Cardiopulmonary exercise testing (CPET) is a noninvasive procedure that provides diagnostic and prognostic information and evaluates an individual\'s capacity for dynamic exercise. CPET is an investigation of the respiratory, cardiovascular and cellular response to the exercise that can be done under controlled metabolic conditions. It provides assessment of the integrative exercise responses involving not only the pulmonary and cardiovascular systems but also skeletal muscle system, which are not adequately reflected through the measurement of individual organ system function. Furthermore, it is being performed increasingly in a wide spectrum of clinical applications for evaluation of undiagnosed exercise intolerance or for objective determination of functional capacity. CPET with extensive hardware and educated staffs can be used for the diagnosis of different types of clinical problems. Additionally, the increasing number of applications for which CPET is currently employed, attests to the growing recognition of its importance in medicine. J Clin Exp Invest 2014; 5 (3): 503-509
Girish M, Trayner E Jr, Dammann O, et al. Symptom- limited stair climbing as a predictor of postoperative cardiopulmonary complication after high-risk surgery. Chest 2001;120:1147-1150.
Pollock M, Roa J, Benditt J, et al. Estimation of ventila- tory reserve by stair climbing: A study in patients with chronic airflow obstruction. Chest 1993;104:1378- 1383.
Holden DA, Rice TW, Stelmach K, et al. Exercise test- ing, 6-min walk, and stair climb in the evaluation of patients at high risk for pulmonary resection. Chest 1992;102:1774-1779.
Davis JA, Whipp BJ, Lamarra N. Effect of ramp slope on measurement of aerobic parameters from the ramp exercise test. Med Sci Sports Exerc 1982;14:339-343.
Porszasz J, Casaburi R, Somfay A, et al. A treadmill ramp protocol using simultaneous changes in speed and grade. Med Sci Sports Exerc 2003;35:1596-603.
ATS Statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166:111-117.
Singh SJ, Morgan MDL, Hardman AE, et al. Compari- son of oxygen uptake during a conventional treadmill test and the shuttle walking test in chronic airflow limi- tation. Eur Respir J 1994;7:2016-2020.
American Thoracic Society. Guidelines for six minute walk test. Am J Respir Crit Care Med 2002;166:111- 117.
Revill SM, Morgan MDL, Singh SJ, et al. The endur- ance shuttle walk: A new field test for the assessment of endurance capacity in chronic obstructive pulmo- nary disease. Thorax 1999;54:213-222.
Chang JA, Curtis JR, Patrick DL, et al. Assessment of health related quality of life in patients with interstitial lung disease. Chest 1999;116:1175-1182.
Okudan N, Gök M, Gökbel H, et al. Single dose of tiotropium improves the 6-minute walk distance. Lung 2006;184:201-204.
De Torres JP, Pinto-Plata V, Ingenito E, et al. Power of outcome measurements to detect clinically significant changes in pulmonary rehabilitation of patients with COPD. Chest 2002;121;1092-1098.
Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med 1998;158:1384-1387.
Gökbel H, Ataş Ş. Exercise induced bronchospasm in nonasthmatic obese and nonobese boys. J Sports Med Physical Fitness 1999;39:361-364.
Gökbel H, Ataş Ş. Egzersizle oluşan bronkospazm. Genel Tıp Dergisi 1997;7:111-115.
Rodman JR, Haverkamp HC, Gordon SM, et al. Car- diovascular and respiratory system responses and limitations to exercise. In: Weissman IM, Zeballos RJ (eds). Clinical Exercise Testing. Basel: Karger AG, 2002:1-29.
Palange P, Ward SA, Carlsen KH, et al. Recommen- dations on the use of exercise testing in clinical prac- tice. Eur Respir J 2007;29:185-209
Ferrazza AM, Martolini D, Valli G, et al. Cardiopulmo- nary exercise testing in the functional and prognostic evaluation of patients with pulmonary diseases. Res- piration 2009;77:3-17.
Albouaini K, Egred M, Alahmar A, et al. Cardiopul- monary exercise testing and its application. Postgrad Med J 2007;83:675-682.
Akkoca O, Eris Gulbay B, et al. The importance of ex- ercise testing for the functional assessment of lung re- section candidates. Tuberk Toraks 2004;52:307-314.
Older PO, Hall AC. The role of cardiopulmonary exer- cise testing for preoperative evaluation of the elderly. In: Wasserman K (ed). Exercise Gas Exchange in Heart Disease. Armonk, NY: Futura Publishing Com- pany, 1996:287-297.
ATS/ACCP Statement on Cardiopulmonary Exercise Testing. Am J Respir Crit Care Med 2003;167:211- 277.
Kardiyopulmoner egzersiz testleri
Year 2014,
Volume: 5 Issue: 3, 504 - 509, 01.09.2014
Kardiyopulmoner egzersiz testi (KPET), bireyin dinamik egzersiz sırasındaki kapasitesini değerlendiren, tanısal ve prognostik amaçlı bilgiler sağlayan girişimsel olmayan bir işlemdir. KPET kontrollü metabolik şartlar altında yapılan egzersizin solunum sistemi, kardiyovasküler sistem ve selüler cevabının araştırılması esasına dayanır. Sadece pulmoner ve kardiyovasküler sistemler değil bunun yanında kas iskelet sistemi de dahil olmak üzere egzersize karşı oluşan yanıtın bütüncül olarak değerlendirilmesine olanak sağlar. Bununla birlikte, tanı almamış egzersiz intoleransının değerlendirilmesi ve fonksiyonel kapasitenin objektif olarak belirlenmesi amacıyla geniş spektrumlu klinik uygulamalarda artarak uygulanmaktadır. Geniş bir donanım ve eğitimli elemanlar eşliğinde yapılabilen KPET klinikte farklı konuları aydınlatmak amacıyla kullanılmaktadır. Çeşitli hastalıkların tanısında ve takibinde giderek önemi artan tetkiklerden birisidir.
Girish M, Trayner E Jr, Dammann O, et al. Symptom- limited stair climbing as a predictor of postoperative cardiopulmonary complication after high-risk surgery. Chest 2001;120:1147-1150.
Pollock M, Roa J, Benditt J, et al. Estimation of ventila- tory reserve by stair climbing: A study in patients with chronic airflow obstruction. Chest 1993;104:1378- 1383.
Holden DA, Rice TW, Stelmach K, et al. Exercise test- ing, 6-min walk, and stair climb in the evaluation of patients at high risk for pulmonary resection. Chest 1992;102:1774-1779.
Davis JA, Whipp BJ, Lamarra N. Effect of ramp slope on measurement of aerobic parameters from the ramp exercise test. Med Sci Sports Exerc 1982;14:339-343.
Porszasz J, Casaburi R, Somfay A, et al. A treadmill ramp protocol using simultaneous changes in speed and grade. Med Sci Sports Exerc 2003;35:1596-603.
ATS Statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002;166:111-117.
Singh SJ, Morgan MDL, Hardman AE, et al. Compari- son of oxygen uptake during a conventional treadmill test and the shuttle walking test in chronic airflow limi- tation. Eur Respir J 1994;7:2016-2020.
American Thoracic Society. Guidelines for six minute walk test. Am J Respir Crit Care Med 2002;166:111- 117.
Revill SM, Morgan MDL, Singh SJ, et al. The endur- ance shuttle walk: A new field test for the assessment of endurance capacity in chronic obstructive pulmo- nary disease. Thorax 1999;54:213-222.
Chang JA, Curtis JR, Patrick DL, et al. Assessment of health related quality of life in patients with interstitial lung disease. Chest 1999;116:1175-1182.
Okudan N, Gök M, Gökbel H, et al. Single dose of tiotropium improves the 6-minute walk distance. Lung 2006;184:201-204.
De Torres JP, Pinto-Plata V, Ingenito E, et al. Power of outcome measurements to detect clinically significant changes in pulmonary rehabilitation of patients with COPD. Chest 2002;121;1092-1098.
Enright PL, Sherrill DL. Reference equations for the six-minute walk in healthy adults. Am J Respir Crit Care Med 1998;158:1384-1387.
Gökbel H, Ataş Ş. Exercise induced bronchospasm in nonasthmatic obese and nonobese boys. J Sports Med Physical Fitness 1999;39:361-364.
Gökbel H, Ataş Ş. Egzersizle oluşan bronkospazm. Genel Tıp Dergisi 1997;7:111-115.
Rodman JR, Haverkamp HC, Gordon SM, et al. Car- diovascular and respiratory system responses and limitations to exercise. In: Weissman IM, Zeballos RJ (eds). Clinical Exercise Testing. Basel: Karger AG, 2002:1-29.
Palange P, Ward SA, Carlsen KH, et al. Recommen- dations on the use of exercise testing in clinical prac- tice. Eur Respir J 2007;29:185-209
Ferrazza AM, Martolini D, Valli G, et al. Cardiopulmo- nary exercise testing in the functional and prognostic evaluation of patients with pulmonary diseases. Res- piration 2009;77:3-17.
Albouaini K, Egred M, Alahmar A, et al. Cardiopul- monary exercise testing and its application. Postgrad Med J 2007;83:675-682.
Akkoca O, Eris Gulbay B, et al. The importance of ex- ercise testing for the functional assessment of lung re- section candidates. Tuberk Toraks 2004;52:307-314.
Older PO, Hall AC. The role of cardiopulmonary exer- cise testing for preoperative evaluation of the elderly. In: Wasserman K (ed). Exercise Gas Exchange in Heart Disease. Armonk, NY: Futura Publishing Com- pany, 1996:287-297.
ATS/ACCP Statement on Cardiopulmonary Exercise Testing. Am J Respir Crit Care Med 2003;167:211- 277.
Ceylan, E. (2014). Kardiyopulmoner egzersiz testleri. Journal of Clinical and Experimental Investigations, 5(3), 504-509. https://doi.org/10.5799/ahinjs.01.2014.03.0448
AMA
Ceylan E. Kardiyopulmoner egzersiz testleri. J Clin Exp Invest. September 2014;5(3):504-509. doi:10.5799/ahinjs.01.2014.03.0448
Chicago
Ceylan, Erkan. “Kardiyopulmoner Egzersiz Testleri”. Journal of Clinical and Experimental Investigations 5, no. 3 (September 2014): 504-9. https://doi.org/10.5799/ahinjs.01.2014.03.0448.
EndNote
Ceylan E (September 1, 2014) Kardiyopulmoner egzersiz testleri. Journal of Clinical and Experimental Investigations 5 3 504–509.
IEEE
E. Ceylan, “Kardiyopulmoner egzersiz testleri”, J Clin Exp Invest, vol. 5, no. 3, pp. 504–509, 2014, doi: 10.5799/ahinjs.01.2014.03.0448.
ISNAD
Ceylan, Erkan. “Kardiyopulmoner Egzersiz Testleri”. Journal of Clinical and Experimental Investigations 5/3 (September 2014), 504-509. https://doi.org/10.5799/ahinjs.01.2014.03.0448.
JAMA
Ceylan E. Kardiyopulmoner egzersiz testleri. J Clin Exp Invest. 2014;5:504–509.
MLA
Ceylan, Erkan. “Kardiyopulmoner Egzersiz Testleri”. Journal of Clinical and Experimental Investigations, vol. 5, no. 3, 2014, pp. 504-9, doi:10.5799/ahinjs.01.2014.03.0448.
Vancouver
Ceylan E. Kardiyopulmoner egzersiz testleri. J Clin Exp Invest. 2014;5(3):504-9.