Cardiopulmonary exercise testing in clinical practice: Principles, applications, and basic interpretation

被引：1

作者：

Dores, Helder ^{[1
,2
,3
]}

Mendes, Miguel ^{[4
]}

Abreu, Ana ^{[5
,6
,7
,8
,9
,10
]}

Durazzo, Anai ^{[4
]}

Rodrigues, Cidalia ^{[11
]}

Vilela, Eduardo ^{[12
]}

Cunha, Goncalo ^{[4
]}

Pereira, Jose Gomes ^{[13
,14
,15
]}

Bento, Luisa ^{[16
]}

Moreno, Luis ^{[17
,18
]}

Dinis, Paulo ^{[19
,20
]}

Amorim, Sandra ^{[21
,22
]}

Clemente, Susana ^{[23
,24
]}

Santos, Mario ^{[25
,26
,27
,28
]}

机构：

[1] Hosp Luz, Dept Cardiol, Lisbon, Portugal

[2] NOVA Med Sch, CHRC, Lisbon, Portugal

[3] NOVA Med Sch, Lisbon, Portugal

[4] Ctr Hosp Lisboa Ocidental, Hosp Santa Cruz, Dept Cardiol, Lisbon, Portugal

[5] Univ Lisbon, Cardiovasc Rehabil Ctr, Dept Cardiol, Hosp Santa Maria,Ctr Hosp Lisboa Norte,CHULN Fac M, Lisbon, Portugal

[6] CHULN, Hosp Santa Maria, Ergometry Dept, Dept Cardiol, Lisbon, Portugal

[7] Inst Saude Ambiental, ISAMB, FMUL Lab Associado Terra, Lisbon, Portugal

[8] FMUL, Inst Med Prevent & Saude Publ, IMPSP, Lisbon, Portugal

[9] FMUL, IMN, Lisbon, Portugal

[10] Univ Lisbon, Cardiovasc Ctr, CCUL, Ctr Acad Med,CAML, Lisbon, Portugal

[11] Ctr Hosp & Univ Coimbra, Dept Pulmonol, Coimbra, Portugal

[12] Dept Cardiol, Unidade Local Saude Gaia Espinho, Vila Nova De Gaia, Portugal

[13] Univ Lisbon, Fac Motricidade Humana, Oeiras, Portugal

[14] Com Olimpico Portugal, Lisbon, Portugal

[15] Desporsano Sports Clin, Lisbon, Portugal

[16] Hosp Garcia de Orta, Almada, Portugal

[17] Exercito Portugues, Regimento Comandos, Belas, Portugal

[18] Hosp CUF Tejo, Lisbon, Portugal

[19] Ctr Hosp & Univ Coimbra, Dept Cardiol, Coimbra, Portugal

[20] Exercito Portugues, Ctr Saude Mil Coimbra, Coimbra, Portugal

[21] Ctr Hosp Univ Sao Joao, Porto, Portugal

[22] Univ Porto, Fac Med, Porto, Portugal

[23] Hosp Luz, Dept Pulmonol, Lisbon, Portugal

[24] Hosp Beatriz Angelo, Dept Pulmonol, Loures, Portugal

[25] Ctr Hosp Univ Santo Antonio, Pulm Vasc Dis Unit, Dept Cardiol, Porto, Portugal

[26] Ctr Hosp Univ Santo Antonio, CAC, ICBAS, CHP, Porto, Portugal

[27] Univ Porto, ICBAS Sch Med & Biomed Sci, Dept Immunophysiol & Pharmacol, UMB Unit Multidisciplinary Res Biomed, Porto, Portugal

[28] ITR Lab Integrat & Translat Res Populat Hlth, Porto, Portugal

来源：

REVISTA PORTUGUESA DE CARDIOLOGIA | 2024年 / 43卷 / 09期

关键词：

Cardiopulmonary exercise testing; Indications; Applications; Interpretation; Cardiovascular; Oxygen consumption; SCIENTIFIC STATEMENT; HEART-FAILURE; TEST SCORE; MANAGEMENT; MECHANISMS; DYSPNEA; SOCIETY; UPDATE; GUIDE;

D O I：

10.1016/j.repc.2024.01.005

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiopulmonary exercise testing (CPET) provides a noninvasive and integrated assessment of the response of the respiratory, cardiovascular, and musculoskeletal systems to exercise. This information improves the diagnosis, risk stratification, and therapeutic management of several clinical conditions. Additionally, CPET is the gold standard test for cardiorespiratory fitness quantification and exercise prescription, both in patients with cardiopulmonary disease undergoing cardiac or pulmonary rehabilitation programs and in healthy individuals, such as high-level athletes. In this setting, the relevance of practical knowledge about this exam is useful and of interest to several medical specialties other than cardiology. However, despite its multiple established advantages, CPET remains underused. This article aims to increase awareness of the value of CPET in clinical practice and to inform clinicians about its main indications, applications, and basic interpretation. (c) 2024 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espana, a, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync-nd/4.0/).

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页码：525 / 536

页数：12

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