Cardiopulmonary exercise testing and its application
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...
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Veröffentlicht in: | Heart (British Cardiac Society) 2007-11, Vol.83 (985), p.675-1292 |
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description | 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. |
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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.</description><identifier>ISSN: 0032-5473</identifier><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1469-0756</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/hrt.2007.121558</identifier><identifier>PMID: 17989266</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>anaerobic threshold ; Biological and medical sciences ; Cardiology. Vascular system ; cardiopulmonary exercise testing ; Decision making ; Exercise ; exercise physiology ; Exercise Test ; Exercise Tolerance ; Fitness equipment ; General aspects ; heart failure ; Heart Failure - diagnosis ; Heart rate ; Humans ; Medical sciences ; Metabolism ; Musculoskeletal system ; Oxygen ; Oxygen Consumption - physiology ; Patients ; Physical fitness ; Prevention and actions ; Prognosis ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Pulmonary Gas Exchange - physiology ; Respiration Disorders - diagnosis ; Stroke ; Technology and Guidelines ; Workloads</subject><ispartof>Heart (British Cardiac Society), 2007-11, Vol.83 (985), p.675-1292</ispartof><rights>2007 The Fellowship of Postgraduate Medicine</rights><rights>2007 INIST-CNRS</rights><rights>Copyright: 2007 2007 BMJ Publishing Group and British Cardiac Society</rights><rights>Copyright: 2007 2007 The Fellowship of Postgraduate Medicine</rights><rights>Copyright © 2007 The Fellowship of Postgraduate Medicine</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b7248-f0c70210901f84cae1d53818c6c6decdc0a8b9085adbe8a903ba943802ec82763</citedby><cites>FETCH-LOGICAL-b7248-f0c70210901f84cae1d53818c6c6decdc0a8b9085adbe8a903ba943802ec82763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://pmj.bmj.com/content/83/985/675.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://pmj.bmj.com/content/83/985/675.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,230,314,727,780,784,885,3196,23571,27924,27925,53791,53793,77600,77631</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19060465$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=19218535$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17989266$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Albouaini, Khaled</creatorcontrib><creatorcontrib>Egred, Mohaned</creatorcontrib><creatorcontrib>Alahmar, Albert</creatorcontrib><creatorcontrib>Wright, David Justin</creatorcontrib><title>Cardiopulmonary exercise testing and its application</title><title>Heart (British Cardiac Society)</title><addtitle>Heart</addtitle><description>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.</description><subject>anaerobic threshold</subject><subject>Biological and medical sciences</subject><subject>Cardiology. Vascular system</subject><subject>cardiopulmonary exercise testing</subject><subject>Decision making</subject><subject>Exercise</subject><subject>exercise physiology</subject><subject>Exercise Test</subject><subject>Exercise Tolerance</subject><subject>Fitness equipment</subject><subject>General aspects</subject><subject>heart failure</subject><subject>Heart Failure - diagnosis</subject><subject>Heart rate</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Metabolism</subject><subject>Musculoskeletal system</subject><subject>Oxygen</subject><subject>Oxygen Consumption - physiology</subject><subject>Patients</subject><subject>Physical fitness</subject><subject>Prevention and actions</subject><subject>Prognosis</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Pulmonary Gas Exchange - physiology</subject><subject>Respiration Disorders - diagnosis</subject><subject>Stroke</subject><subject>Technology and Guidelines</subject><subject>Workloads</subject><issn>0032-5473</issn><issn>1355-6037</issn><issn>1469-0756</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqN0rtvFDEQB2ALgcgRqOnQSggKpL2M33YTCV14SREUQIo0ltfrTXzsC3sXhf8en_aUAM2lcjGfR57xD6HnGNYYU3FyHac1AZBrTDDn6gFaYSZ0CZKLh2gFQEnJmaRH6ElKWwBMJcOP0RGWWmkixAqxjY11GMa57Ybext-Fv_HRheSLyacp9FeF7esiTKmw49gGZ6cw9E_Ro8a2yT_bn8fo-_t33zYfy_MvHz5t3p6XlSRMlQ04CQSDBtwo5qzHNacKKyecqL2rHVhVaVDc1pVXVgOtrGZUAfFOESnoMTpd-o5z1fna-X6KtjVjDF1-qhlsMP9W-nBtroZfhkjKGCO5wet9gzj8nPNApgvJ-ba1vR_mZIRiSgmt7gEpMM31QUggr1gwcR8IlCmc4cv_4HaYY5_3arBUWFChKTugQOTfVLsxThbl4pBS9M3trjCYXWBMDozZBcYsgck3Xvy94ju_T0gGr_bAJmfbJto-x-POaYIVp_ywAwFM7Fy5uJAmf3Nbt_GHEZJKbj5fbIwg8vLs7OKrucz-zeKrbntwmj-CPvAy</recordid><startdate>200711</startdate><enddate>200711</enddate><creator>Albouaini, Khaled</creator><creator>Egred, Mohaned</creator><creator>Alahmar, Albert</creator><creator>Wright, David Justin</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>Oxford University Press</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7TS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>200711</creationdate><title>Cardiopulmonary exercise testing and its application</title><author>Albouaini, Khaled ; Egred, Mohaned ; Alahmar, Albert ; Wright, David Justin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b7248-f0c70210901f84cae1d53818c6c6decdc0a8b9085adbe8a903ba943802ec82763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>anaerobic threshold</topic><topic>Biological and medical sciences</topic><topic>Cardiology. Vascular system</topic><topic>cardiopulmonary exercise testing</topic><topic>Decision making</topic><topic>Exercise</topic><topic>exercise physiology</topic><topic>Exercise Test</topic><topic>Exercise Tolerance</topic><topic>Fitness equipment</topic><topic>General aspects</topic><topic>heart failure</topic><topic>Heart Failure - diagnosis</topic><topic>Heart rate</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Metabolism</topic><topic>Musculoskeletal system</topic><topic>Oxygen</topic><topic>Oxygen Consumption - physiology</topic><topic>Patients</topic><topic>Physical fitness</topic><topic>Prevention and actions</topic><topic>Prognosis</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Pulmonary Gas Exchange - physiology</topic><topic>Respiration Disorders - diagnosis</topic><topic>Stroke</topic><topic>Technology and Guidelines</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Albouaini, Khaled</creatorcontrib><creatorcontrib>Egred, Mohaned</creatorcontrib><creatorcontrib>Alahmar, Albert</creatorcontrib><creatorcontrib>Wright, David Justin</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>Physical Education Index</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Albouaini, Khaled</au><au>Egred, Mohaned</au><au>Alahmar, Albert</au><au>Wright, David Justin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiopulmonary exercise testing and its application</atitle><jtitle>Heart (British Cardiac Society)</jtitle><addtitle>Heart</addtitle><date>2007-11</date><risdate>2007</risdate><volume>83</volume><issue>985</issue><spage>675</spage><epage>1292</epage><pages>675-1292</pages><issn>0032-5473</issn><issn>1355-6037</issn><eissn>1469-0756</eissn><eissn>1468-201X</eissn><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. 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subjects | anaerobic threshold Biological and medical sciences Cardiology. Vascular system cardiopulmonary exercise testing Decision making Exercise exercise physiology Exercise Test Exercise Tolerance Fitness equipment General aspects heart failure Heart Failure - diagnosis Heart rate Humans Medical sciences Metabolism Musculoskeletal system Oxygen Oxygen Consumption - physiology Patients Physical fitness Prevention and actions Prognosis Public health. Hygiene Public health. Hygiene-occupational medicine Pulmonary Gas Exchange - physiology Respiration Disorders - diagnosis Stroke Technology and Guidelines Workloads |
title | Cardiopulmonary exercise testing and its application |
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