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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Main Authors: Pierantonio Laveneziana, Marcello Di Paolo, Paolo Palange
Format: Article
Language:English
Published: European Respiratory Society 2021-01-01
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.
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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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