Department of Cardiology, Centre of Postgraduate Medical Education, Grochowski Hospital, Warsaw, Poland
Cardiac Rehabilitation and Noninvasive Electrocardiography Clinic, Institute of Cardiology, Warsaw, Poland
Kardiol Pol. 2019 Aug 23;77(7-8):730-756. doi: 10.33963/KP.14889. Epub 2019 Jul 4.
Cardiopulmonary exercise testing (CPET) is an important diagnostic tool in contemporary clinical practice. This document presents an expert opinion from the Working Group on Cardiac Rehabilitation and Exercise Physiology of the Polish Cardiac Society concerning the indications, performance technique, and interpretation of results for CPET in adult cardiology. CPET is an electrocardiographic exercise test expanded with exercise evaluation of ventilatory and gas exchange parameters. It allows for a global assessment of the exercise performance including the pulmonary, cardiovascular, hematopoietic, neuropsychological, and musculoskeletal systems. It provides a noninvasive dynamic evaluation during exercise and is a reference modality for exercise capacity assessment. Moreover, it allows the measurement of numerous prognostic parameters. It is useful in cardiology, pulmonology, oncology, perioperative assessment, rehabilitation as well as in sports medicine and in the evaluation of healthy people. This test not only helps to diagnose the causes of exercise intolerance but also supports the evaluation of the treatment. New opportunities are offered by combining CPET with imaging such as exercise stress echocardiography. These tests are complementary and synergistic in their diagnostic and prognostic strength.
心肺运动测试（CPET）是当代临床实践中的重要诊断工具。本文介绍了波兰心脏病学会心脏康复和运动生理学工作组就成人心脏病学中 CPET 的适应证、操作技术和结果解读提出的专家意见。CPET 是一种心电图运动试验，扩展了运动时通气和气体交换参数的评估。它可以全面评估运动表现，包括肺、心血管、血液、神经心理和肌肉骨骼系统。它在运动期间提供非侵入性的动态评估，是评估运动能力的参考方式。此外，它还可以测量许多预后参数。它在心脏病学、肺病学、肿瘤学、围手术期评估、康复以及运动医学和健康人群评估中都有应用。该测试不仅有助于诊断运动不耐受的原因，还支持治疗评估。CPET 与影像学（如运动负荷超声心动图）相结合提供了新的机会。这些测试在诊断和预后方面具有互补和协同作用。
