Cardiopulmonary Exercise Testing and Other Tests of Functional Capacity

Ferguson, Marissa; Shulman, Mark

doi:10.1007/s40140-021-00499-6

Cited by 8 publications

(7 citation statements)

References 78 publications

(97 reference statements)

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“…This questionnaire was developed from a study on peak oxygen consumption (peak VO 2 ) during a maximal exercise test, therefore it addresses areas of functional capacity affected by heart disease 25 . DASI score < 34 (peak VO 2 17 to 18 mL/kg −1 /min −1 ) can be used to identify patients at high risk of myocardial injury/infarction, moderate to severe postoperative complications, or new postoperative disability 6 . Buendia et al compared the progression of exercise capacity and quality of life of patients able to complete a stress test 2, 6, 12, and 24 months after heart transplantation.…”

Section: Discussionmentioning

confidence: 99%

“…Cardiopulmonary exercise testing is considered the gold standard for assessing functional capacity. Although, its high financial cost makes it inaccessible to most patients 6 . Another frequently used metric is the 6-min walk test, which is a measure of functional capacity that reflects exercise performance and the patient's ability to perform activities of daily living.…”

Section: Introductionmentioning

confidence: 99%

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Aortic pulse wave analysis and functional capacity of heart transplantation candidates: a pilot study

Alcici-Moreira,

Vitarelli,

Velloso

et al. 2024

Sci Rep

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We compared cardiovascular parameters obtained with the Mobil-O-Graph and functional capacity assessed by the Duke Activity Status Index (DASI) before and after Heart Transplantation (HT) and also compared the cardiovascular parameters and the functional capacity of candidates for HT with a control group. Peripheral and central vascular pressures increased after surgery. Similar results were observed in cardiac output and pulse wave velocity. The significant increase in left ventricular ejection fraction (LVEF) postoperatively was not followed by an increase in the functional capacity. 24 candidates for HT and 24 controls were also compared. Functional capacity was significantly lower in the HT candidates compared to controls. Stroke volume, systolic, diastolic, and pulse pressure measured peripherally and centrally were lower in the HT candidates when compared to controls. Despite the significant increase in peripheral and central blood pressures after surgery, the patients were normotensive. The 143.85% increase in LVEF in the postoperative period was not able to positively affect functional capacity. Furthermore, the lower values of LVEF, systolic volume, central and peripheral arterial pressures in the candidates for HT are consistent with the characteristics signs of advanced heart failure, negatively impacting functional capacity, as observed by the lower DASI score.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Aortic pulse wave analysis and functional capacity of heart transplantation candidates: a pilot study

Alcici-Moreira,

Vitarelli,

Velloso

et al. 2024

Sci Rep

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show abstract

“… Establish regular contact with patients and determine whether they are compliant. Utilize existing screening and risk assessment tools to evaluate patients' physical and psychological conditions, barriers that patients may encounter when asked to participate in the program, and solutions to these barriers [ 10 , 42 , 90 , 91 ]. Existing tools are presented in Table 2 .…”

Section: Proposed Solutions To Increase the Uptake Of Prehabilitationmentioning

confidence: 99%

Current landscape and support for practical initiation of oncological prehabilitation translatable to thyroid cancer: A position paper

Jack,

Andritsch,

Joaquim

et al. 2024

Heliyon

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“…Several advantages are provided by smCPET over traditional CPET. First, a submaximal exercise effort is required since it analyzes the oxygen uptake efficiency slope (OUES) to extrapolate reliable estimates of peak METs and peak VO2 [15][16][17] . The OUES predictive capability allows effort-independent estimation of extrapolated peak cardiopulmonary functional reserve, a particular advantage in deconditioned, frail, or functionally limited patient populations.…”

Section: Introductionmentioning

confidence: 99%

An Open-label Clinical Study of Brief Submaximal Cardiopulmonary Testing in Pre-surgical Evaluation: Feasibility of implementation

Carr,

Agarkov,

et al. 2024

Preprint

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Objectives: We tested the logistic feasibility of integrating brief submaximal cardiopulmonary exercise testing (smCPET) in a pre-surgical evaluation (PSE) clinic. Design: Prospective open-label clinical device trial. Setting: Pre-surgical evaluation clinic. Participants: 43 participants who met criteria of i) age > 60 years old, ii) revised cardiac risk index of <2, iii) self-reported metabolic equivalents (METs) of >4.6 (i.e. ability to climb 2 flights of stairs), and iv) presenting for noncardiac surgery. Interventions: Pre-intervention self-reported METs, Duke Activity Status Index (DASI) surveys, smCPET trial, Borg survey of perceived exertion, and post-intervention survey. Measurements: Feasibility endpoints were 1) operational efficiency as measured by length of time of experimental session < 20 minutes, 2) no more than moderate perceived physical exertion as quantified by a modified Borg survey of perceived exertion of <7 in the absence of observed complications, 3) high participant satisfaction with smCPET task execution, represented as a score of >8, and 4) high patient satisfaction with scheduling of smCPET testing, represented as a score of >8. Results: Session time was 16.9 minutes (+/-6.8). Post-test modified Borg survey was 5.35 (+/-1.8), corresponding to moderate perceived exertion. Satisfaction [on a scale of 1 (worst) to 10 (best)] regarding ease of smCPET tasks was 9.6 (+/-0.7) and mean patient satisfaction with smCPET scheduling was 9.5 (+/-1.5). Operational efficiency was achieved after 10-15 experimental sessions. Conclusions: Our findings suggest that smCPET integration in a PSE clinic; 1) is time efficient 2) shows high participant satisfaction with task, and 3) rapidly achieved operational efficiency.

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Cardiopulmonary Exercise Testing and Other Tests of Functional Capacity

Cited by 8 publications

References 78 publications

Aortic pulse wave analysis and functional capacity of heart transplantation candidates: a pilot study

Aortic pulse wave analysis and functional capacity of heart transplantation candidates: a pilot study

Current landscape and support for practical initiation of oncological prehabilitation translatable to thyroid cancer: A position paper

An Open-label Clinical Study of Brief Submaximal Cardiopulmonary Testing in Pre-surgical Evaluation: Feasibility of implementation

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