CPET Made Simple
A Practical Guide to Cardiopulmonary Exercise Testing

A practical guide explaining how to conduct and interpret cardiopulmonary exercise tests in a simple and easy to understand way.

Tom Lawson (Author), Helen Anderson (Author)

9781009412889, Cambridge University Press

Paperback / softback, published 11 April 2024

178 pages
19 x 11.9 x 1 cm, 0.18 kg

Cardiopulmonary exercise testing (CPET) is an increasingly important investigation for anaesthesiologists, surgeons, cardiologists, pulmonologists, physiologists, and peri-operative physicians. For trainees, non-experts, or simply those seeking an introduction to interpreting CPETs, this essential book builds layers of knowledge that can be applied in case studies and in future practice. It will help you learn and understand: • What is CPET and what are the principles of exercise physiology • How to conduct a CPET • How to interpret a CPET nine-panel plot • How to assess exercise capacity and limitation. This practical and clinical guide is both easy to read and easy to understand and features diagrams illustrating key principles. It outlines the basic physiological principles and takes a step-by-step approach to conducting and interpreting a cardiopulmonary exercise test, together with case studies to consolidate learning. Chapters cover the indications and contraindications of CPET, test safety and complications, spirometry, writing a CPET report, and shared decision-making.

Glossary
List of Abbreviations
Introduction
Part I. What is Cardiopulmonary Exercise Testing?: 1. What is cardiopulmonary exercise testing?
2. Exercise physiology
3. Anaerobic threshold, ventilatory, and cardiovascular response to exercise and the Fick principle
Part II. Conducting a Cardiopulmonary Exercise Test: 4. Conduct of a CPET
5. Spirometry and flow-volume loops
6. Ergometers and work rate increment, equipment, staff, and preparation
7. Workload, breath-by-breath analysis and test phases, and stopping a cardiopulmonary exercise test
Part III. Interpreting a Cardiopulmonary Exercise Test: 8. Different plots and CPET interpretation
9. RER versus time (or work rate) plot
10. VO2 (and VCO2) versus work rate versus time plot
11. VCO2 versus VO2 plot
12. VEVO2 and VEVCO2 versus time (or work or VO2) plot
13. PETO2 and PETCO2 versus time (or work or VO2) plot
14. Heart rate and O2 pulse (VO2/HR) versus time plot
15. VE versus time plot
16. VE versus VCO2 plot
17. Vt versus VE plot
18. Additional parameters of interest and presentation of results
Part IV. Assessment of Exercise Capacity and Causes of Exercise Limitation and Dyspnoea: 19. General interpretation and a normal test
20. Submaximal test
21. CPET in trained athletes, deconditioning, and obesity
22. Cardiovascular limitation
23. Ventilatory limitation
24. Pulmonary vascular limitation
25. Peripheral vascular limitation
26. Peripheral muscle limitation
27. CPET and dyspnoea
28. Dysfunctional breathing
29. Peri-operative risk stratification and shared decision making
Further Reading
Index.

Subject Areas: Anaesthetics [MMB]