Cardiopulmonary Exercise Testing and Surgery

Annals of the American Thoracic Society
Paul O Older, Denny Z H Levett

Abstract

The surgical patient population is increasingly elderly and comorbid and poses challenges to perioperative physicians. Accurate preoperative risk stratification is important to direct perioperative care. Reduced aerobic fitness is associated with increased postoperative morbidity and mortality. Cardiopulmonary exercise testing is an integrated and dynamic test that gives an objective measure of aerobic fitness or functional capacity and identifies the cause of exercise intolerance. Cardiopulmonary exercise testing provides an individualized estimate of patient risk that can be used to predict postoperative morbidity and mortality. This technology can therefore be used to inform collaborative decision-making and patient consent, to triage the patient to an appropriate perioperative care environment, to diagnose unexpected comorbidity, to optimize medical comorbidities preoperatively, and to direct individualized preoperative exercise programs. Functional capacity, evaluated as the anaerobic threshold and peak oxygen uptake ([Formula: see text]o2peak) predicts postoperative morbidity and mortality in the majority of surgical cohort studies. The ventilatory equivalents for carbon dioxide (an index of gas exchange efficiency), is p...Continue Reading

References

Jun 1, 1986·Journal of Applied Physiology·W L BeaverB J Whipp
Jun 1, 1986·Medicine and Science in Sports and Exercise·G A Brooks
Feb 1, 1986·Journal of Applied Physiology·W L BeaverB J Whipp
Jan 1, 1981·Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology·B J WhippK Wasserman
May 1, 1995·American Journal of Respiratory and Critical Care Medicine·C T BolligerM Tamm
Jun 15, 2000·The European Respiratory Journal·M H BrutscheJ M Tschopp
Jan 14, 2003·American Journal of Respiratory and Critical Care Medicine·UNKNOWN American Thoracic Society, UNKNOWN American College of Chest Physicians
May 10, 2003·American Journal of Respiratory and Critical Care Medicine·Robert M Ross
Jul 23, 2003·European Heart Journal·Romualdo BelardinelliGiuseppe D'Eusanio
Sep 16, 2003·Medicine and Science in Sports and Exercise·Janos PorszaszBrian J Whipp
Dec 1, 1964·The American Journal of Cardiology·K WASSERMAN, M B MCILROY
Mar 9, 2004·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Scott K EpsteinMarshall M Kaplan
May 12, 2004·Surgical Endoscopy·M BuunenN D Bouvy
Oct 7, 2004·Journal of the American College of Cardiology·Adrian F HernandezJames G Jollis
Apr 12, 2005·Chest·Thida WinClare M Laroche
Aug 11, 2006·Chest·Peter A McCulloughBarry A Franklin
Apr 6, 2007·Respiratory Medicine·Roberto BenzoFrank Sciurba
Aug 11, 2007·Journal of Clinical Epidemiology·M P W GrocottM G Mythen
Dec 5, 1924·Science·A V Hill
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Apr 2, 2010·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Roberto TorchioMassimiliano Bugiani
Aug 25, 2010·The Annals of Thoracic Surgery·Benjamin D KozowerCameron D Wright
Sep 4, 2010·Seminars in Thoracic and Cardiovascular Surgery·Alessandro Brunelli
Oct 22, 2010·Thorax·Eric LimUNKNOWN Society for Cardiothoracic Surgery in Great Britain and Ireland
Sep 8, 2011·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·James M PrentisChris P Snowden
Nov 22, 2011·The British Journal of Surgery·M Swart, J B Carlisle

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Citations

Feb 10, 2018·Perioperative Medicine·T ReevesUNKNOWN Perioperative Exercise Testing and Training Society (POETTS)
Aug 5, 2020·Expert Review of Cardiovascular Therapy·Ross ArenaAntonio Abbate
Jul 8, 2020·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·G SheillE Guinan
Oct 29, 2020·The Journal of Physiology·David C PooleL Bruce Gladden
Dec 1, 2020·International Anesthesiology Clinics·Paul S Richman, Deborah C Richman
Jan 9, 2021·Mayo Clinic Proceedings·Clinton A BrawnerSteven J Keteyian
Apr 8, 2020·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·Bart C BongersMarcel den Dulk
Jan 18, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Ciara HanleyPeter Slinger
Mar 31, 2019·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Christel A Van BeijsterveldNico L U Van Meeteren
Apr 7, 2021·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Eva PellaPantelis Sarafidis
Jun 24, 2021·European Journal of Preventive Cardiology·Sara RovaiPiergiuseppe Agostoni
Jul 3, 2021·Journal of Functional Morphology and Kinesiology·John P PorcariKimberly Radtke
Dec 8, 2020·The Annals of Thoracic Surgery·Derek L TranRachael Cordina
Nov 22, 2017·British Journal of Anaesthesia·K RichardsonM P W Grocott

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