Exercise Testing in Patients with Pulmonary Hypertension
Pulmonary hypertension (PH), defined by a mean pulmonary artery pressure of >20 mm Hg, often presents with non-specific symptoms such as dyspnea and exercise intolerance, making it difficult to diagnose early before the onset of right heart dysfunction. Therefore, exercise testing can be of great...
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| Veröffentlicht in: | Journal of clinical medicine 2024-01, Vol.13 (3), p.795 |
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| creator | Vaidy, Anika Vahdatpour, Cyrus A Mazurek, Jeremy |
| description | Pulmonary hypertension (PH), defined by a mean pulmonary artery pressure of >20 mm Hg, often presents with non-specific symptoms such as dyspnea and exercise intolerance, making it difficult to diagnose early before the onset of right heart dysfunction. Therefore, exercise testing can be of great utility for clinicians who are evaluating patients with an unclear etiology of exercise intolerance by helping identify the underlying mechanisms of their disease. The presence of PH is associated with adverse clinical outcomes, with distinct differences and patterns in the cardiovascular and ventilatory responses to exercise across various PH phenotypes. We discuss the role of exercise-invasive hemodynamic testing, cardiopulmonary exercise testing, and exercise stress echocardiography modalities across the spectrum of PH. |
| doi_str_mv | 10.3390/jcm13030795 |
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Therefore, exercise testing can be of great utility for clinicians who are evaluating patients with an unclear etiology of exercise intolerance by helping identify the underlying mechanisms of their disease. The presence of PH is associated with adverse clinical outcomes, with distinct differences and patterns in the cardiovascular and ventilatory responses to exercise across various PH phenotypes. We discuss the role of exercise-invasive hemodynamic testing, cardiopulmonary exercise testing, and exercise stress echocardiography modalities across the spectrum of PH.</description><identifier>ISSN: 2077-0383</identifier><identifier>EISSN: 2077-0383</identifier><identifier>DOI: 10.3390/jcm13030795</identifier><identifier>PMID: 38337493</identifier><language>eng</language><publisher>Switzerland: MDPI AG</publisher><subject>Analysis ; Care and treatment ; Complications and side effects ; Dyspnea ; Exercise tests ; Heart failure ; Hemodynamics ; Medical screening ; Methods ; Patients ; Phenotype ; Pulmonary arteries ; Pulmonary hypertension ; Veins & arteries</subject><ispartof>Journal of clinical medicine, 2024-01, Vol.13 (3), p.795</ispartof><rights>COPYRIGHT 2024 MDPI AG</rights><rights>2024 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). 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Therefore, exercise testing can be of great utility for clinicians who are evaluating patients with an unclear etiology of exercise intolerance by helping identify the underlying mechanisms of their disease. The presence of PH is associated with adverse clinical outcomes, with distinct differences and patterns in the cardiovascular and ventilatory responses to exercise across various PH phenotypes. We discuss the role of exercise-invasive hemodynamic testing, cardiopulmonary exercise testing, and exercise stress echocardiography modalities across the spectrum of PH.</description><subject>Analysis</subject><subject>Care and treatment</subject><subject>Complications and side effects</subject><subject>Dyspnea</subject><subject>Exercise tests</subject><subject>Heart failure</subject><subject>Hemodynamics</subject><subject>Medical screening</subject><subject>Methods</subject><subject>Patients</subject><subject>Phenotype</subject><subject>Pulmonary arteries</subject><subject>Pulmonary hypertension</subject><subject>Veins & arteries</subject><issn>2077-0383</issn><issn>2077-0383</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNptkU1LxDAQhoMo7qKevEvBiyCrSZN0kqMsfoGgBz2XNpmuWdp0TVrUf28Wv8WZwwzDM8PLvITsM3rCuaanS9MxTjkFLTfINKcAM8oV3_zRT8hejEuaQimRM9gmkzTlIDSfEnX-gsG4iNk9xsH5ReZ8dlcNDv0Qs2c3PGZ3Y9v1vgqv2dXrCsOAPrre75Ktpmoj7n3UHfJwcX4_v5rd3F5ez89uZoaDHmYFZ401DTUVMM3qwjRYAdQCco6CWmsViFpJm9sCQGmlbKE1KlFTEFJJ5Dvk6P3uKvRPY9JYdi4abNvKYz_GMte5pFxIEAk9_IMu-zH4pG5NcS1ZAeqbWlQtls43_RAqsz5anoHKqWZcykSd_EOltNg503tsXJr_Wjh-XzChjzFgU66C69LXSkbLtVXlD6sSffAhdaw7tF_spzH8DSoaiyw</recordid><startdate>20240130</startdate><enddate>20240130</enddate><creator>Vaidy, Anika</creator><creator>Vahdatpour, Cyrus A</creator><creator>Mazurek, Jeremy</creator><general>MDPI AG</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20240130</creationdate><title>Exercise Testing in Patients with Pulmonary Hypertension</title><author>Vaidy, Anika ; 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Therefore, exercise testing can be of great utility for clinicians who are evaluating patients with an unclear etiology of exercise intolerance by helping identify the underlying mechanisms of their disease. The presence of PH is associated with adverse clinical outcomes, with distinct differences and patterns in the cardiovascular and ventilatory responses to exercise across various PH phenotypes. We discuss the role of exercise-invasive hemodynamic testing, cardiopulmonary exercise testing, and exercise stress echocardiography modalities across the spectrum of PH.</abstract><cop>Switzerland</cop><pub>MDPI AG</pub><pmid>38337493</pmid><doi>10.3390/jcm13030795</doi><oa>free_for_read</oa></addata></record> |
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| source | MDPI - Multidisciplinary Digital Publishing Institute; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; PubMed Central Open Access |
| subjects | Analysis Care and treatment Complications and side effects Dyspnea Exercise tests Heart failure Hemodynamics Medical screening Methods Patients Phenotype Pulmonary arteries Pulmonary hypertension Veins & arteries |
| title | Exercise Testing in Patients with Pulmonary Hypertension |
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