Data di Pubblicazione:
2011
Citazione:
Cardiopulmonary exercise testing is a core assessment for patients with heart failure / R. Arena, J. Myers, M. Guazzi. - In: CONGESTIVE HEART FAILURE. - ISSN 1527-5299. - 17:3(2011 May), pp. 115-119. [10.1111/j.1751-7133.2011.00216.x]
Abstract:
Despite advances in the treatment of heart failure (HF), which have resulted in improved survival, overall prognosis continues to be poor. Given the high short-term mortality rate, it remains important to utilize assessment techniques with established prognostic value in this patient population. Ideally, a given assessment should also be able to accurately reflect disease severity, a heterogeneous phenomenon in patients with HF, and accurately reflect the magnitude of physiologic/clinical improvement following the implementation or titration of an intervention. Cardiopulmonary exercise testing (CPX) satisfies all of the aforementioned desirable assessment attributes. Peak oxygen consumption and the minute ventilation/carbon dioxide production slope are key CPX variables in assessing prognosis and gauging disease severity. Given the high value of information obtained from this procedure, CPX should be considered a core assessment in the HF population. The current review will concisely define key CPX variables and summarize their clinical applications in patients with HF.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Exercise; Heart Failure; Humans; Oxygen Consumption; Respiratory Physiological Phenomena; Cardiology and Cardiovascular Medicine; Emergency Medicine; Emergency Nursing
Elenco autori:
R. Arena, J. Myers, M. Guazzi
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