Open AccessCardiopulmonary Exercise Test in heart failure: A Sine qua non
Author(s) -
Stefanos Sakellaropoulos,
Dimitra Lekaditi,
Stefano Svab
Publication year - 2020
Publication title -
international journal of physical education, fitness and sports
Language(s) - English
Resource type - Journals
eISSN - 2457-0753
pISSN - 2277-5447
DOI - 10.34256/ijpefs2021
Subject(s) - sine qua non , medicine , heart failure , cardiology , subspecialty , exercise intolerance , ejection fraction , cardiopulmonary exercise test , heart failure with preserved ejection fraction , intensive care medicine , heart rate , physical therapy , vo2 max , pathology , blood pressure , philosophy , linguistics
A robust literature, over the last years, supports the indication of cardiopulmonary exercise testing (CPET) in patients with cardiovascular diseases. Understanding exercise physiology is a crucial component of the critical evaluation of exercise intolerance. Shortness of breath and exercise limitation is often treated with an improper focus, partly because the pathophysiology is not well understood in the frame of the diagnostic spectrum of each subspecialty. A vital field and research area have been cardiopulmonary exercise test in heart failure with preserved/reduced ejection fraction, evaluation of heart failure patients as candidates for LVAD-Implantation, as well as for LVAD-Explantation and ultimately for heart transplantation. All the CPET variables provide synergistic prognostic discrimination. However, Peak VO2 serves as the most critical parameter for risk stratification and prediction of survival rate.