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CPET was initially used in the 1980s as a means of evaluating heart failure. In subsequent decades, its utility has been shown for a variety of indications across a wide variety of specialities.
We will cover what is CPET and why we perform these tests.Exercise physiology will be explored with focus on oxygen consumption, the concept of the anaerobic threshold, and the Fick principle.
Either the patient or the responsible clinician can stop a cardiopulmonary exercise test. In either case, whether a test has been taken to completion or has required early termination, it is important to understand and document the reasons.
An explanation of the indications for CPET, the scope of the book together with a glossary defining terms used throughout the book and a list of abbreviations.
CPET is a useful tool in the assessment of unexplained dyspnoea, and is increasingly being used to investigate the underlying cause. In order to better understand how CPET can be used in this manner, we will spend some time exploring dyspnoea.
In this chapter, we will cover indications and contraindications, complications, informed consent, patient preparation, lung function tests, test phases, and when to terminate a test.
This plot examines the link between alveolar minute ventilation and VCO2, which is usually tightly matched, and is an alternative means of viewing the relationship previously shown on the VEVCO2 versus time plot.
In this final part, we will examine how we assess exercise capacity and limitation through a series of example CPETs and we will delve deeper into how we investigate dyspnoea of unknown origin.
This classic textbook on cardiac anatomy has been updated in its fifth edition with additional high quality surgical and pathological photographs, as well as new information and recent findings of the last decade. Beginning with an overview of surgical approaches to the heart, the book goes on to discuss the surgical anatomy of the cardiac chambers, the valves, and the circulation and conduction system within the heart, moving on to cover malformations, lesions, and abnormalities. This edition is informed by the most up-to-date research findings, and a new chapter has been added which reviews cardiac development. A complimentary digital companion now accompanies the book, allowing readers to view the images in high-resolution on screen. Written from the stance of the cardiac surgeon, this updated book is essential reading for consultants and trainees in cardiac surgery, cardiology and cardiovascular radiology, and anatomists.
Cardiopulmonary exercise testing (CPET) is an increasingly important investigation for anaesthesiologists, surgeons, cardiologists, pulmonologists, physiologists, and peri-operative physicians. For trainees, non-experts, or simply those seeking an introduction to interpreting CPETs, this essential book builds layers of knowledge that can be applied in case studies and in future practice. It will help you learn and understand: What is CPET and what are the principles of exercise physiology How to conduct a CPET How to interpret a CPET nine-panel plot How to assess exercise capacity and limitation. This practical and clinical guide is both easy to read and easy to understand and features diagrams illustrating key principles. It outlines the basic physiological principles and takes a step-by-step approach to conducting and interpreting a cardiopulmonary exercise test, together with case studies to consolidate learning. Chapters cover the indications and contraindications of CPET, test safety and complications, spirometry, writing a CPET report, and shared decision-making.
Edited by
Sattar Alshryda, Al Jalila Children’s Specialty Hospital, Dubai Academic Health Corporation, Dubai UAE,Stan Jones, Al Ahli Hospital, Qatar,Paul A. Banaszkiewicz, Queen Elizabeth Hospital, Gateshead