A thousand words about the cardiopulmonary exercise test in respiratory system diseases: Cardiopulmonary exercise test in respiratory system diseases

Jacek Tarchalski; Tomasz Piorunek; Przemysław Guzik

doi:10.20883/jms.349

Authors

Jacek Tarchalski Department of Cardiology‑Intensive Therapy, Poznan University of Medical Sciences, Poland https://orcid.org/0000-0002-2873-0406
Tomasz Piorunek Department of Pulmonology, Allergology and Respiratory Oncology, Poznan University of Medical Sciences, Poland https://orcid.org/0000-0002-2257-4967
Przemysław Guzik Department of Cardiology‑Intensive Therapy, Poznan University of Medical Sciences, Poland https://orcid.org/0000-0001-9052-5027

DOI:

https://doi.org/10.20883/jms.349

Keywords:

respiratory diseases, cardiopulmonary exercise test, VCO2, VO2

Abstract

The cardiopulmonary exercise test (CPET) is designed to measure some physiological variables related to the function of the cardiovascular and respiratory systems during exercise. Usually, the CPET is performed either on a treadmill or a cycle ergometer. In this mini‑review, we describe a set of parameters which are most commonly used to quantify CPET. We also summarize clinical indications for this test and interpretation of the obtained results in patients with respiratory system diseases. The CPET, if made appropriately, may deliver valuable information helpful in the diagnosis, e.g., of unexplained dyspnea, and prognosis, e.g., in chronic obturatory pulmonary disease, pulmonary hypertension, or interstitial lung diseases.

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References

Wasserman K, Hansen JE, Sue DY, Stringer WW, Sietsema KE, Sun X‑G. Principles of Exercise Testing and Interpretation: Including Pathophysiology and Clinical Applications. Fifth Edition; LWW; 2011.

Kinnear W, Blakey J. A Practical Guide to the Interpretation of Cardiopulmonary Exercise Tests. Oxford University Press; 2014.

ATS/ACCP Statement on cardiopulmonary exercise testing. Am J Respir Crit Care Med. 2003;167:211–77.

Kowalska M, Fehlau M, Cymerys M, Guzik P. A thousand words about running fitness tests. JMS. 2019. Ahead of print, doi: https://doi.org/10.20883/jms.344.

Guazzi M, Adams V, Conraads V, Halle M, Mezzani A, Vanhees L, et al. Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations. Eur Heart J. 2012;33:2917–2927.

Guazzi M, Arena R, Halle M, Piepoli MF, Myers J, Lavie CJ. 2016 focused update: clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations. Circulation. 2016;133:e694-e711.

Guazzi M. How to interpret cardiopulmonary exercise tests. Heart Metab. 2014;64:31–36.

Arena R, Sietsema KE. Cardiopulmonary exercise testing in the clinical evaluation of patients with heart and lung disease. Circulation. 2011;123: 668–680.

Herdy AH, Ritt LE, Stein R, Araújo CG, Milani M, Meneghelo RS, et al. Cardiopulmonary exercise test: background, applicability and interpretation. Arq Bras Cardiol. 2016;107:467–481.

Farina S, Correale M, Bruno N, Paolillo S, Salvioni E, Badagliacca R, et al. The role of cardiopulmonary exercise tests in pulmonary arterial hypertension. Eur Respir Rev. 2018;27:170134.

Dumitrescu D, Rosenkranz S. Graphical data display for clinical cardiopulmonary exercise testing. Ann Am Thorac Soc. 2017;14(Suppl 1):S12–21.

Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14;377–381.