Applications of Cardiopulmonary Exercise Testing in the Management of Cardiovascular and Pulmonary Disease

Myers, J.

doi:10.1055/s-2004-830515

Cited by 74 publications

(64 citation statements)

References 32 publications

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“…For this reason, the CPX has become an established tool in the risk paradigm among patients with chronic heart failure. 19 Studies have shown that directly measured peak VO2 more powerfully predicts risk for cardiovascular and all-cause mortality than exercise capacity estimated from treadmill or cycle ergometer work rate in both chronic heart failure and CVD. This test also has advantages in that, relative to the standard exercise test, it is more reproducible, and it provides a broader yield of information regarding cardiopulmonary function and the pathophysiology of disease.…”

Section: Exercise Capacity Is An Underappreciated But Powerful Predicmentioning

confidence: 99%

Is new science driving practice improvements and better patient outcomes? Applications for cardiac rehabilitation

Myers

Herbert²,

Ribisl³

et al. 2008

CIM

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Evidence from many clinical trials in recent years suggests that a large "treatment gap" exists between recommended therapies and the care that patients actually receive. This gap has been particularly apparent in the area of primary and secondary prevention of cardiovascular disease. In this article, three areas are discussed in which new scientific advances have not been adequately translated to clinical practice. These include: 1) the most appropriate measures to define the risks associated with obesity; 2) the underdiagnosis of obstructive sleep apnea and its relation to cardiovascular risk; and 3) the use and misuse of the exercise test and other functional status tools to predict health outcomes. Each is discussed in terms of how they should be quantified, their contribution to the estimation of cardiovascular disease risk, their response to interventions, and implications for cardiac rehabilitation. Clinical cardiac rehabilitation programs can benefit from routinely including these measures, both for their value in stratifying risk and for their importance in quantifying program efficacy. Physicians and allied health professionals should expand their routine medical evaluations and coronary risk factor profiling to include these measures.The growing worldwide burden of cardiovascular disease (CVD) mandates the development and implementation of effective population-based interventions for primary and secondary prevention. Unfortunately, the treatment of coronary artery disease has evolved from simple lifestyle modification in the mid-to-late 1960s, largely focused on early ambulation, exercise training, and a prudent diet, to an array of costly and palliative coronary revascularization procedures that are not without risk and, concomitantly, fail to aggressively address the underlying causes of disease.Aggressive risk-factor reduction and adjunctive pharmacotherapy, however, can stabilize and even reverse the otherwise inexorable progression of atherosclerotic coronary artery disease. Guidelines and recommendations for conventional coronary risk factors (e.g., hyper-cholesterolemia, hypertension, cigarette smoking, diabetes) are widely available, as are clinically relevant threshold values for their favourable PROCEEDINGS REPORT

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Section: Exercise Capacity Is An Underappreciated But Powerful Predicmentioning

confidence: 99%

Is new science driving practice improvements and better patient outcomes? Applications for cardiac rehabilitation

Myers

Herbert²,

Ribisl³

et al. 2008

CIM

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show abstract

“…anthracyclins) or pulmotoxic (e.g. bleomycin) medications or by radiation therapy to the breast (Dimeo, 2001;Winningham, 2001;Myers, 2005). This test was performed before (week 0) and after the training programme (week 18) and in week 68 according to the standard Health-related quality of life Quality of life was assessed using the European Organisation for Research and Treatment of Cancer Core Quality of Life Questionnaire C30 (EORTC QLQ-C30).…”

Section: Outcome Measuresmentioning

confidence: 99%

Long-term follow-up after cancer rehabilitation using high-intensity resistance training: persistent improvement of physical performance and quality of life

et al. 2008

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The short-term beneficial effects of physical rehabilitation programmes after cancer treatment have been described. However, little is known regarding the long-term effects. The purpose of this study was to investigate the long-term effects of high-intensity resistance training compared with traditional recovery. A total of 68 cancer survivors who completed an 18-week resistance training programme were followed for 1 year. During the 1-year follow-up, 19 patients dropped out (14 due to recurrence of cancer). The remaining 49 patients of the intervention group were compared with a group of 22 patients treated with chemotherapy in the same period but not participating in any rehabilitation programme. Outcome measures were muscle strength, cardiopulmonary function, fatigue, and health-related quality of life. One year after completion of the rehabilitation programme, the outcome measures in the intervention group were still at the same level as immediately after rehabilitation. Muscle strength at 1 year was significantly higher in patients who completed the resistance training programme than in the comparison group. High-intensity resistance training has persistent effects on muscle strength, cardiopulmonary function, quality of life, and fatigue. Rehabilitation programmes for patients treated with chemotherapy with a curative intention should include high-intensity resistance training in their programme.

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“…In HF patients, the validity of ventilatory methods is questioned, because of difficulties in detecting AT 1,6,12,14,26 in this population, and because of the inherent subjectivity of the visual analysis. 8 In a study conducted by Matsumara et al 16 , a highly reproducible AT detection was observed in a mixed population of healthy subjects and HF patients, by examining graphically the relationships between minute ventilation and VO 2 .…”

Section: Discussionmentioning

confidence: 99%

Reprodutibilidade da determinação do limiar anaeróbico em pacientes com insuficiência cardíaca

Vieira

Ribeiro-Samora

Lopes

et al. 2010

Arq. Bras. Cardiol.

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Applications of Cardiopulmonary Exercise Testing in the Management of Cardiovascular and Pulmonary Disease

Cited by 74 publications

References 32 publications

Is new science driving practice improvements and better patient outcomes? Applications for cardiac rehabilitation

Is new science driving practice improvements and better patient outcomes? Applications for cardiac rehabilitation

Long-term follow-up after cancer rehabilitation using high-intensity resistance training: persistent improvement of physical performance and quality of life

Reprodutibilidade da determinação do limiar anaeróbico em pacientes com insuficiência cardíaca

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