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PubMed · 1366320

[Ergometry testing in the past and today].

D Jovanović
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Abstract

Exercise testing on bicycle-ergometer or treadmill represents a simple and relatively cheap medical procedure. It may be managed in any level of medical evaluation and especially for discovering persons with low or high cardiac risk, beside the asymptomatic or symptomatic status during the testing. The cumulated experience gave the proof than the exercise testing is superior to coronarography and ventriculography. Test protocol and conclusions must be together with the recommendations of the cardiology association and the author gives some of his own remarks and practical recommends. In personal everyday practice someone can find improvements too.

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D Jovanović. 1991. [Ergometry testing in the past and today].. https://pubmed.ncbi.nlm.nih.gov/1366320/

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Evidence-based recommendations on the clinical use of cardiopulmonary exercise testing (CPET) in lung and heart disease are presented, with reference to the assessment of exercise intolerance, prognostic assessment and the evaluation of therapeutic interventions (e.g. drugs, supplemental oxygen, exercise training). A commonly used grading system for recommendations in evidence-based guidelines was applied, with the grade of recommendation ranging from A, the highest, to D, the lowest. For symptom-limited incremental exercise, CPET indices, such as peak O(2) uptake (V'O(2)), V'O(2) at lactate threshold, the slope of the ventilation-CO(2) output relationship and the presence of arterial O(2) desaturation, have all been shown to have power in prognostic evaluation. In addition, for assessment of interventions, the tolerable duration of symptom-limited high-intensity constant-load exercise often provides greater sensitivity to discriminate change than the classical incremental test. Field-testing paradigms (e.g. timed and shuttle walking tests) also prove valuable. In turn, these considerations allow the resolution of practical questions that often confront the clinician, such as: 1) "When should an evaluation of exercise intolerance be sought?"; 2) "Which particular form of test should be asked for?"; and 3) "What cluster of variables should be selected when evaluating prognosis for a particular disease or the effect of a particular intervention?"

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PubMed2006

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