Corrà Ugo, Piepoli Massimo F
Laboratory for the analysis of cardio-respiratory signals. Cardiac Department, IRCCS Fondazione "Salvatore Maugeri", Veruno (NO), Italy.
Monaldi Arch Chest Dis. 2007 Mar;68(1):6-12. doi: 10.4081/monaldi.2007.464.
Cardiopulmonary exercise testing (CPET) is a non-invasive tool that provides the physician with relevant information to assess the integrated response to exercise involving pulmonary, cardiovascular, haematopoietic, neuro-psychological, and skeletal muscle systems. Measurement of expiratory gases during exercise allows the best estimate of functional capacity, grade the severity of the impairment, objectively evaluate the response to interventions, objectively track the progression of disease, and assist in differentiating cardiac from pulmonary limitations in exercise tolerance. To achieve optimal use of this test in every day clinical practice, clarification of conceptual issues and standardization of CPET practices are necessary. Recently, a Statement on Cardiopulmonary Exercise Testing in Chronic Heart Failure due to Left Ventricular Dysfunction, by the Gruppo Italiano di Cardiologia Riabilitativa and endorsed by the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology, has been published. Here are resumed the cardinal points of the Statement: (1) Definition of Cardiopulmonary Exercise Testing Parameters for Appropriate Use in Chronic Heart Failure, (2) How to Perform Cardiopulmonary Exercise Testing in Chronic Heart Failure, (3) Interpretation of Cardiopulmonary Exercise Testing in Chronic Heart Failure and Future Applications.
心肺运动试验（CPET）是一种无创工具，可为医生提供相关信息，以评估涉及肺、心血管、造血、神经心理和骨骼肌系统的运动综合反应。运动期间对呼出气体的测量有助于最佳地估计功能能力、对损伤的严重程度进行分级、客观评估对干预措施的反应、客观追踪疾病进展，并有助于区分运动耐量方面的心脏和肺部限制因素。为了在日常临床实践中实现对该测试的最佳应用，明确概念问题和规范CPET操作是必要的。最近，由意大利心脏康复小组发布并得到欧洲心脏病学会心脏康复和运动生理学工作组认可的《左心室功能障碍所致慢性心力衰竭心肺运动试验声明》已发表。以下是该声明的要点总结：（1）慢性心力衰竭中适当使用的心肺运动试验参数定义；（2）如何在慢性心力衰竭中进行心肺运动试验；（3）慢性心力衰竭中心肺运动试验的解读及未来应用。
