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[心肺运动试验(CPET)解读原则]

[PRINCIPLES FOR THE INTERPRETATION OF CARDIOPULMONARY EXERCISE TESTS (CPET)].

作者信息

Inbar Omri, Katz Uriel, Dubnov-Raz Gal, Epstein Yoram

机构信息

Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel-Hashomer, Israel.

Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.

出版信息

Harefuah. 2018 Sep;157(9):604-609.

Abstract

The cardiopulmonary exercise test (CPET) permits the most accurate and reproducible quantification of cardiopulmonary fitness, a grading of the etiology and severity of cardiopulmonary impairments, and an objective assessment of the response to an intervention. Moreover, over the last three decades, a large volume of research has been directed toward the utility of CPET as a diagnostic and prognostic tool; these studies have established CPET as a scientifically sound and, therefore, clinically valuable method for accurately assessing exercise limitation and prognosis in various disease states. The CPET is relatively easy to perform, yet complex in the interpretation of the results. The current review presents the principles of the analytic process of the test results, in order to obtain possible diagnoses.

摘要

心肺运动试验(CPET)能够最准确且可重复地量化心肺适能,对心肺功能障碍的病因和严重程度进行分级,并客观评估干预措施的效果。此外,在过去三十年中,大量研究致力于探讨CPET作为诊断和预后工具的效用;这些研究已将CPET确立为一种科学合理且因此在临床上有价值的方法,用于准确评估各种疾病状态下的运动受限情况和预后。CPET相对易于实施,但结果解读较为复杂。本综述介绍了测试结果分析过程的原则,以便得出可能的诊断。

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