Cardiopulmonary Exercise Test: Background, Applicability and Interpretation.
Cardiopulmonary Exercise Test: Background, Applicability and Interpretation.
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DOI：
10.5935/abc.20160171
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发表时间：
2016-11
影响因子：
2.6
通讯作者：
Serra SM
中科院分区：
文献类型：
--
作者：
Herdy AH;Ritt LE;Stein R;Araújo CG;Milani M;Meneghelo RS;Ferraz AS;Hossri C;Almeida AE;Fernandes-Silva MM;Serra SM
心肺运动试验（CPET）作为一种功能评估方法在巴西和世界范围内越来越受到重视。在其最常见的应用中，CPET包括进行逐渐增加强度的运动，直到筋疲力尽或直到出现限制性症状和/或体征。测量以下参数：通风量；耗氧量（VO2）；二氧化碳产量（VCO2）；以及常规运动测试的其他变量。此外，在特定情况下，测量运动期间和运动后的脉搏血氧仪和流量循环。CPET提供联合数据分析，允许在运动时对心血管、呼吸、肌肉和代谢系统进行全面评估，被认为是心肺功能评估的金标准。CPET允许定义与低功能相关的机制，这些机制可能导致呼吸困难等症状，并将它们与心血管、肺和骨骼肌系统的变化联系起来。此外，除了帮助健康受试者、运动员和心肺疾病患者制定更仔细的运动处方外，它还可用于提供心肺疾病患者的预后评估，以及术前评估。与CPET的临床应用类似，它的研究也在增加，巴西研究人员在高影响力期刊上发表了几篇科学论文。因此，本研究旨在全面回顾CPET在不同临床情况下的适用性，并为该测试的解释提供实用指南。
Cardiopulmonary exercise test (CPET) has been gaining importance as a method of functional assessment in Brazil and worldwide. In its most frequent applications, CPET consists in applying a gradually increasing intensity exercise until exhaustion or until the appearance of limiting symptoms and/or signs. The following parameters are measured: ventilation; oxygen consumption (VO2); carbon dioxide production (VCO2); and the other variables of conventional exercise testing. In addition, in specific situations, pulse oximetry and flow-volume loops during and after exertion are measured. The CPET provides joint data analysis that allows complete assessment of the cardiovascular, respiratory, muscular and metabolic systems during exertion, being considered gold standard for cardiorespiratory functional assessment. The CPET allows defining mechanisms related to low functional capacity that can cause symptoms, such as dyspnea, and correlate them with changes in the cardiovascular, pulmonary and skeletal muscle systems. Furthermore, it can be used to provide the prognostic assessment of patients with heart or lung diseases, and in the preoperative period, in addition to aiding in a more careful exercise prescription to healthy subjects, athletes and patients with heart or lung diseases. Similarly to CPET clinical use, its research also increases, with the publication of several scientific contributions from Brazilian researchers in high-impact journals. Therefore, this study aimed at providing a comprehensive review on the applicability of CPET to different clinical situations, in addition to serving as a practical guide for the interpretation of that test.
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影响因子：
37.8
作者：
Arena, Ross;Myers, Jonathan;Guazzi, Marco
通讯作者：
Guazzi, Marco
影响因子：
4.8
作者：
Arena, R;Myers, J;Peberdy, MA
通讯作者：
Peberdy, MA
影响因子：
39.3
作者：
Belardinelli, R;Lacalaprice, F;D'Eusanio, G
通讯作者：
D'Eusanio, G
影响因子：
4.8
作者：
Corrà, U;Mezzani, A;Giannuzzi, P
通讯作者：
Giannuzzi, P
影响因子：
3.6
作者：
COOPER, DM;KAPLAN, MR;WASSERMAN, K
通讯作者：
WASSERMAN, K