Using Cardiopulmonary Exercise Testing to Understand Dyspnea and Exercise Intolerance in Respiratory Disease.

Dyspnea / diagnosis Exercise Test / methods Exercise Tolerance / physiology Humans Oxygen Consumption Respiratory Function Tests / methods
COPD cardiopulmonary exercise test dyspnea interstitial lung disease pulmonary function

Journal

Chest
ISSN: 1931-3543
Titre abrégé: Chest
Pays: United States
ID NLM: 0231335

Informations de publication

Date de publication:
06 2022
Historique:
received: 14 09 2021
revised: 01 12 2021
accepted: 11 01 2022
pubmed: 23 1 2022
medline: 14 6 2022
entrez: 22 1 2022
Statut: ppublish

Résumé

A cardiopulmonary exercise test (CPET) is ideally suited to quantify exercise tolerance and evaluate the pathophysiological mechanism(s) of dyspnea and exercise limitation in people with chronic respiratory disease. Although there are several statements on CPET and many outstanding resources detailing the cardiorespiratory and perceptual responses to exercise, limited information is available to support the health care provider in conducting a practical CPET evaluation. This article provides the health care provider with practical and timely information on how to use CPET data to understand dyspnea and exercise intolerance in people with chronic respiratory diseases. Information on CPET protocol, as well as how to evaluate maximal patient effort, peak rate of oxygen consumption, ventilatory demand, pulmonary gas exchange, ventilatory reserve, operating lung volumes, and exertional dyspnea, is presented. Two case examples are also described to highlight how these parameters are evaluated to provide a clinical interpretation of CPET data.

Identifiants

DOI: 10.1016/j.chest.2022.01.021 PMID: 35065052
pubmed: 35065052
pii: S0012-3692(22)00145-3
doi: 10.1016/j.chest.2022.01.021
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

1505-1516

Informations de copyright

Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved.

Auteurs

Michael K Stickland (MK)

Division of Pulmonary Medicine, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada; G.F. MacDonald Centre for Lung Health, Covenant Health, Edmonton, AB, Canada. Electronic address: michael.stickland@ualberta.ca.

J Alberto Neder (JA)

Respiratory Investigation Unit, Department of Medicine, Queen's University and Kingston Health Sciences Centre Kingston General Hospital Campus, Kingston, ON, Canada.

Jordan A Guenette (JA)

Centre for Heart Lung Innovation, Providence Health Care Research Institute, The University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada.

Denis E O'Donnell (DE)

Respiratory Investigation Unit, Department of Medicine, Queen's University and Kingston Health Sciences Centre Kingston General Hospital Campus, Kingston, ON, Canada.

Dennis Jensen (D)

Clinical Exercise and Respiratory Physiology Laboratory, Department of Kinesiology and Physical Education, Faculty of Education, McGill University, Montréal, QC, Canada; Research Institute of the McGill University Health Centre, Translational Research in Respiratory Diseases Program and Respiratory Epidemiology and Clinical Research Unit, Montréal, QC, Canada.

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Classifications MeSH

questionsmedicales.fr › États, signes et symptômes pathologiques › Signes et symptômes › Signes et symptômes respiratoires › Dyspnée › Using Cardiopulmonary Exercise Testing to...
questionsmedicales.fr › Techniques d'investigation › Ergométrie › Épreuve d'effort › Using Cardiopulmonary Exercise Testing to...
questionsmedicales.fr › Phénomènes physiologiques de l'appareil locomoteur et du système nerveux › Phénomènes physiologiques du système locomoteur › Tolérance à l'effort › Using Cardiopulmonary Exercise Testing to...
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Using Cardiopulmonary Exercise Testing to...
questionsmedicales.fr › Métabolisme › Consommation d'oxygène › Using Cardiopulmonary Exercise Testing to...
questionsmedicales.fr › Diagnostic › Techniques et procédures diagnostiques › Techniques de diagnostic respiratoire › Tests de la fonction respiratoire › Using Cardiopulmonary Exercise Testing to...