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Role of cardiopulmonary exercise testing in clinical stratification in heart failure. A position paper from the Committee on Exercise Physiology and Training of the Heart Failure Association of the European Society of Cardiology.
心肺运动试验在心力衰竭临床分层中的作用。欧洲心脏病学会心力衰竭协会运动生理学和培训委员会的立场文件。

摘要

Traditionally, the main indication for cardiopulmonary exercise testing (CPET) in heart failure (HF) was for the selection of candidates to heart transplantation: CPET was mainly performed in middle-aged male patients with HF and reduced left ventricular ejection fraction. Today, CPET is used in broader patients' populations, including women, elderly, patients with co-morbidities, those with preserved ejection fraction, or left ventricular assistance device recipients, i.e. individuals with different responses to incremental exercise and markedly different prognosis. Moreover, the diagnostic and prognostic utility of symptom-limited CPET parameters derived from submaximal tests is more and more considered, since many patients are unable to achieve maximal aerobic power. Repeated tests are also being used for risk stratification and evaluation of intervention, so that these data are now available. Finally, patients, physicians and healthcare decision makers are increasingly considering how treatments might impact morbidity and quality of life rather than focusing more exclusively on hard endpoints (such as mortality) as was often the case in the past. Innovative prognostic flowcharts, with CPET at their core, that help optimize risk stratification and the selection of management options in HF patients, have been developed.

译文

传统上,心脏衰竭 (HF) 的心肺运动测试 (CPET) 的主要指征是选择心脏移植的候选人: CPET 主要在伴有心脏衰竭和左心室射血分数降低的中年男性患者中进行。今天,CPET 被用于更广泛的患者群体,包括女性、老年人、有合并症的患者、射血分数保留的患者或左心室辅助装置接受者, 即对增量运动有不同反应的个体和明显不同的预后。此外,由于许多患者无法获得最大有氧运动能力,越来越多地考虑从次最大试验中得出的症状受限 CPET 参数的诊断和预后效用。重复测试也被用于风险分层和干预评估,因此这些数据现在可以获得。最后,患者、医生和医疗保健决策者越来越多地考虑治疗如何影响发病率和生活质量,而不是更专注于困难的终点 (如死亡率) 就像过去经常发生的情况一样。创新的预后流程图,以 CPET 为核心,帮助优化 HF 患者的风险分层和管理选择的选择,已经被开发出来。

Cardiopulmonary exercise testing

心血管 CPET 诊断方式
概述  :  

心肺运动试验(CPET)是指在逐渐递增的运动负荷下(功率踏车运动),通过收集受试者呼出的气体加以分析,监测机体在运动状态下的摄氧量、二氧化碳排出量、心率、血压、心电图等一系列数据指标,强调运动时心肺功能的相互作用及整体的心肺功能,强调外呼吸和内呼吸(细胞呼吸)耦联,对外呼吸与细胞呼吸不同水平的功能状况进行分析评价,从而综合的评价心肺等器官系统的整体功能和储备能力。心肺运动试验方法心肺运动试验利用人体外呼吸与内呼吸耦联原理,通过运动激发受试者增加氧气吸入和二氧化碳排出,同时应用含有O2和CO2

Cardiopulmonary 英  [,kɑːdɪəʊ'pʌlmən(ə)rɪ]

释义   adj. 心肺的;与心肺有关的

例句   To lessen the lung inflammatory response to cardiopulmonary bypass and protect pulmonary function, ulinastatin is dose-effect relation.

为了减轻体外循环引起的肺部炎症反应,在体外循环肺保护方面乌司他丁呈剂量效应关系。

 

Exercise 英 [ˈeksəsaɪz]

释义   n. 运动;练习;操练

vt. 锻炼;练习;使用;使忙碌

vi. 运动;练习

例句   The serum index change is tested immediately after the exercise.

运动后即刻再次抽血检测受试者血清指标的变化状况。


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