A clinician's guide to cardiopulmonary exercise testing 1: an introduction

Abstract

Compared to standard exercise tolerance testing, cardiopulmonary exercise testing is a reliable and powerful tool that can be used for risk stratification, exercise prescription and clinical diagnosis.

Low skeletal muscle mass is associated with low aerobic capacity and increased mortality risk in patients with coronary heart disease – a CARE CR study

“…The cardiopulmonary exercise testing adhered to established guidelines and recommendations (American Thoracic Society/ American College of Chest Physicians 2003; Balady et al, 2010;Nichols et al, 2015;Taylor et al, 2015) and was performed using the modified Bruce treadmill protocol (Bruce et al, 1973) (GE Healthcare). A 12-lead ECG was monitored continuously throughout the test.…”

A clinician's guide to cardiopulmonary exercise testing 2: test interpretation

“…The following article is the conclusion to our recently published '...Clinician's Guide to Cardiopulmonary Exercise Testing: Part 1 -An Introduction' (Taylor et al, 2015) summarising the preparatory requirements for cardiopulmonary exercise testing (CPET).…”

2016 Focused Update: Clinical Recommendations for Cardiopulmonary Exercise Testing Data Assessment in Specific Patient Populations

“…6,9,10 Because of an abundance of new CPX research in recent years and a reassessment of the current algorithms in light of the body of evidence, a focused update to the 2012 scientific statement is now warranted. The purposes of this update are to confirm algorithms included in the initial scientific statement not requiring revision, to propose revisions to algorithms included in the initial scientific statement, to propose new algorithms based on emerging scientific evidence, to further clarify the application of oxygen consumption (V ⋅ o 2 ) at ventilatory threshold (VT), to describe CPX variables with an emerging scientific evidence base, to describe the synergistic value of combining CPX with other assessments, to discuss personnel considerations for CPX laboratories, and to provide recommendations for future CPX research.…”