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CARDIOPULMONARY EXERCISE TESTING

CARDIOPULMONARY EXERCISE TESTINGJOSEPHINE B. BLANCO-RAMOS, , FPCP,FPCCP,FACCPMEDICAL HEADPULMONARY DIAGNOSTIC & THERAPEUTIC CENTERTHE MEDICAL CITYOUTLINE Description of CPET Who should and who should not get CPET When to terminate CPET EXERCISE physiology Define terms: respiratory exchange ratio, ventilatoryequivalent, heart rate reserve, breathing reserve, oxygen pulse Patterns of CPET resultsKarlmanWasserman, MDSOURCES OF ENERGY FOR ATPD erangements of gas exchange in disease. MilaniR V et al. Circulation. 2004;110:e27-e31 Copyright American Heart Association, Inc. All rights of External Ventilation and Cellular MetabolismWHY EXERCISE ?

INDICATIONS TO EXERCISE TERMINATION Patient’s request: fatigue, dyspnea, pain Ischemic ECG changes 2 mm ST depression Chest pain suggestive of ischemia Significant ectopy 2nd or 3rd degree heart block Bp sys >240-250, Bp dias >110-120

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