Cardiopulmonary exercise testing and its application - PubMed (original) (raw)

Review

Cardiopulmonary exercise testing and its application

Khaled Albouaini et al. Postgrad Med J. 2007 Nov.

Abstract

Cardiopulmonary exercise testing (CPET) has become an important clinical tool to evaluate exercise capacity and predict outcome in patients with heart failure and other cardiac conditions. It provides assessment of the integrative exercise responses involving the pulmonary, cardiovascular and skeletal muscle systems, which are not adequately reflected through the measurement of individual organ system function. CPET is being used increasingly in a wide spectrum of clinical applications for evaluation of undiagnosed exercise intolerance and for objective determination of functional capacity and impairment. This review focuses on the exercise physiology and physiological basis for functional exercise testing and discusses the methodology, indications, contraindications and interpretation of CPET in normal people and in patients with heart failure.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest: None declared.

Figures

References

    1. ATS/ACCP statement on cardiopulmonary exercise testing Am J Respir Care Med. 2003;167:211–277. -PubMed
    1. Dennis C. Rehabilitation of patients with coronary artery disease. In: Braunwald E, ed. Heart disease, a textbook of cardiovascular medicine. 4th ed. Philadelphia: Saunders, 19921382
    1. Brooks G A. Anaerobic threshold: review of the concept and directions for future research. Med Sci Sports Exerc 19851722–34. -PubMed
    1. Simonton C A, Higginbotham M B, Cobb F R. The ventilatory threshold: quantitative analysis of reproducibility and relation to arterial lactate concentrations in normal subjects and in patients in congestive heart failure. Am J Cardiol 198862100–107. -PubMed
    1. Matsumura N, Nishijima H, Kojima S et a l. Determination of anaerobic threshold for assessment of functional state in patients with congestive heart failure. Circulation 198368360–367. -PubMed

Publication types

MeSH terms

LinkOut - more resources