| Statement on cardiopulmonary exercise testing in chronic heart failure due to left ventricular dysfunction: recommendations for performance and interpretation Part III: Interpretation of cardiopulmonary exercise testing in chronic heart failure and future applications. | |
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MedLine Citation:
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PMID: 16874136 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Optimal use of cardiopulmonary exercise testing (CPET) in clinical practice and chronic heart failure (CHF) requires appropriate data presentation and a flexible interpretative strategy. The greatest potential impact on the decision-making process may rest not on the value of any individual measurement, although some are obviously more important than others, but rather on their integrative use. Such an integrative approach relies on interrelationship, trending phenomena and patterns of key gas exchange variable responses. An multiparametric approach will be discussed in different clinical applications, for exercise prescription and monitoring, functional evaluation of drug therapy or cardiac resynchronisation therapy efficacy, and risk stratification. The role of CPET in the daily clinical decision-making process will be underscored. Future indications of CPET will be addressed, suggesting and promoting an extended candidacy either to all CHF patients, including those at high risk or most vulnerable, such as female, elderly patients, and patients with implantable cardioverter defibrillator or in every clinical setting where objective definition of exercise capacity provides implications for medical, surgical, and social decision making. |
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Authors:
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Publication Detail:
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Type: Journal Article; Practice Guideline |
Journal Detail:
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Title: European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology Volume: 13 ISSN: 1741-8267 ISO Abbreviation: Eur J Cardiovasc Prev Rehabil Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-07-28 Completed Date: 2006-12-07 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 101192000 Medline TA: Eur J Cardiovasc Prev Rehabil Country: England |
Other Details:
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Languages: eng Pagination: 485-94 Citation Subset: IM |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Exercise Test
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standards* Exercise Tolerance / physiology* Heart Failure / diagnosis*, etiology, physiopathology Humans Prognosis Ventricular Dysfunction, Left / complications*, diagnosis, physiopathology |
| Comments/Corrections | |
Comment In:
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Eur J Cardiovasc Prev Rehabil. 2006 Aug;13(4):473-4
[PMID:
16874134
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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