Albouaini K, Egred M, Alahmar A, Wright D J
Cardiothoracic Centre, Liverpool, UK.
Heart. 2007 Oct;93(10):1285-92. doi: 10.1136/hrt.2007.121558.
Cardiopulmonary exercise testing (CPET) has become an important clinical tool to evaluate exercise capacity and predict outcome in patients with heart failure and other cardiac conditions. It provides assessment of the integrative exercise responses involving the pulmonary, cardiovascular and skeletal muscle systems, which are not adequately reflected through the measurement of individual organ system function. CPET is being used increasingly in a wide spectrum of clinical applications for evaluation of undiagnosed exercise intolerance and for objective determination of functional capacity and impairment. This review focuses on the exercise physiology and physiological basis for functional exercise testing and discusses the methodology, indications, contraindications and interpretation of CPET in normal people and in patients with heart failure.
心肺运动试验（CPET）已成为评估心力衰竭和其他心脏疾病患者运动能力及预测预后的重要临床工具。它可对涉及肺、心血管和骨骼肌系统的综合运动反应进行评估，而这些反应无法通过单个器官系统功能的测量得到充分反映。CPET在广泛的临床应用中越来越多地用于评估未确诊的运动不耐受情况，并客观测定功能能力和功能损害。本综述重点关注运动生理学以及功能运动测试的生理基础，并讨论正常人及心力衰竭患者CPET的方法、适应证、禁忌证及解读。
