Brazile Tiffany L, Levine Benjamin D, Shafer Keri M
Institute for Exercise and Environmental Medicine, Texas Health Presbyterian Hospital, Dallas.
Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas.
NEJM Evid. 2025 Feb;4(2):EVIDra2400390. doi: 10.1056/EVIDra2400390. Epub 2025 Jan 28.
AbstractBecause symptoms of cardiopulmonary disease often occur with exertion, cardiopulmonary exercise testing (CPET) has a unique role in the assessment of patient symptoms, disease severity, prognosis, and response to therapy. In addition to the evaluation of cardiovascular and pulmonary physiology, CPET provides an assessment of the interaction of the cardiovascular and pulmonary systems with the musculoskeletal, nervous, and hematological systems. In this article, we review key CPET variables, protocols, and clinical indications.
摘要
由于心肺疾病的症状常随运动而出现，心肺运动试验（CPET）在评估患者症状、疾病严重程度、预后及对治疗的反应方面具有独特作用。除评估心血管和肺部生理功能外，CPET还能评估心血管和肺部系统与肌肉骨骼、神经和血液系统之间的相互作用。在本文中，我们回顾了CPET的关键变量、方案及临床适应证。
