CARDIOPULMONARY EXERCISE TESTING (CPET)- For Physicians

Indications for Exercise testing in clinical practice with the reference

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To my colleagues
Cardiopulmonary exercise testing is a powerful and exciting tool that has many uses in clinical medicine. The advent of reliable oxygen and carbon dioxide sensors along with the advances in computer technology have made the measurement of oxygen uptake and CO2 production on a breath by breath basis easily obtainable. Integrated Cardiopulmonary exercise testing is the combination of these previously hard to measure parameters with heart rate, EKG morphology, O2 saturation, blood pressure, work rate, ventilation and arterial blood gas measurements. It is this combination of simultaneously measured parameters recorded during progressive exercise that provides a unique and often diagnostic picture to explain exercise intolerance or dyspnea on exertion.

Cardiopulmonary exercise testing does not replace any present pulmonary testing or cardiac stress testing. It should be used as a compliment to our present testing modalities when the diagnosis or the treatment of dyspnea is still in question.

Cardiopulmonary exercise testing has been recognized by the American College of Chest Physicians, American Thoracic Society and the American Heart Association. I have included reference material below.

We are happy to see patients on a referral basis for exercise intolerance or dyspnea on exertion of unexplained etiology. Patients have been referred by their primary physicians as well as cardiologists and fellow pulmonologists. We look forward to consulting on your patients.

arrowCLICK HERE FOR Indications for Exercise testing in clinical practice with the reference

This is a consultative service

References:

  1. ATS/ACCP statement on line
  2. American Heart Association
  3. Wasserman, Karlman. Principles of Exercise Testing and Interpretation fourth edition. Philadelphia: Lippincott Williams & Wilkins, 2004. ( This is the best and most complete book on CPET )
  4. Weisman, Idelle, ed. Clinical Exercise Testing. Basel: Karger, 2002.
  5. Wasserman, Karlman, ed. Cardiopulmonary Exercise Testing and Cardiovascular Health. Armonk: Futura Publishing Company Inc, 2002

For more information, contact our office at (631) 351-1144.