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Cardiopulmonary exercise testing in the assessment of exertional dyspnea.

Abstract
Dyspnea on exertion is a commonly encountered problem in clinical practice. It is usually investigated by resting tests such as pulmonary function tests and echocardiogram, which may at times can be non-diagnostic. Cardiopulmonary exercise testing (CPET) measures physiologic parameters during exercise which can enable accurate identification of the cause of dyspnea. Though CPET has been around for decades and provides valuable and pertinent physiologic information on the integrated cardiopulmonary responses to exercise, it remains underutilized. The objective of this review is to provide a comprehensible overview of the underlying principles of exercise physiology, indications and contraindications of CPET, methodology and interpretative strategies involved and thereby increase the understanding of the insights that can be gained from the use of CPET.
AuthorsDebapriya Datta, Edward Normandin, Richard ZuWallack
JournalAnnals of thoracic medicine (Ann Thorac Med) 2015 Apr-Jun Vol. 10 Issue 2 Pg. 77-86 ISSN: 1817-1737 [Print] India
PMID25829957 (Publication Type: Journal Article, Review)

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