Cardiopulmonary Exercise Test (CPET) Evaluation Report

Size: px
Start display at page:

Download "Cardiopulmonary Exercise Test (CPET) Evaluation Report"

Transcription

1 Cardiopulmonary Exercise Test (CPET) Evaluation Report Name: Sally Alpha Date: Test 1 November 29, 2015 Test 2 November 30, 2015 Findings: Sally Alpha demonstrates poor functional capacity and early onset of anaerobic metabolism. This will severely limit her ability to engage in the normal activities of daily living and preclude her from full time work of even a sedentary/stationary nature. These findings are inconsistent with poor effort or primary depressive disorder. Indication: The patient attended our clinic for global functional evaluation examining metabolic, cardiovascular function after experiencing physical stress. She underwent a cardiopulmonary exercise test. She is 25 years old, 154 cm tall and weighs 85 kg. Diagnosis: Chronic fatigue syndrome/ Myalgic encephalomyelitis- ME/CFS Postural Orthostatic Tachycardia Syndrome/Multiple Chemical Sensitivities Procedure: The patient performed symptom limited 15 W/min ramping protocols on a bicycle ergometer while expired gases were collected for determination of oxygen consumption, carbon dioxide and pulmonary ventilation. The heart rate, blood pressure and arterial oxygen saturation were assessed throughout the tests. Pulmonary function testing was performed before the exercise tests to establish baseline-resting values. Appropriate measures were taken to calibrate and test the accuracy and reliability of the testing equipment. The test was performed to determine functional capacity and assess the recovery response to a standardized physical stressor. In the fields of exercise science and medicine cardiopulmonary exercise testing (CPET) is considered the gold standard for measuring and evaluating functional capacity and fatigue. Position statement and/or guidelines for the performance of this testing are available form the American College of Sports Medicine, American Heart Association, American College of Chest Physician s, American Thoracic Society and the American Medical Association, among others. All endorse this method of testing and acknowledge peak oxygen consumption, only available with CPET, as the most accurate measurement of functional capacity. The clinic has adopted this standardized, reliable and accurate tool to evaluate disability in fatigue related disorders. 1

2 Conclusions: 1. Assessment of Effort: Normal The patient was cooperative and gave very good effort during the exercise test. There is no evidence of malingering. Cardiopulmonary exercise testing provides objective measures that can clearly distinguish between indolence and true disability. See page 3, #1 Assessment of Effort. 2. Metabolic Response: Abnormal Oxygen consumption at the ventilatory/anaerobic threshold was reduced by 19% Test 1 to Test 2 which is abnormal. Measured values meet criteria for moderate to severe disability using the Weber/New York Heart Association guidelines. The test two value of only 32% of the predicted value, suggests functional impairment (expectedvalues are between 40 and 60% of peak) From anotherperson s report: The ventilator/anaerobic threshold occurred at 32% of predicted oxygen consumption (expected value is between 50 and 65% of peak). The ventilary/anaerobic threshold indicates moderate to severe impairment (i.e. 8 to 11 mlkg -1 min -1 ), which place this patient in Weber s Functional Class C. A ventilator/anaerobic threshold of less than 40 % of predicted oxygen consumption indicates pathology. 3. Workload: Abnormal Workload values at the ventilator/anaerobic threshold were extremely low. They would be insufficient to sustain work activity at any level. From another person s report: The low workload values at the ventilator/anaerobic threshold indicate an inability to sustain physical activity at any intensity above a sedentary level. 4. Cardiovascular Responses: Abnormal Ventilatory/anaerobic threshold values below 40% of predicted peak oxygen consumption may indicate a cardiac, pulmonary or other limitation in O2 supply to the tissues, or underlying mitochondrial abnormality (e.g. muscle dysfunction in cardiopulmonary diseases, mitochondrial myopathies, etc.). Elevated diastolic blood pressures may indicate risk for hypertension. From another persons report: The patients ECG was within normal limits during rest and with exercise stress. The patient s high resting heart rate combined with a low heart rate at the ventilatory/anaerobic threshold provides a very small operating window, for cardiac activation before reaching and exceeding the ventilatory/anaerobic threshold. This decreased capacity limits the ability to maintain work. 2

3 5. Recovery Response: Abnormal A recovery time of 24 hours or less and minor muscle soreness is considered normal following exercise testing. This patient was still suffering diarrhea, fatigue, and flu like symptom exacerbation for a month after the test, which should be considered and extreme reaction to physical activity. 6. Reproducibility Abnormal Exercise test-retest reproducibility is a cornerstone of cardiopulmonary exercise testing. These tests are both valid and reliable. Day to day test variability for metabolic processes is less than 8% for health individuals. Abnormally high variability for these measures indicates a disruption of homostasis during physical activity. 7. Pulmonary function Abnormal A ratio of 38-40:1 for minute ventilation to CO2 output (VE/CO2) is considered high. Partial pressure of end-tidal CO2 (PetCO2) at mmhg was low. Both measures are indicators of possible risk factors for cardiovascular and/or pulmonary disease. The observed failure to achieve predicted peak ventilation and abnormally low breathing reserve are further indication of risk for pulmonary disease. RESULTS: 1. Assessment of Effort The American Heart Association cite peak respiratory exchange ratio (RER) as the most accurate and reliable gauge of subject effort. A peak RER of greater or equal to 1.10 is generally considered to an indication of excellent patient effort during cardiopulmonary exercise testing. Test Criteria Test 1 Test 2 Criteria Met T1/T2 RER > 1.10 Yes Yes Yes/Yes RPE > 17 Yes Yes Yes/Yes Plateau in VO2 Yes Yes Yes/Yes RER = Respiratory Exchange Ratio RPE= Rate of Perceived Exertion VO2 = Volume of Oxygen Consumed T1 = Test One T2 = Test Two 2. Peak and V/AT Values Peak Test 1 Test 2 % Change Reproducible 3

4 values VO Yes VE (l/min) Yes Workload (W) Yes V/AT Values Test 1 Test 2 % Change Reproducible VO % No VE (l/min) % No Workload (W) Yes VO2 Volume of Oxygen Consumed HR- Heart rate VE- Ventilation SBP Systolic Blood Pressure Bpm- beats per minute l/min litres per minute W watts mmhg millimeters of mercury 3. Metabolic Responses Peak Values Oxygen consumption (ml/min) Oxygen Consumption (ml/kg/min) Test Test V/AT Values Oxygen consumption (ml/min) Oxygen Consumption (ml/kg/min) Test Test Percent predicted (%) Percent predicted (%) ml/min millilitres per minute ml/kg/min millilitres per kilogram per minute 4. Work in Watts Workload V/AT (W) Peak (W) Percent Predicted (%) Test Test W- Watts 4

5 5. Cardiovascular Responses Heart rate Resting Seated (bpm) V/AT (bpm) Peak (bpm) Percent predicted (%) Test Test Blood Pressure Resting Supine Resting Seated Peak (mmhg) (mmhg) (mmhg) Test 1 116/88 126/94 152/88 Test 2 106/78 114/86 162/86 bpm beats per minute mmhg millimeters of mercury 6. Lung Function Ventaltion MVV (L/min) FVC (L) FEV1 (L) Respiratory rate (br/min) Peak (L/min) Test Test L/min litres per minute L- Liters Br/min breathes per minute FVC forced vital capacity FEV1 forced expiratory volume in one second MVV maximun voluntary ventilation 7. Recovery Response Ventilatory Reserve (%) The patient maintained a post exercise test log. Following the test, the patient reported feeling fatigued with headaches, joint aches, insomnia. The patient did not recover to the pre-exercise test level of functioning for at least four weeks. Summary: Sally Alpha exhibits cardiopulmonary abnormalities and reduced functional capacity. Her Test 2 ventilatory/anaerobic threshold of 8.5 ml.kg-1min-1 indicates a decreased capacity for physical activity. With values adjusted for her gender, age, height and weight, oxygen demands for everyday tasks such as washing/dressing, grocery shopping, preparing a meal and sweeping floors fall in the range of 8.54 to ml.kg-1min-1. A light exercise activity such as mild stretching (e.g., yoga) with energy demands of ml.kg-1min-1 is beyond the limit of Ms. Alpha aerobic capacity. Engaging in normal activities of daily living presents a significant challenge 5

6 for Ms. Alpha. This is both a demonstration of physical impairment and a quantifiable limitation of her ability to function in a work environment. Another persons report: Sally Alpha s early onset of the ventilatory/anaerobic threshold points to significant metabolic impairment. Sally Alpha s Test 2, ventilatory/anaerobic threshold of 8.5 mlkg -1 min -1 indicates that even low level physical activity will demand more energy than can be aerobically generated. Oxygen demands for everyday tasks such as washing/dressing, grocery shopping, preparing a meal and sweeping floors fall in the range of 7.35 to mlkg -1 min -1. After experiencing physical stress there is a very small cardiovascular window before the ventilatory/anaerobic threshold is exceeded at very low levels of work. Merely engaging in normal activities of daily living will demand more energy that Ms. Alpha is able to generate aerobically. Performing such tasks on a consistent basis is a challenge that will likely precipitate the onset/exacerbation of symptoms, including excessive fatigue and pain. This is both a demonstration of physical impairment and a quantifiable limitation of her ability to function in a work environment. NOTE: The ventilatory/anaerobic threshold is an important index of the amount of work that can be sustained. Work intensities above the ventilatory/anaerobic threshold require energy production derived form anaerobic sources limiting the duration at which intensities of effort can be maintained, causing cumulative fatigue and extending recovery time. Most activities of daily living (reading, walking at normal pace, computer use, office-type work, etc.) are aerobic in nature and healthy individuals are able to perform, such activities for prolonged periods of time with no meaningful physical fatigue. If the ventilatory/anaerobic threshold occurs at low oxygen consumption, normal daily activities may exceed the energy demands that can be met through oxidative metabolism, thus requiring anaerobic metabolism to provide energy. This results in early onset fatigue and prolonged recovery. References ACSM s guidelines for exercise testing and prescription / American College of Sports Medicine ; senior editor, Linda S. Pescatello ; associate editors, Ross Arena, Deborah Riebe, Paul D. Thompson Arena R, Sietsema KE. Cardiopulmonary exercise testing in the clinical evaluation of patients with heart and lung disease. Circulation 2011;123: American Medical Association, & Rondinelli, R (2007). Guides to the Evaluation of Permanent Impairment (5 th ed.), Chicago: American Medical Association. American Thoracic Society & American College of Chest Physicians, (2003). ATS/ACCP Statement on cardiopulmonary exercise testing. American Journal of Respiratory and Critical Care Medicine, 167(2),

7 Balady, G.J. Arena, R., Sietsema, K., Myers, J, Coke, L. Fletcher, GF.Milani =, R.V. (2010), Clinician s Guide to cardiopulmonary exercise testing in adults, Circulation, 122(2), Ciccolella, M.E; Snell, C.R; Stevens, S.R; & VanNess, J.M. (2007). Legal and Scientific Considerations of the Exercise Stress Test in Chronic Fatigue Syndrome. Journal of Chronic Fatigue Syndrome, 14(2): Davenport, T.E; Stevens, S.R; Baroni, K; VanNess, J.M; & Snell, C.R. (2011), Diagnostic accuracy of Symptoms Characterizing Chronic Fatigue Syndrome. Disability and Rehabilitation, 33(19-20): Guazzi M, Adams V, Conraads V, Halle M, Mezzani A, Vanhees L, et al. EACPR/AHA Joint Scientific Statement. Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations. Eur Heart J. 2012;33: doi: /eurheartj/ehs221. Snell, C.R.; VanNess, J.M.; Strayer, D.R.; & Stevens, S.R.; (2003). Sub classifying chronic fatigue syndrome through exercise testing. Medicine and Science in Sports and Exercise, 35 (6), Snell, C.R.; VanNess, J.M.; Strayer, D.R.; & Stevens, S.R.; Physical performance and prediction of 2-5A synthetase/rnase L antiviral pathway activity in patients with chronic fatigue syndrome. Journal of Chronic Fatigue Syndrome, 8 (3/4), Social Security Administration. (2008), 4.00 Cardiovascular System Adult in Disability Evaluation Under Social Security Retrieved from hhpt:// Adut.htm Stevens, S.R.; Snell, C.R.; & VanNess, J.M. (2000,October). Exercise testing for diagnosis of CFS. AACFS Newsletter. Stevens, S.R. (1995). Using exercise testing to document functional disability in CFS. Journal of Chronic Fatigue Syndrome, 1 (3/4), Thompson, W.R. Gordon, N.F,, & Pescatello, L.S. (2010). ACSM S Guidelines for Exercise Testing and Prescription (8 th ed) Philadelphia.: Lippincott Williams & Wilkins. Van Den Eede, F, Moorkens, G, Hulstijnm W; Maas, Y; Schrijvers, D; Stevens, S.R, et al ( Psychomotor Function and Response Inhibitaiton in Chronic Fatigue Syndrome. Psychiatry Research. 186: VanNess, J.M; Stevens, S.R; Bateman, L; Stiles, T.L;& Snell, C.R. (2010). Postexertional Malaise in Women with Chronic Fatigue Syndrome. Journal of Women s Health, 19(2):

8 VanNess, J.M.; Snell, C.R; & Stevens, S.R. (2007). Diminished Cardiopulmonary Capacity During Post Exertional Malaise in Chronic Fatigue Syndrome. Journal of Chronic Fatigue Syndrome, 14(2): VanNess, J.M.; Snell, C.R.; Fredrickson, D.M.; Strayer, D.R.; & Stevens, S.R. (2001). Assessment of functional impairment by cardiopulmonary exercise testing on patients with chronic fatigue syndrome. Journal of Chronic fatigue Syndrome, 8 (3/4), Wasserman K, Hansen JE, Sue DY, Stringer W, Whipp BJ. Normal Values. In: Weinberg R, editor. Principles of Exercise Testing and Interpretation. 4th. Philadelphia: Lippincott Williams and Wilkins; p Wever K.T. & Janicki J. S. (1985). Cardiopulmonary exercise testing for evaluation of chronic cardiac failure. American Journal of Cardiology 55(2), 22A-31A. 8

Cardiopulmonary Exercise Testing (CPET) & Evaluating Functional Capacity

Cardiopulmonary Exercise Testing (CPET) & Evaluating Functional Capacity Cardiopulmonary Exercise Testing (CPET) & Evaluating Functional Capacity Staci R. Stevens, MA Executive Director Pacific Fatigue Laboratory University of the Pacific sstevens@pacific.edu Christopher Snell,

More information

Exercise Stress Testing: Cardiovascular or Respiratory Limitation?

Exercise Stress Testing: Cardiovascular or Respiratory Limitation? Exercise Stress Testing: Cardiovascular or Respiratory Limitation? Marshall B. Dunning III, Ph.D., M.S. Professor of Medicine & Physiology Medical College of Wisconsin What is exercise? Physical activity

More information

FOLLOW-UP MEDICAL CARE OF SERVICE MEMBERS AND VETERANS CARDIOPULMONARY EXERCISE TESTING

FOLLOW-UP MEDICAL CARE OF SERVICE MEMBERS AND VETERANS CARDIOPULMONARY EXERCISE TESTING Cardiopulmonary Exercise Testing Chapter 13 FOLLOW-UP MEDICAL CARE OF SERVICE MEMBERS AND VETERANS CARDIOPULMONARY EXERCISE TESTING WILLIAM ESCHENBACHER, MD* INTRODUCTION AEROBIC METABOLISM ANAEROBIC METABOLISM

More information

todays practice of cardiopulmonary medicine

todays practice of cardiopulmonary medicine todays practice of cardiopulmonary medicine Concepts and Applications of Cardiopulmonary Exercise Testing* Karl T. Weber, M.D.; Joseph S. Janicki, Ph.D.; Patricia A. McElroy, M.D.; and Hanumanth K. Reddy,

More information

A Clinician s Guide to Cardiopulmonary Exercise Testing: Part 1 An Introduction

A Clinician s Guide to Cardiopulmonary Exercise Testing: Part 1 An Introduction A Clinician s Guide to Cardiopulmonary Exercise Testing: Part 1 An Introduction Claire Taylor, Simon Nichols, Lee Ingle * PhD Department of Sport, Health and Exercise Science, University of Hull, Kingston-upon-

More information

Dyspnea is a common exercise-induced

Dyspnea is a common exercise-induced MK pg 214 Mædica - a Journal of Clinical Medicine STATE-OF-THE-ART Cardiopulmonary exercise testing in differential diagnosis of dyspnea Nora TOMA, MD; Gabriela BICESCU, MD, PhD; Raluca ENACHE, MD; Ruxandra

More information

Making the case for clinical exercise testing in CFS/ME research and treatment

Making the case for clinical exercise testing in CFS/ME research and treatment Making the case for clinical exercise testing in CFS/ME research and treatment Christopher R. Snell, PhD Staci Stevens, MA Mark Van Ness, PhD Brian Moore, PhD University of the Pacific Stockton, California

More information

Guide to the interpretation of Cardiopulmonary Exercise Testing

Guide to the interpretation of Cardiopulmonary Exercise Testing Guide to the interpretation of Cardiopulmonary Exercise Testing Dr. Ines Frederix December 2014 Copyright: Ines Frederix 1 Ergospirometry: parameter description... 5 1.1 Cardiovascular parameters... 5

More information

11/12/2018. Prof. Steven S. Saliterman. Options. Prof. Paul Iaizzo s Physiology Lab, PHSL 3701

11/12/2018. Prof. Steven S. Saliterman. Options. Prof. Paul Iaizzo s Physiology Lab, PHSL 3701 Department of Biomedical Engineering, University of Minnesota http://saliterman.umn.edu/ Prof. Paul Iaizzo s Physiology Lab, PHSL 3701 Options University of Minnesota Bricker, E. Compass, 5 Types of Cardiac

More information

DIFFERENCE IN MAXIMAL OXYGEN UPTAKE (VO 2 max) DETERMINED BY INCREMENTAL AND RAMP TESTS

DIFFERENCE IN MAXIMAL OXYGEN UPTAKE (VO 2 max) DETERMINED BY INCREMENTAL AND RAMP TESTS STUDIES IN PHYSICAL CULTURE AND TOURISM Vol. 17, No. 2, 2010 MIŁOSZ CZUBA, ADAM ZAJĄC, JAROSŁAW CHOLEWA, STANISŁAW POPRZĘCKI, ROBERT ROCZNIOK The Jerzy Kukuczka Academy of Physical Education in Katowice,

More information

Objective: Prepare NBRC candidate for CRT and WRT Content Outline

Objective: Prepare NBRC candidate for CRT and WRT Content Outline STRESS TEST AND HEMODYNAMICS Lois Rowland, MS, RRT-NPS, RPFT, FAARC Objective: Prepare NBRC candidate for CRT and WRT Content Outline Perform, evaluate patient response to, interpret results from: Stress

More information

Cardiopulmonary Exercise Testing: its principles, interpretation & application. DM Seminar Harshith

Cardiopulmonary Exercise Testing: its principles, interpretation & application. DM Seminar Harshith Cardiopulmonary Exercise Testing: its principles, interpretation & application DM Seminar Harshith Outline Physiology of exercise Introduction Equipment and working Principles Interpretation and variables

More information

Cardiopulmonary Exercise Testing in Cystic Fibrosis

Cardiopulmonary Exercise Testing in Cystic Fibrosis Cardiopulmonary Exercise Testing in Cystic Fibrosis Owen Tomlinson MSc, AFHEA Children s Health & Exercise Research Centre University of Exeter James Shelley MSc Physical Activity Exchange Liverpool John

More information

Basics of Cardiopulmonary Exercise Test Interpretation. Robert Kempainen, MD Hennepin County Medical Center

Basics of Cardiopulmonary Exercise Test Interpretation. Robert Kempainen, MD Hennepin County Medical Center Basics of Cardiopulmonary Exercise Test Interpretation Robert Kempainen, MD Hennepin County Medical Center None Conflicts of Interest Objectives Explain what normally limits exercise Summarize basic protocol

More information

Steven S. Saliterman, MD, FACP

Steven S. Saliterman, MD, FACP Ashley Wagner, Sochi 2014 www.gotceleb.com Steven S. Saliterman, MD, FACP Adjunct Professor Department of Biomedical Engineering, University of Minnesota http://saliterman.umn.edu/ Aerobic (Oxidative Phosphorylation)

More information

Cardiopulmonary Exercise Testing Cases

Cardiopulmonary Exercise Testing Cases Canadian Respiratory Conference - 217 Cardiopulmonary Exercise Testing Cases Darcy D Marciniuk, MD FRCPC FCCP Associate Vice-President Research, University of Saskatchewan Professor, Respirology, Critical

More information

Performance Enhancement. Cardiovascular/Respiratory Systems and Athletic Performance

Performance Enhancement. Cardiovascular/Respiratory Systems and Athletic Performance Performance Enhancement Cardiovascular/Respiratory Systems and Athletic Performance Functions of the Cardiovascular System Deliver oxygen & nutrients to body tissues Carry wastes from the cells Anatomy

More information

Pathophysiology Department

Pathophysiology Department UNIVERSITY OF MEDICINE - PLOVDIV Pathophysiology Department 15A Vasil Aprilov Blvd. Tel. +359 32 602311 Algorithm for interpretation of submaximal exercise tests in children S. Kostianev 1, B. Marinov

More information

PROPEL: PRomoting Optimal Physical Exercise for Life* Submaximal Graded Exercise Assessment Guidelines

PROPEL: PRomoting Optimal Physical Exercise for Life* Submaximal Graded Exercise Assessment Guidelines PROPEL: PRomoting Optimal Physical Exercise for Life* Submaximal Graded Exercise Assessment Guidelines PROPEL: PRomoting Optimal Physical Exercise for Life* Submaximal Graded Exercise Assessment I. Foreword

More information

The role of CPX testing in the rehabilitation of cardiac patients.

The role of CPX testing in the rehabilitation of cardiac patients. Cardiopulmonary exercise testing (CPX) for comprehensive cardiac evaluations The role of CPX testing in the rehabilitation of cardiac patients. Viviane M Conraads, MD, PhD Department of Cardiology Cardiac

More information

BUFFALO CONCUSSION BIKE TEST (BCBT) INSTRUCTION MANUAL

BUFFALO CONCUSSION BIKE TEST (BCBT) INSTRUCTION MANUAL Purpose BUFFALO CONCUSSION BIKE TEST (BCBT) INSTRUCTION MANUAL To investigate exercise tolerance in patients with persistent post-concussive symptoms (PCS) lasting more than 2-4 weeks. The definition of

More information

Endurance ability characteristics of professional sportsmen

Endurance ability characteristics of professional sportsmen Proceeding 6th INSHS International Christmas Sport Scientific Conference, 11-14 December 2011. International Network of Sport and Health Science. Szombathely, Hungary Endurance ability characteristics

More information

Exercise tests are commonly used in clinical practice for

Exercise tests are commonly used in clinical practice for Exercise in Cardiovascular Disease Cardiopulmonary Exercise Testing in the Clinical Evaluation of Patients With Heart and Lung Disease Ross Arena, PhD, PT, FAHA; Kathy E. Sietsema, MD Exercise tests are

More information

Key words: cycle ergometer; 1-min step exercise protocol; ramp exercise protocol

Key words: cycle ergometer; 1-min step exercise protocol; ramp exercise protocol Comparison of the Peak Exercise Response Measured by the Ramp and 1-min Step Cycle Exercise Protocols in Patients With Exertional Dyspnea* Sue M. Revill, PhD; Katy E. Beck, BSc; and Mike D. L. Morgan,

More information

Chapter 10 Measurement of Common Anaerobic Abilities and Cardiorespiratory Responses Related to Exercise

Chapter 10 Measurement of Common Anaerobic Abilities and Cardiorespiratory Responses Related to Exercise Chapter 10 Measurement of Common Anaerobic Abilities and Cardiorespiratory Responses Related to Exercise Slide Show developed by: Richard C. Krejci, Ph.D. Professor of Public Health Columbia College 3.26.13

More information

QATs. VCE Physical Education SCHOOL-ASSESSED COURSEWORK UNIT 3 OUTCOME 2. Introduction. Quality Assessment Tasks

QATs. VCE Physical Education SCHOOL-ASSESSED COURSEWORK UNIT 3 OUTCOME 2. Introduction. Quality Assessment Tasks QATs Quality Assessment s Introduction UNIT 3 OUTCOME 2 VCE Physical Education SCHOOL-ASSESSED COURSEWORK Outcome 2 Use data collected in practical activities to analyse how the major body and energy systems

More information

Gender Differences in Aerobic and Anaerobic Exercise. Samaria K. Cooper. Ball State University

Gender Differences in Aerobic and Anaerobic Exercise. Samaria K. Cooper. Ball State University Gender Differences in Aerobic and Anaerobic Exercise Samaria K. Cooper Ball State University School of Physical Education, Sport, and Exercise Science Advanced Physiology 493s1 Dr. Anthony D. Mahon 6 December

More information

Cardiac rehabilitation: a beneficial effect in CHD?

Cardiac rehabilitation: a beneficial effect in CHD? Cardiac rehabilitation: a beneficial effect in CHD? An Van Berendoncks Department of Cardiology Antwerp University Hospital Outline Why exercise training in CHD? Risk and benefits? Feasibility? Why should

More information

"Acute cardiovascular responses to different types of exercise and in different populations"

Acute cardiovascular responses to different types of exercise and in different populations "Acute cardiovascular responses to different types of exercise and in different populations" Dott. Anna Baraldo Phd Course In Science of Physical Exercise and Human Movement - 24 Department of Neurological

More information

Annual Congress of the European Society of Cardiology Munich, August

Annual Congress of the European Society of Cardiology Munich, August Annual Congress of the European Society of Cardiology Munich, August 26 2012 Gas exchange measurements during exercise show early pulmonary arterial hypertension in scleroderma patients Daniel Dumitrescu,

More information

Journal of Undergraduate Kinesiology Research

Journal of Undergraduate Kinesiology Research Elliptical: Forward vs. Backward 25 Journal of Undergraduate Kinesiology Research Official Research Journal of the Department of Kinesiology University of Wisconsin Eau Claire Volume 2 Number 2 May 2007

More information

Mobilization and Exercise Prescription

Mobilization and Exercise Prescription 1 Clinicians can use this job aid as a tool to guide them through mobilization and exercise prescription with patients who have cardiopulmonary conditions. Mobilization and Exercise Prescription Therapy

More information

Josh Stanton and Michael Epton Respiratory Physiology Laboratory, Canterbury Respiratory Research Group Christchurch Hospital

Josh Stanton and Michael Epton Respiratory Physiology Laboratory, Canterbury Respiratory Research Group Christchurch Hospital Josh Stanton and Michael Epton Respiratory Physiology Laboratory, Canterbury Respiratory Research Group Christchurch Hospital Setting Scene Advancements in neonatal care over past 30 years has resulted

More information

Chapter 1: Exercise Physiology. ACE Personal Trainer Manual Third Edition

Chapter 1: Exercise Physiology. ACE Personal Trainer Manual Third Edition Chapter 1: Exercise Physiology ACE Personal Trainer Manual Third Edition Introduction Physiology is the study of the myriad functions in a living organism. Exercise physiology is the study of the ways

More information

Effect of exercise mode on oxygen uptake and blood gases in COPD patients

Effect of exercise mode on oxygen uptake and blood gases in COPD patients Respiratory Medicine (2004) 98, 656 660 Effect of exercise mode on oxygen uptake and blood gases in COPD patients C.C. Christensen a,b, *, M.S. Ryg b, A. Edvardsen a,b, O.H. Skjønsberg a a Department of

More information

NBRC Exam RPFT Registry Examination for Advanced Pulmonary Function Technologists Version: 6.0 [ Total Questions: 111 ]

NBRC Exam RPFT Registry Examination for Advanced Pulmonary Function Technologists Version: 6.0 [ Total Questions: 111 ] s@lm@n NBRC Exam RPFT Registry Examination for Advanced Pulmonary Function Technologists Version: 6.0 [ Total Questions: 111 ] https://certkill.com NBRC RPFT : Practice Test Question No : 1 Using a peak

More information

PRESENTED BY BECKY BLAAUW OCT 2011

PRESENTED BY BECKY BLAAUW OCT 2011 PRESENTED BY BECKY BLAAUW OCT 2011 Introduction In 1990 top 5 causes of death and disease around the world: Lower Respiratory Tract Infections Diarrhea Conditions arising during pregnancy Major Depression

More information

Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations

Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations European Heart Journal (2012) 33, 2917 2927 doi:10.1093/eurheartj/ehs221 POSITION STATEMENT Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations

More information

Clinical exercise testing

Clinical exercise testing Basic principles of clinical exercise testing Clinical exercise testing This article is adapted from the on Basic principles of clinical exercise testing organised in Rome, March 2 4, 2006. Original slides,

More information

End-tidal pressure of CO 2 and exercise performance in healthy subjects

End-tidal pressure of CO 2 and exercise performance in healthy subjects DOI 10.1007/s00421-008-0773-z ORIGINAL ARTICLE End-tidal pressure of CO 2 and exercise performance in healthy subjects Maurizio Bussotti Æ Damiano Magrì Æ Emanuele Previtali Æ Stefania Farina Æ Anna Torri

More information

Testing Clinical Implications

Testing Clinical Implications Cardiopulmonary Exercise Testing Clinical Implications Dr Sahajal Dhooria Outline Basic concepts Case studies Recent advances in clinical applications of CPET Basic Concepts Exercise Any physical activity

More information

RELATIVE EXERCISE INTENSITY, HEART RATE, OXYGEN CONSUMPTION, AND CALORIC EXPENDITURE WHEN EXERCISING ON VARIOUS NON-IMPACT CARDIO TRAINERS

RELATIVE EXERCISE INTENSITY, HEART RATE, OXYGEN CONSUMPTION, AND CALORIC EXPENDITURE WHEN EXERCISING ON VARIOUS NON-IMPACT CARDIO TRAINERS RELATIVE EXERCISE INTENSITY, HEART RATE, OXYGEN CONSUMPTION, AND CALORIC EXPENDITURE WHEN EXERCISING ON VARIOUS NON-IMPACT CARDIO TRAINERS Kirsten Hendrickson, B.S. John P. Porcari, Ph.D. Carl Foster,

More information

Title : Adaptation to exercise

Title : Adaptation to exercise Title : Adaptation to exercise Teacher: Magdalena Gibas MD PhD Coll. Anatomicum, 6 Święcicki Street, Dept. of Physiology I. Exercise physiology 1. The acute and chronic responses to exercise depend upon

More information

Hands on Sports Therapy KNOWLEDGE REVIEW QUESTIONS 2004 Thomson Learning It can help to shape a basic fitness training programme

Hands on Sports Therapy KNOWLEDGE REVIEW QUESTIONS 2004 Thomson Learning It can help to shape a basic fitness training programme Hands on Sports Therapy KNOWLEDGE REVIEW QUESTIONS 2004 Thomson Learning 1 CHAPTER 13 Knowledge Review Q1: Why is fitness testing useful? A1: Fitness testing is useful for various reasons: 1. It can help

More information

Journal of Undergraduate Kinesiology Research Official Research Journal of the Department of Kinesiology University of Wisconsin Eau Claire

Journal of Undergraduate Kinesiology Research Official Research Journal of the Department of Kinesiology University of Wisconsin Eau Claire Predicting Maximal Heart Rate 15 Journal of Undergraduate Kinesiology Research Official Research Journal of the Department of Kinesiology University of Wisconsin Eau Claire Volume 2 Number 1 December 2006

More information

Paula Radcliffe is an English marathon runner

Paula Radcliffe is an English marathon runner EXCLUSIVE ACE SPONSORED RESEARCH Validity of the Talk Test in Identifying the Respiratory Compensation Threshold By Maria L. Cress, M.S., John P. Porcari, Ph.D., Carl Foster, Ph.D., Pedro Recalde, M.S.,

More information

EACPR/AHA Scientific Statement

EACPR/AHA Scientific Statement EACPR/AHA Scientific Statement Clinical Recommendations for Cardiopulmonary Exercise Testing Data Assessment in Specific Patient Populations WRITING COMMITTEE EACPR: Marco Guazzi, Co-Chair, 1 * Volker

More information

Temporal (time related) aspects of job design the main concern is fatigue: over worked, over stressed etc., rest is required for recovery.

Temporal (time related) aspects of job design the main concern is fatigue: over worked, over stressed etc., rest is required for recovery. Temporal Ergonomics Temporal (time related) aspects of job design the main concern is fatigue: over worked, over stressed etc., rest is required for recovery. Fatigue is associated with (1) Gradual decrement

More information

Revision of 10/27/2017 Form #280 Page 1 of 12 PVDOMICS STUDY Clinical Center Right Heart Catheterization (RHC) Results Form #280

Revision of 10/27/2017 Form #280 Page 1 of 12 PVDOMICS STUDY Clinical Center Right Heart Catheterization (RHC) Results Form #280 Revision of 10/27/2017 Form #280 Page 1 of 12 PVDOMICS STUDY Clinical Center Right Heart Catheterization (RHC) Results Form #280 Instructions: Review PVDOMICS MOP Chapter 100 prior to completing right

More information

Metabolic Calculations

Metabolic Calculations Metabolic Calculations Chapter 5 and Appendix D Importance of Metabolic Calculations It is imperative that the exercise physiologist is able to interpret test results and estimate energy expenditure. Optimizing

More information

Cardiovascular response to intermittent high intensity double- and single-legged cycling

Cardiovascular response to intermittent high intensity double- and single-legged cycling Cardiovascular response to intermittent high intensity double- and single-legged cycling Miss Nicole Gordon 2013 i This thesis is submitted as partial fulfilment of the requirements for the degree of Bachelor

More information

Evaluating dyspnea: A practical approach -- When to consider cardiopulmonary exercise testing.

Evaluating dyspnea: A practical approach -- When to consider cardiopulmonary exercise testing. Evaluating dyspnea: A practical approach -- When to consider cardiopulmonary exercise testing. ABSTRACT: Shortness of breath is a common complaint associated with a number of conditions. Although the results

More information

Content Display. - Introduction to Unit 4. Unit 4 - Cardiorespiratory Response to Exercise : Lesson 1. KINE xxxx Exercise Physiology

Content Display. - Introduction to Unit 4. Unit 4 - Cardiorespiratory Response to Exercise : Lesson 1. KINE xxxx Exercise Physiology Content Display Unit 4 - Cardiorespiratory Response to Exercise : Lesson KINE xxxx Exercise Physiology 5 Unit 4 - Cardiorespiratory Response to Exercise Lesson U4LP - Introduction to Unit 4 The specific

More information

SEMINAR FOR CLINICIANS

SEMINAR FOR CLINICIANS Graphical Data Display for Clinical Cardiopulmonary Exercise Testing Daniel Dumitrescu and Stephan Rosenkranz Klinik III für Innere Medizin, Herzzentrum der Universität zu Köln, Cologne, Germany Abstract

More information

BURNOUT The Overtraining Syndrome in Swimming

BURNOUT The Overtraining Syndrome in Swimming BURNOUT The Overtraining Syndrome in Swimming Dr Ralph Richards Introduction There are numerous terms associated with a state of poor or diminished sporting performance; burnout, staleness, chronic fatigue,

More information

Ivana Nedeljkovic, M Ostojic, V Giga, V Stojanov, J Stepanovic, A Djordjevic Dikic, B Beleslin, M Nikolic, M Petrovic, D Popovic

Ivana Nedeljkovic, M Ostojic, V Giga, V Stojanov, J Stepanovic, A Djordjevic Dikic, B Beleslin, M Nikolic, M Petrovic, D Popovic Combined cardiopulmonary exercise stress echocardiography test: New test for assessment of diastolic dysfunction in patients with hypertension Ivana Nedeljkovic, M Ostojic, V Giga, V Stojanov, J Stepanovic,

More information

Cardiopulmonary Exercise Testing

Cardiopulmonary Exercise Testing Cardiopulmonary Exercise Testing Normal Responses and Important Concepts Carl D. Mottram, RRT RPFT FAARC Director - Pulmonary Function Labs and Rehabilitation Associate Professor of Medicine - Mayo Clinic

More information

Cardiac Rehabilitation & Exercise Training in Congenital Heart Disease. Jidong Sung Division of Cardiology Sungkyunkwan University School of Medicine

Cardiac Rehabilitation & Exercise Training in Congenital Heart Disease. Jidong Sung Division of Cardiology Sungkyunkwan University School of Medicine Cardiac Rehabilitation & Exercise Training in Congenital Heart Disease Jidong Sung Division of Cardiology Sungkyunkwan University School of Medicine Cardiac rehabilitation Agency of Health Care Policy

More information

Key words: exercise therapy; exercise tolerance; lung diseases; obstructive; oxygen consumption; walking

Key words: exercise therapy; exercise tolerance; lung diseases; obstructive; oxygen consumption; walking Exercise Outcomes After Pulmonary Rehabilitation Depend on the Initial Mechanism of Exercise Limitation Among Non-Oxygen-Dependent COPD Patients* John F. Plankeel, MD; Barbara McMullen, RRT; and Neil R.

More information

Study on dynamical characteristics of electrocardiographic parameters during physical load

Study on dynamical characteristics of electrocardiographic parameters during physical load Study on dynamical characteristics of electrocardiographic parameters during physical load Virginija Bertašiūtė 1, Algė Daunoravičienė 2, Kristina Berškienė 3, Roza Joffe 4, Alfonsas Vainoras 5 1, 2, 3

More information

Role of Cardiopulmonary Exercise Testing in Exercise Prescription

Role of Cardiopulmonary Exercise Testing in Exercise Prescription Role of Cardiopulmonary Exercise Testing in Exercise Prescription Jonathan Myers, PhD VA Palo Alto Health Care System Stanford University There are no conflicts of interest to disclose Role of Cardiopulmonary

More information

The Work Rate Corresponding to Ventilatory Threshold During Steady-State and Ramp Exercise

The Work Rate Corresponding to Ventilatory Threshold During Steady-State and Ramp Exercise International Journal of Sports Physiology and Performance, 2006;1:222-232 2006 Human Kinetics, Inc. The Work Rate Corresponding to Ventilatory Threshold During Steady-State and Ramp Exercise Oliver Faude,

More information

Cardiac Rehabilitation:

Cardiac Rehabilitation: Cardiac Rehabilitation: supervised physical exercise programme in practice Adam Staron MD, PhD Prince Sultan Cardiac Center, Riyadh DISCLOSURE No conflict of interest Exercise test protocols Treadmill

More information

CTED and the Value of Exercise Testing

CTED and the Value of Exercise Testing CTED and the Value of Exercise Testing leveraging cardiopulmonary physiology to uncover a disease even more elusive than CTEPH Paul Forfia, MD Professor of Medicine Director, PH, RHF, and PTE Programs

More information

Chapter 21: Clinical Exercise Testing Procedures

Chapter 21: Clinical Exercise Testing Procedures Publisher link: thepoint http://thepoint.lww.com/book/show/2930 Chapter 21: Clinical Exercise Testing Procedures American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise

More information

Primary pulmonary hypertension (PPH) is a progressive

Primary pulmonary hypertension (PPH) is a progressive Exercise Pathophysiology in Patients With Primary Pulmonary Hypertension Xing-Guo Sun, MD; James E. Hansen, MD; Ronald J. Oudiz, MD; Karlman Wasserman, MD, PhD Background Patients with primary pulmonary

More information

Approach to CPET. CPET Cases. Case 1 4/4/2018. Impaired? Cardiac factors? Ventilatory factors?

Approach to CPET. CPET Cases. Case 1 4/4/2018. Impaired? Cardiac factors? Ventilatory factors? Approach to CPET CPET Cases Neil MacIntyre MD Duke University Medical Center Durham NC Impaired? Work,, /kg Cardiac factors?, /, BP, Rhythm Ventilatory factors? Ve/MVV (incl EIB, trapping), PaCO2 Gas exchange

More information

L esercizio fisico e le patologie cardiorespiratorie: dalla valutazione funzionale alla prescrizione. M. Guazzi

L esercizio fisico e le patologie cardiorespiratorie: dalla valutazione funzionale alla prescrizione. M. Guazzi La Riabilitazione Interdisciplinare L esercizio fisico e le patologie cardiorespiratorie: dalla valutazione funzionale alla prescrizione M. Guazzi Università di Milano Dipartimento Cardiologia Universitaria

More information

CHAPTER THREE JOURNAL MANUSCRIPT

CHAPTER THREE JOURNAL MANUSCRIPT CHAPTER THREE JOURNAL MANUSCRIPT 13 PHYSIOLOGICAL AND METABOLIC RESPONSES TO CONSTANT-LOAD EXERCISE ON AN INCLINED STEPPER AND TREADMILL by Brian W. Rieger Dr. Shala Davis, Chairman Department of Human

More information

PULMONARY FUNCTION TESTING. By: Gh. Pouryaghoub. MD Center for Research on Occupational Diseases (CROD) Tehran University of Medical Sciences (TUMS)

PULMONARY FUNCTION TESTING. By: Gh. Pouryaghoub. MD Center for Research on Occupational Diseases (CROD) Tehran University of Medical Sciences (TUMS) PULMONARY FUNCTION TESTING By: Gh. Pouryaghoub. MD Center for Research on Occupational Diseases (CROD) Tehran University of Medical Sciences (TUMS) PULMONARY FUNCTION TESTS CATEGORIES Spirometry Lung volumes

More information

OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO

OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO OOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOOO Subject Index ACE inhibitors, see Angiotensin-converting enzyme inhibitors Aging

More information

Patients with right-to-left intracardiac shunts regulate arterial

Patients with right-to-left intracardiac shunts regulate arterial Gas Exchange Detection of Exercise-Induced Right-to-Left Shunt in Patients With Primary Pulmonary Hypertension Xing-Guo Sun, MD; James E. Hansen, MD; Ronald J. Oudiz, MD; Karlman Wasserman, MD, PhD Background

More information

Oxygen uptake efficiency slope calculations based on heart rate reserve endpoints in young, intellectually disabled individuals

Oxygen uptake efficiency slope calculations based on heart rate reserve endpoints in young, intellectually disabled individuals J Phys Fitness Sports Med, 1(4): 703-707 (2012) JPFSM: Regular Article Oxygen uptake efficiency slope calculations based on heart rate reserve endpoints in young, intellectually disabled individuals Tamotsu

More information

I Can t Breathe! Physiology and Evaluation of the Dyspneic Patient. Christopher Parker, MD Pulmonology, Norman Regional Health Systems

I Can t Breathe! Physiology and Evaluation of the Dyspneic Patient. Christopher Parker, MD Pulmonology, Norman Regional Health Systems I Can t Breathe! Physiology and Evaluation of the Dyspneic Patient Christopher Parker, MD Pulmonology, Norman Regional Health Systems Photo by James Heilman, MD / CC BY-SA 3.0 Disclosures No Financial

More information

SPORTS OXYSHOT RESEARCH BULLETIN IN THIS ISSUE 1. More work at the lactate threshold 2. Pb s in training 3. Crossover benefits for triathletes 4. 33 minutes slashed from Foster Ironman? 5. Hard work pays

More information

VALIDITY AND RELIABILITY OF THE INCREMENTAL SHUTTLE WALK TEST AND SIX-MINUTE WALK TEST IN CHRONIC HEART FAILURE

VALIDITY AND RELIABILITY OF THE INCREMENTAL SHUTTLE WALK TEST AND SIX-MINUTE WALK TEST IN CHRONIC HEART FAILURE VALIDITY AND RELIABILITY OF THE INCREMENTAL SHUTTLE WALK TEST AND SIX-MINUTE WALK TEST IN CHRONIC HEART FAILURE Cowie, A.*, Thow, M.K., Granat, M., Mitchell, S.L. *PhD Student, Glasgow Caledonian University,

More information

Cardiopulmonary Exercise Testing: Relevant But Underused

Cardiopulmonary Exercise Testing: Relevant But Underused Global reprints distributed only by Postgraduate Medicine USA. No part of Postgraduate Medicine may be reproduced or transmitted in any form without written permission from the publisher. All permission

More information

JEPonline Journal of Exercise Physiologyonline

JEPonline Journal of Exercise Physiologyonline Optimal Duration of VO 2 max Testing 1 JEPonline Journal of Exercise Physiologyonline Official Journal of The American Society of Exercise Physiologists (ASEP) ISSN 1097-9751 An International Electronic

More information

Cardiopulmonary Stress Testing: Beyond Transplant Evaluation

Cardiopulmonary Stress Testing: Beyond Transplant Evaluation Cardiopulmonary Stress Testing: Beyond Transplant Evaluation Ross Arena, PhD, PT, FAHA, FESC, FACSM Professor and Head College of Applied Health Sciences University of Illinois at Chicago Cardio- Pulmonary

More information

Upper Body Exercise Capacity in Youth With Spina Bifida

Upper Body Exercise Capacity in Youth With Spina Bifida ADAPTED PHYSICAL ACTIVITY QUARTERLY, 1993.10.22-28 O 1993 Human Kinetics Publishers, Inc. Upper Body Exercise Capacity in Youth With Spina Bifida Kenneth Coutts, Donald McKenzie, Christine Loock, Richard

More information

Exercise Considerations for Individuals with Cardiovascular Disease

Exercise Considerations for Individuals with Cardiovascular Disease Exercise Considerations for Individuals with Cardiovascular Disease Mary Woessner, PhD Candidate, MA Victoria University Institute of Health and Sport Cardiovascular Disease Definition: Heart conditions

More information

Subject: Assessment of Functional Capacity Melanie Elliott-Eller RN MSN Lee Lipsenthal MD February 2011

Subject: Assessment of Functional Capacity Melanie Elliott-Eller RN MSN Lee Lipsenthal MD February 2011 Subject: Assessment of Functional Capacity Melanie Elliott-Eller RN MSN Lee Lipsenthal MD February 2011 The Dr. Dean Ornish Program for Reversing Heart Disease has historically required a maximal exercise

More information

The Truth About Cardio Programming By Paul Robbins Date Released : 18 Jul 2001

The Truth About Cardio Programming By Paul Robbins Date Released : 18 Jul 2001 Page 1 of 5 close The Truth About Cardio Programming By Paul Robbins Date Released : 18 Jul 2001 There are three main components of an effective weight loss program: Proper diet, effective weight training

More information

PERCEIVED EXERTION AS AN EXERCISE INTENSITY INDICATOR IN CHRONIC HEART FAILURE PATIENTS ON

PERCEIVED EXERTION AS AN EXERCISE INTENSITY INDICATOR IN CHRONIC HEART FAILURE PATIENTS ON Journal of Sports Science and Medicine (2004) 3 (YISI ), 23-27 http://www.jssm.org Young Investigator Special Issue Research article PERCEIVED EXERTION AS AN EXERCISE INTENSITY INDICATOR IN CHRONIC HEART

More information

Exercise 7: Respiratory System Mechanics: Activity 1: Measuring Respiratory Volumes and Calculating Capacities Lab Report

Exercise 7: Respiratory System Mechanics: Activity 1: Measuring Respiratory Volumes and Calculating Capacities Lab Report Exercise 7: Respiratory System Mechanics: Activity 1: Measuring Respiratory Volumes and Calculating Capacities Lab Report Pre-lab Quiz Results You scored 100% by answering 5 out of 5 questions correctly.

More information

5/7/2017. Disclosures. What is CPET? Outline. VQ Matching. At a basic level. None. Functional ability

5/7/2017. Disclosures. What is CPET? Outline. VQ Matching. At a basic level. None. Functional ability Disclosures Cardio-Pulmonary Exercise Testing None Madhav Swaminathan, MD, MMCi Professor of Anesthesiology Duke University Health System Durham, NC Outline What is CPET? Overview: What it is Rationale:

More information

Chapter 26: Exercise Assessment in Special Populations

Chapter 26: Exercise Assessment in Special Populations Chapter 26: Exercise Assessment in Special Populations American College of Sports Medicine. (2010). ACSM's resource manual for guidelines for exercise testing and prescription (6th ed.). New York: Lippincott,

More information

Benefits of Combined Aerobic/Resistance/Inspiratory Muscle Training in Patients with Chronic Heart Failure. The Ideal Exercise Program for CHF?

Benefits of Combined Aerobic/Resistance/Inspiratory Muscle Training in Patients with Chronic Heart Failure. The Ideal Exercise Program for CHF? Benefits of Combined Aerobic/Resistance/Inspiratory Muscle Training in Patients with Chronic Heart Failure. The Ideal Exercise Program for CHF? I D. Laoutaris, S Adamopoulos, A Manginas, D B. Panagiotakos,

More information

Respiratory and cardiovascular adaptations to exercise

Respiratory and cardiovascular adaptations to exercise Respiratory and cardiovascular adaptations to exercise Modul BIO 406 17/05/2011 Vergès Samuel CR INSERM, HP2 Laboratory (U1042), Joseph Fourier University, Grenoble Exercise Research Unit, CHU Grenoble

More information

SPIROMETRY TECHNIQUE. Jim Reid New Zealand

SPIROMETRY TECHNIQUE. Jim Reid New Zealand Jim Reid New Zealand The Basics Jim Reid Spirometry measures airflow and lung volumes, and is the preferred lung function test in COPD. By measuring reversibility of obstruction, it is also diagnostic

More information

Very short/short-term benefit of inpatient/outpatient cardiac rehabilitation programs after coronary artery bypass grafting surgery

Very short/short-term benefit of inpatient/outpatient cardiac rehabilitation programs after coronary artery bypass grafting surgery Received: 28 September 2016 Revised: 10 November 2016 Accepted: 13 November 2016 DOI 10.1002/clc.22656 CLINICAL INVESTIGATIONS Very short/short-term benefit of inpatient/outpatient cardiac rehabilitation

More information

ASSESSMENT OF ENDURANCE FITNESS

ASSESSMENT OF ENDURANCE FITNESS ASSESSMENT OF ENDURANCE FITNESS There are two types of tests to assessment of the aerobic resistance: Maximum effort and submaximal effort. In this post, we have written about the submaximal effort because

More information

Exercise stroke volume and heart rate response differ in right and left heart failure

Exercise stroke volume and heart rate response differ in right and left heart failure European Journal of Heart Failure (2010) 12, 716 720 doi:10.1093/eurjhf/hfq062 Exercise stroke volume and heart rate response differ in right and left heart failure Herman Groepenhoff 1 *, Nico Westerhof

More information

Lab Six: Maximal Exercise. Stephanie Smith. University of Otago. PHSE 203: Exercise Physiology. Due 5pm Monday, 9 th May 2011.

Lab Six: Maximal Exercise. Stephanie Smith. University of Otago. PHSE 203: Exercise Physiology. Due 5pm Monday, 9 th May 2011. Lab 6 PP4, S Smith, 1 LAB REPORT SIX Lab Six: Maximal Exercise Stephanie Smith University of Otago PHSE 203: Exercise Physiology Due 5pm Monday, 9 th May 2011 Lab Stream: PP4 E-mail: smitsm31@suny.oneonta.edu

More information

Carvedilol Reduces the Inappropriate Increase of Ventilation During Exercise in Heart Failure Patients* Study objective: To evaluate the effects of

Carvedilol Reduces the Inappropriate Increase of Ventilation During Exercise in Heart Failure Patients* Study objective: To evaluate the effects of Carvedilol Reduces the Inappropriate Increase of Ventilation During Exercise in Heart Failure Patients* Piergiuseppe Agostoni, MD, PhD, FCCP; Marco Guazzi, MD, PhD; Maurizio Bussotti, MD; Stefano De Vita,

More information

MAXIMAL AEROBIC POWER (VO 2max /VO 2peak ) Application to Training and Performance

MAXIMAL AEROBIC POWER (VO 2max /VO 2peak ) Application to Training and Performance MAXIMAL AEROBIC POWER (VO 2max /VO 2peak ) Application to Training and Performance Presented by Coaching and Sports Science Division of the United States Olympic Committee Revised July 2004 MAXIMAL AEROBIC

More information

Cardiopulmonary exercise testing: A contemporary and versatile clinical tool

Cardiopulmonary exercise testing: A contemporary and versatile clinical tool REVIEW CME CREDIT EDUCATIONAL OBJECTIVE: Readers will consider cardiopulmonary exercise testing to investigate the cause of unexplained shortness of breath on exertion KENNETH LECLERC, MD, FACC, FACSM

More information

THE STRUCTURE OF THE CARDIOVASCULAR SYSTEM Thompson Educational Publishing, Inc. 1

THE STRUCTURE OF THE CARDIOVASCULAR SYSTEM Thompson Educational Publishing, Inc. 1 THE STRUCTURE OF THE CARDIOVASCULAR SYSTEM 2015 Thompson Educational Publishing, Inc. 1 250-350g Left of the midline Size of a closed fist Two sides are separated by the septum The pericardium is the

More information

Cardiopulmonary Physical Therapy. Haneul Lee, DSc, PT

Cardiopulmonary Physical Therapy. Haneul Lee, DSc, PT Cardiopulmonary Physical Therapy Haneul Lee, DSc, PT Clinical Laboratory Studies Other Noninvasive Diagnostic Tests Other Imaging Modalities Exercise Testing Pharmacologic Stress Testing Cardiac Catheterization

More information

Aerobic Conditioning in Mild Asthma Decreases the Hyperpnea of Exercise and Improves Exercise and Ventilatory Capacity*

Aerobic Conditioning in Mild Asthma Decreases the Hyperpnea of Exercise and Improves Exercise and Ventilatory Capacity* preliminary report Aerobic Conditioning in Mild Asthma Decreases the Hyperpnea of Exercise and Improves Exercise and Ventilatory Capacity* Teal S. Hallstrand, MD; Peter W. Bates, MD, FCCP; and Robert B.

More information