心力衰竭患者进行先进治疗的心肺运动试验标准。
Cardiopulmonary exercise testing criteria for advanced therapies in patients with heart failure.
机构信息
Division of Cardiovascular Medicine, Henry Ford Hospital, 6525 Second Ave., Detroit, MI, 48202, USA.
Division of Pulmonary & Critical Care Medicine, Henry Ford Hospital, 2799 West Grand Blvd Suite K17, Detroit, MI, 48202, USA.
出版信息
Heart Fail Rev. 2023 Nov;28(6):1297-1306. doi: 10.1007/s10741-023-10337-y. Epub 2023 Aug 30.
Abstract
Many cardiology associations endorse the role of the cardiopulmonary exercise test (CPET) to define the severity of impairment of functional capacity in individuals with heart failure with reduced ejection fraction (HFrEF) and when evaluating the need for advanced therapies for these patients. The focus of the CPET within the cardiology community has been on peak volume of oxygen uptake (VO). However, several CPET variables are associated with outcomes in individuals with and without chronic disease and can inform clinical decisions in individuals with HFrEF. In this manuscript, we will review the normal cardiopulmonary response to a graded exercise test and review current guideline recommendations relative to CPET in patients with HFrEF.
摘要
许多心脏病学协会认可心肺运动试验（CPET）在评估射血分数降低的心力衰竭（HFrEF）患者的功能能力损伤严重程度和是否需要这些患者的高级治疗中的作用。CPET 在心脏病学界的重点一直是峰值摄氧量（VO）。然而，一些 CPET 变量与患有和不患有慢性疾病的个体的结局相关，并可以为 HFrEF 患者的临床决策提供信息。在本手稿中，我们将回顾分级运动试验的正常心肺反应，并回顾有关 HFrEF 患者 CPET 的当前指南建议。
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