement on standardisation of cardiopulmonary exercise testing in chronic lung diseases

2019 ◽  
Vol 28 (154) ◽  
pp. 180101 ◽  
Author(s):  
Thomas Radtke ◽  
Sarah Crook ◽  
Georgios Kaltsakas ◽  
Zafeiris Louvaris ◽  
Danilo Berton ◽  
...  
Keyword(s):  
Exercise Testing ◽  
Lung Diseases ◽  
Cardiopulmonary Exercise Testing ◽  
Work Rate ◽  
Cochrane Library ◽  
Future Research ◽  
Test Protocol ◽  
Cardiopulmonary Exercise ◽  
Chronic Lung Diseases ◽  
Multicentre Research

The objective of this document was to standardise published cardiopulmonary exercise testing (CPET) protocols for improved interpretation in clinical settings and multicentre research projects. This document: 1) summarises the protocols and procedures used in published studies focusing on incremental CPET in chronic lung conditions; 2) presents standard incremental protocols for CPET on a stationary cycle ergometer and a treadmill; and 3) provides patients' perspectives on CPET obtained through an online survey supported by the European Lung Foundation. We systematically reviewed published studies obtained from EMBASE, Medline, Scopus, Web of Science and the Cochrane Library from inception to January 2017. Of 7914 identified studies, 595 studies with 26 523 subjects were included. The literature supports a test protocol with a resting phase lasting at least 3 min, a 3-min unloaded phase, and an 8- to 12-min incremental phase with work rate increased linearly at least every minute, followed by a recovery phase of at least 2–3 min. Patients responding to the survey (n=295) perceived CPET as highly beneficial for their diagnostic assessment and informed the Task Force consensus. Future research should focus on the individualised estimation of optimal work rate increments across different lung diseases, and the collection of robust normative data.

scholarly journals Challenges in Implementing Routine Cardiopulmonary Exercise Testing in Cystic Fibrosis Clinical Practice: a Single-Centre Review

2020 ◽  
Vol 2 (3) ◽  
pp. 327-331
Author(s):  
Owen William Tomlinson ◽  
Jayne Trott ◽  
Craig Anthony Williams ◽  
Nicholas John Withers ◽  
Patrick John Oades
Keyword(s):  
Cystic Fibrosis ◽  
Clinical Practice ◽  
Exercise Testing ◽  
Cardiopulmonary Exercise Testing ◽  
Single Centre ◽  
Cardiopulmonary Exercise

scholarly journals Cardiopulmonary exercise testing in interstitial lung diseases and the value of ventilatory efficiency

2021 ◽  
Vol 30 (162) ◽  
pp. 200355
Author(s):  
Thomas Gille ◽  
Pierantonio Laveneziana
Keyword(s):  
Exercise Testing ◽  
Lung Diseases ◽  
Pulmonary Function Tests ◽  
Cardiopulmonary Exercise Testing ◽  
Interstitial Lung Diseases ◽  
Prognostic Information ◽  
Ventilatory Efficiency ◽  
Cardiopulmonary Exercise ◽  
Peripheral Muscle ◽  
Exercise Adaptation

Interstitial lung diseases (ILDs) are diverse parenchymal pulmonary disorders, primarily characterised by alveolar and interstitial inflammation and/or fibrosis, and sharing pathophysiological similarities. Thus, patients generally harbour common respiratory symptoms, lung function abnormalities and modified exercise adaptation. The most usual and disabling complaint is exertional dyspnoea, frequently responsible for premature exercise interruption. Cardiopulmonary exercise testing (CPET) is increasingly used for the clinical assessment of patients with ILD. This is because exercise performance or dyspnoea on exertion cannot reliably be predicted by resting pulmonary function tests. CPET, therefore, provides an accurate evaluation of functional capacity on an individual basis. CPET can unmask anomalies in the integrated functions of the respiratory, cardiovascular, metabolic, peripheral muscle and neurosensory systems in ILDs. CPET uniquely provides an evaluation of all above aspects and can help clinicians shape ILD patient management. Preliminary evidence suggests that CPET may also generate valuable prognostic information in ILDs and can be used to shed light on the presence of associated pulmonary hypertension. This review aims to provide comprehensive and updated evidence concerning the clinical utility of CPET in ILD patients, with particular focus on the physiological and clinical value of ventilatory efficiency (V˙E/V˙CO2).

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