Standards for the use of cardiopulmonary exercise testing for the functional evaluation of cardiac patients: A report from the exercise physiology section of the European association for cardiovascular prevention and rehabilitation

Alessandro Mezzani, Piergiuseppe Agostoni, Alain Cohen-Solal, Ugo Corrà, Anna Jegier, Evangelia Kouidi, Sanja Mazic, Philippe Meurin, Massimo Piepoli, Attila Simon, Christophe Van Laethem, Luc Vanhees

Research output: Contribution to journalArticlepeer-review

Abstract

Cardiopulmonary exercise testing (CPET) is a methodology that has profoundly affected the approach to patients' functional evaluation, linking performance and physiological parameters to the underlying metabolic substratum and providing highly reproducible exercise capacity descriptors. This study provides professionals with an up-to-date review of the rationale sustaining the use of CPET for functional evaluation of cardiac patients in both the clinical and research settings, describing parameters obtainable either from ramp incremental or step constant-power CPET and illustrating the wealth of information obtainable through an experienced use of this powerful tool. The choice of parameters to be measured will depend on the specific goals of functional evaluation in the individual patient, namely, exercise tolerance assessment, training prescription, treatment efficacy evaluation, and/or investigation of exercise-induced adaptations of the oxygen transport/ utilization system. The full potentialities of CPET in the clinical and research setting still remain largely underused and strong efforts are recommended to promote a more widespread use of CPET in the functional evaluation of cardiac patients.

Original languageEnglish
Pages (from-to)249-267
Number of pages19
JournalEuropean Journal of Cardiovascular Prevention and Rehabilitation
Volume16
Issue number3
DOIs
Publication statusPublished - Jun 2009

Keywords

  • Anaerobic threshold
  • Cardiac disease
  • Cardiopulmonary exercise testing
  • Critcal power
  • Functional evaluation
  • Oxygen consumption
  • Ventilation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Epidemiology

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