The clinical value of cardiopulmonary exercise testing in the modern era
Cardiopulmonary exercise testing (CPET) has long been used as diagnostic tool for cardiac diseases. During recent years CPET has been proven to be additionally useful for 1) distinguishing between normal and abnormal responses to exercise; 2) determining peak oxygen uptake and level of disability; 3...
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Format: | Article |
Language: | English |
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European Respiratory Society
2021-01-01
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Series: | European Respiratory Review |
Online Access: | http://err.ersjournals.com/content/30/159/200187.full |
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author | Pierantonio Laveneziana Marcello Di Paolo Paolo Palange |
author_facet | Pierantonio Laveneziana Marcello Di Paolo Paolo Palange |
author_sort | Pierantonio Laveneziana |
collection | DOAJ |
description | Cardiopulmonary exercise testing (CPET) has long been used as diagnostic tool for cardiac diseases. During recent years CPET has been proven to be additionally useful for 1) distinguishing between normal and abnormal responses to exercise; 2) determining peak oxygen uptake and level of disability; 3) identifying factors contributing to dyspnoea and exercise limitation; 4) differentiating between ventilatory (respiratory mechanics and pulmonary gas exchange), cardiovascular, metabolic and peripheral muscle causes of exercise intolerance; 5) identifying anomalies of ventilatory (respiratory mechanics and pulmonary gas exchange), cardiovascular and metabolic systems, as well as peripheral muscle and psychological disorders; 6) screening for coexistent ischaemic heart disease, peripheral vascular disease and arterial hypoxaemia; 7) assisting in planning individualised exercise training; 8) generating prognostic information; and 9) objectively evaluating the impact of therapeutic interventions.
As such, CPET is an essential part of patients' clinical assessment. This article belongs to the special series on the “Ventilatory efficiency and its clinical prognostic value in cardiorespiratory disorders”, addressed to clinicians, physiologists and researchers, and aims at encouraging them to get acquainted with CPET in order to help and orient the clinical decision concerning individual patients. |
first_indexed | 2024-12-20T03:30:25Z |
format | Article |
id | doaj.art-91a6dfcf22fc4114ae395cdcee7546ff |
institution | Directory Open Access Journal |
issn | 0905-9180 1600-0617 |
language | English |
last_indexed | 2024-12-20T03:30:25Z |
publishDate | 2021-01-01 |
publisher | European Respiratory Society |
record_format | Article |
series | European Respiratory Review |
spelling | doaj.art-91a6dfcf22fc4114ae395cdcee7546ff2022-12-21T19:54:59ZengEuropean Respiratory SocietyEuropean Respiratory Review0905-91801600-06172021-01-013015910.1183/16000617.0187-20200187-2020The clinical value of cardiopulmonary exercise testing in the modern eraPierantonio Laveneziana0Marcello Di Paolo1Paolo Palange2 Sorbonne Université, INSERM, UMRS1158 Neurophysiologie Respiratoire Expérimentale et Clinique, F-75005, Paris, France Dept of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy Dept of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy Cardiopulmonary exercise testing (CPET) has long been used as diagnostic tool for cardiac diseases. During recent years CPET has been proven to be additionally useful for 1) distinguishing between normal and abnormal responses to exercise; 2) determining peak oxygen uptake and level of disability; 3) identifying factors contributing to dyspnoea and exercise limitation; 4) differentiating between ventilatory (respiratory mechanics and pulmonary gas exchange), cardiovascular, metabolic and peripheral muscle causes of exercise intolerance; 5) identifying anomalies of ventilatory (respiratory mechanics and pulmonary gas exchange), cardiovascular and metabolic systems, as well as peripheral muscle and psychological disorders; 6) screening for coexistent ischaemic heart disease, peripheral vascular disease and arterial hypoxaemia; 7) assisting in planning individualised exercise training; 8) generating prognostic information; and 9) objectively evaluating the impact of therapeutic interventions. As such, CPET is an essential part of patients' clinical assessment. This article belongs to the special series on the “Ventilatory efficiency and its clinical prognostic value in cardiorespiratory disorders”, addressed to clinicians, physiologists and researchers, and aims at encouraging them to get acquainted with CPET in order to help and orient the clinical decision concerning individual patients.http://err.ersjournals.com/content/30/159/200187.full |
spellingShingle | Pierantonio Laveneziana Marcello Di Paolo Paolo Palange The clinical value of cardiopulmonary exercise testing in the modern era European Respiratory Review |
title | The clinical value of cardiopulmonary exercise testing in the modern era |
title_full | The clinical value of cardiopulmonary exercise testing in the modern era |
title_fullStr | The clinical value of cardiopulmonary exercise testing in the modern era |
title_full_unstemmed | The clinical value of cardiopulmonary exercise testing in the modern era |
title_short | The clinical value of cardiopulmonary exercise testing in the modern era |
title_sort | clinical value of cardiopulmonary exercise testing in the modern era |
url | http://err.ersjournals.com/content/30/159/200187.full |
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