Making Cardiopulmonary Exercise Testing Interpretable for Clinicians.
Making Cardiopulmonary Exercise Testing Interpretable for Clinicians.
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DOI：
10.1249/jsr.0000000000000895
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发表时间：
2021-10-01
影响因子：
1.8
通讯作者：
Kraus WE
中科院分区：
文献类型：
--
作者：
Andonian BJ;Hardy N;Bendelac A;Polys N;Kraus WE
心肺运动试验(CPET)是一种动态的临床工具，用于确定一个人运动受限的原因。CPET为临床医生提供了运动过程中外部呼吸与内部呼吸(氧气和二氧化碳)耦合的基本知识。CPET参数的细微变化可以区分不同患者和不同疾病状态的运动反应。然而，也许是由于由于所获得的数据的数量和复杂性，在解释方面遇到了困难，CPET没有得到充分利用。在这篇文章中，我们回顾了CPET数据解释和可视化的基本概念。我们还讨论了如何最好地利用CPET结果来指导临床护理的未来方向。最后，我们分享了一个用于CPET数据的新型三维(3D)图形平台，该平台简化了器官系统特定(心脏、肺和骨骼肌)运动限制的概念化。我们的目标是使CPET测试更容易为普通医疗提供商所接受，并使该测试在医疗工具箱中得到更多的使用。本文讨论了心肺运动测试、解释和可视化的基本概念和未来发展方向。
Cardiopulmonary exercise testing (CPET) is a dynamic clinical tool for determining the cause for a person's exercise limitation. CPET provides clinicians with fundamental knowledge of the coupling of external to internal respiration (oxygen and carbon dioxide) during exercise. Subtle perturbations in CPET parameters can differentiate exercise responses among individual patients and disease states. However, perhaps due to challenges in interpretation given the amount and complexity of data obtained, CPET is underutilized. In this article, we review fundamental concepts in CPET data interpretation and visualization. We also discuss future directions for how to best utilize CPET results to guide clinical care. Finally, we share a novel three-dimensional (3D) graphical platform for CPET data that simplifies conceptualization of organ system-specific (cardiac, pulmonary, and skeletal muscle) exercise limitations. Our goal is to make CPET testing more accessible to the general medical provider and make the test of greater use in the medical toolbox. This article discusses fundamental concepts and future directions for cardiopulmonary exercise testing interpretation and visualization.