Cardiopulmonary Exercise Testing: Basics of Methodology and Measurements

Annals of the American Thoracic Society
Alessandro Mezzani

Abstract

Cardiopulmonary exercise testing adds measurement of ventilation and volume of oxygen uptake and exhaled carbon dioxide to routine physiological and performance parameters obtainable from conventional exercise testing, furnishing an all-around vision of the systems involved in both oxygen transport from air to mitochondria and its use during exercise. Peculiarities of cardiopulmonary exercise testing methodology are the use of ramp protocols and calibration procedures for flow meters and gas analyzers. Among the several parameters provided by this technique, peak oxygen uptake, first and second ventilatory thresholds, respiratory exchange ratio, oxygen pulse, slope of ventilation divided by exhaled carbon dioxide relationship, exercise oscillatory ventilation, circulatory power, and partial pressure of end-tidal carbon dioxide are among the most relevant in the clinical setting. The choice of parameters to be considered will depend on the indication to cardiopulmonary exercise testing in the individual subject or patient, namely, exercise tolerance assessment, prognostic stratification, training prescription, treatment efficacy evaluation, diagnosis of causes of unexplained exercise tolerance reduction, or exercise (patho)physi...Continue Reading

References

Jul 1, 1990·Journal of the American College of Cardiology·A C SolalR Gourgon
Jun 1, 1986·Journal of Applied Physiology·W L BeaverB J Whipp
Feb 1, 1984·The American Review of Respiratory Disease·B J WhippK Wasserman
Sep 1, 1982·Journal of Applied Physiology: Respiratory, Environmental and Exercise Physiology·M C KhooA S Slutsky
Sep 1, 1995·Medicine and Science in Sports and Exercise·E T HowleyH G Welch
Mar 1, 1997·Journal of Applied Physiology·W W StringerK Wasserman
Oct 23, 1997·Circulation·K WassermanP G Agostoni
Jun 22, 2000·Circulation·R L Johnson
Jul 23, 2003·European Heart Journal·Romualdo BelardinelliGiuseppe D'Eusanio
Aug 23, 2006·European Journal of Applied Physiology·C CapelliG Ferretti
Nov 6, 2007·European Journal of Applied Physiology·G ValliP Palange
Mar 19, 2008·Applied Physiology, Nutrition, and Metabolism = Physiologie Appliquée, Nutrition Et Métabolisme·Andrew C Betik, Russell T Hepple
Dec 4, 2008·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Ronald K BinderJean-Paul Schmid
May 15, 2009·European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology·Alessandro MezzaniLuc Vanhees
Nov 17, 2009·Medicine and Science in Sports and Exercise·Bruno GrassiLucia Morandi
Jun 30, 2010·Circulation·Gary J BaladyUNKNOWN Interdisciplinary Council on Quality of Care and Outcomes Research
Aug 13, 2011·Amyotrophic Lateral Sclerosis : Official Publication of the World Federation of Neurology Research Group on Motor Neuron Diseases·Alessandro MezzaniPantaleo Giannuzzi
Jul 25, 2013·Circulation. Heart Failure·Piergiuseppe AgostoniUNKNOWN MECKI Score Research Group
Apr 16, 2014·Respiration; International Review of Thoracic Diseases·Matthias HeldBerthold Jany
Mar 5, 2016·International Journal of Cardiology·Ugo Corrà

❮ Previous
Next ❯

Citations

Aug 28, 2020·Journal of Occupational and Environmental Medicine·Mark H HymanKurt T Hermann
Aug 9, 2020·International Journal of Environmental Research and Public Health·Philipp BirnbaumerPeter Hofmann
Aug 6, 2020·Frontiers in Physiology·Yannick Molgat-SeonJordan A Guenette
Sep 6, 2020·Journal of Occupational and Environmental Medicine·Mark H HymanKurt T Hegmann
Jun 15, 2019·Multidisciplinary Respiratory Medicine·Sabine KaczmarekRalf Ewert
Feb 25, 2021·European Journal of Preventive Cardiology·Chiara PaneFrancesco Saccà
Apr 16, 2021·European Respiratory Review : an Official Journal of the European Respiratory Society·Matthew WatsonJonathan Fuld
Apr 7, 2021·Nephrology, Dialysis, Transplantation : Official Publication of the European Dialysis and Transplant Association - European Renal Association·Eva PellaPantelis Sarafidis
Jun 22, 2021·Clinical Transplantation·Diego IglesiasHector Ventura
Jun 30, 2021·Journal of Occupational and Environmental Medicine·Maxwell S NorrisMark G Abel
Jul 25, 2021·Journal of Clinical Medicine·Klara KomiciGermano Guerra
Jul 23, 2021·European Respiratory Review : an Official Journal of the European Respiratory Society·Sophie É CollinsMichael K Stickland
Aug 22, 2021·Medicina clínica·Leandro BarbagelataJoaquin Maritano Furcada
Jun 24, 2020·British Journal of Anaesthesia·Mark A FaghyJames H Hull
Nov 10, 2021·Clinical Physiology and Functional Imaging·João P JesusGoncalo V Mendonca

❮ Previous
Next ❯

Related Concepts

Related Feeds

American Thoracic Association Journals

Discover the latest respiratory research published by the journals from the American Thoracic Society.