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- W2091585671 abstract "BP: blood pressureCHD: coronary heart diseaseCO2: carbon dioxideCOPD: chronic obstructive pulmonary diseaseCPX: cardiopulmonary exercise testingCRF: cardiorespiratory fitnessCV: cardiovascularECG: electrocardiogramEIB: exercise-induced bronchospasmEOV: exercise oscillatory ventilationET: exercise testingFEV1: forced expiratory volume in 1 sHCM: hypertrophic cardiomyopathyHF: heart failureHF-PEF: heart failure-preserved ejection fractionHR: heart rateHRR: heart rate recoveryILD: interstitial lung diseaseLVH: left ventricular hypertrophyMVV: maximal voluntary ventilationO2: oxygenPAH: pulmonary arterial hypertensionPEF: peak expiratory flowPETCO2: partial pressure of end-tidal carbon dioxidePH: pulmonary hypertensionQ: cardiac outputRER: respiratory exchange ratioSpO2: pulse oximetryUS: United StatesVE: minute ventilation![Graphic][1] : carbon dioxide production![Graphic][2] : oxygen consumptionVT: ventilatory thresholdFrom an evidence-based perspective, cardiopulmonary exercise testing (CPX) is a well-supported assessment technique in both the United States (US) and Europe. The combination of standard exercise testing (ET) [i.e. progressive exercise provocation in association with serial electrocardiograms (ECGs), haemodynamics, oxygen saturation, and subjective symptoms] and measurement of ventilatory gas exchange amounts to a superior method to: (i) accurately quantify cardiorespiratory fitness (CRF), (ii) delineate the physiologic system(s) underlying exercise responses, which can be applied as a means to identify the exercise-limiting pathophysiological mechanism(s) and/or performance differences, and (iii) formulate function-based prognostic stratification. Cardiopulmonary ET certainly carries an additional cost as well as competency requirements and is not an essential component of evaluation in all patient populations. However, there are several conditions of confirmed, suspected, or unknown aetiology where the data gained from this form of ET is highly valuable in terms of clinical decision making.1Several CPX statements have been published by well-respected organizations in both the US and Europe.1–5 Despite these prominent reports and the plethora of pertinent medical literature which they feature, underutilization of CPX persists. This discrepancy is at least partly attributable to the fact that the currently available CPX consensus statements are inherently complex and fail to convey succinct, clinically centred strategies to utilize CPX indices effectively. Likewise, current CPX software packages generate an overwhelming abundance of data, which to most clinicians are incomprehensible and abstract.Ironically, in contrast to the protracted scientific statements and dense CPX data outputs, the list of CPX variables that have proven clinical application is concise and uncomplicated. Therefore, the goal of this writing group is to present an approach of CPX in a way that assists in making meaningful decisions regarding a patient's care. Experts from the European Association of Cardiovascular Prevention and Rehabilitation and American … [1]: /embed/inline-graphic-1.gif [2]: /embed/inline-graphic-2.gif" @default.
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- W2091585671 date "2012-09-05" @default.
- W2091585671 modified "2023-10-10" @default.
- W2091585671 title "Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations" @default.
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