Resources For The Uses of And Indications For A Cardiopulmonary Stress Test

Posted on October 28, 2015 by Tom Wade MD

A Cardiopulmonary Stress Test measures heart function during exercise and simultaneously measures lung function during exercise.

It is the best test there is to determine overall aerobic fitness in healthy persons as well as being very useful for persons with heart or lung disease or symptoms that could be due to heart or lung disease.

Resources:

Circulation. 2011 Feb 15;123(6):668-80. doi: 10.1161/CIRCULATIONAHA.109.914788.
Cardiopulmonary exercise testing in the clinical evaluation of patients with heart and lung disease. [PubMed Citation] [Full Text HTML] [Full Text PDF]
Arena R1, Sietsema KE.

Circulation. 2012 Oct 30;126(18):2261-74. doi: 10.1161/CIR.0b013e31826fb946. Epub 2012 Sep 5. EACPR/AHA Scientific Statement.                                                                 Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations. [PubMed Citation] [Full Text HTML] [Full Text PDF]
Guazzi M1, Adams V, Conraads V, Halle M, Mezzani A, Vanhees L, Arena R, Fletcher GF, Forman DE, Kitzman DW, Lavie CJ, Myers J; European Association for Cardiovascular Prevention & Rehabilitation; American Heart Association.

Measurement of Expired Air during Exercise: Cardiopulmonary Exercise Testing in Cardiology Comes of Age. [Full Text HTML]  July 7, 2010
Ray W. Squires, PhD

Top Ten Things To Know About CPX [Cardiopulmonary Exercise Testing] in Adults. 2010. [Full Text PDF]

Circulation. 2009 Jun 23;119(24):3144-61. doi: 10.1161/CIRCULATIONAHA.109.192520.
Recommendations for clinical exercise laboratories: a scientific statement from the american heart association. [PubMed Citation] [Full Text PDF]
Myers J, Arena R, Franklin B, Pina I, Kraus WE, McInnis K, Balady GJ; American Heart Association Committee on Exercise, Cardiac Rehabilitation, and Prevention of the Council on Clinical Cardiology, the Council on Nutrition, Physical Activity, and Metabolism, and the Council on Cardiovascular Nursing..

Circulation. 2009 Jun 30;119(25):3244-62. doi: 10.1161/CIRCULATIONAHA.109.192521.
Exercise training for type 2 diabetes mellitus: impact on cardiovascular risk: a scientific statement from the American Heart Association. [PubMed Citation] [Full Text HTML] [Full Text PDF]
Marwick TH, Hordern MD, Miller T, Chyun DA, Bertoni AG, Blumenthal RS, Philippides G, Rocchini A; Council on Clinical Cardiology, American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee; Council on Cardiovascular Disease in the Young; Council on Cardiovascular Nursing; Council on Nutrition, Physical Activity, and Metabolism; Interdisciplinary Council on Quality of Care and Outcomes Research.

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Note: The articles below cite the article above (Circulation. 2011 Feb 15;123(6):668-80. doi: 10.1161/CIRCULATIONAHA.109.914788.  Cardiopulmonary exercise testing in the clinical evaluation of patients with heart and lung disease).

  • Ventilatory Response to Carbon Dioxide Output in Subjects With Congestive Heart Failure and in Patients with COPD With Comparable Exercise CapacityRespir Care. 2014;59:1034–1041,
  • The Invasive Cardiopulmonary Exercise TestCirculation. 2013;127:1157–1164,
  • Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populationsEur Heart J. 2012;33:2917–2927,
  • The Safety of Cardiopulmonary Exercise Testing in a Population With High-Risk Cardiovascular DiseasesCirculation. 2012;126:2465–2472,
  • Interaction of Aging and Exercise on the Cardiovascular System of Healthy AdultsAMERICAN JOURNAL OF LIFESTYLE MEDICINE. 2012;6:368–375,
  • A novel cardiopulmonary exercise test protocol and criterion to determine maximal oxygen uptake in chronic heart failureJ. Appl. Physiol.. 2012;113:451–458,

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Measurement of Expired Air during Exercise: Cardiopulmonary Exercise Testing in Cardiology Comes of Age. [Full Text HTML]  July 7, 2010
Ray W. Squires, PhD

Top Ten Things To Know About CPX [Cardiopulmonary Exercise Testing] in Adults. 2010. [Full Text PDF]

Circulation. 2009 Jun 23;119(24):3144-61. doi: 10.1161/CIRCULATIONAHA.109.192520.
Recommendations for clinical exercise laboratories: a scientific statement from the american heart association. [PubMed Citation] [Full Text PDF]
Myers J, Arena R, Franklin B, Pina I, Kraus WE, McInnis K, Balady GJ; American Heart Association Committee on Exercise, Cardiac Rehabilitation, and Prevention of the Council on Clinical Cardiology, the Council on Nutrition, Physical Activity, and Metabolism, and the Council on Cardiovascular Nursing..

Circulation. 2009 Jun 30;119(25):3244-62. doi: 10.1161/CIRCULATIONAHA.109.192521.
Exercise training for type 2 diabetes mellitus: impact on cardiovascular risk: a scientific statement from the American Heart Association. [PubMed Citation] [Full Text HTML] [Full Text PDF]
Marwick TH, Hordern MD, Miller T, Chyun DA, Bertoni AG, Blumenthal RS, Philippides G, Rocchini A; Council on Clinical Cardiology, American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee; Council on Cardiovascular Disease in the Young; Council on Cardiovascular Nursing; Council on Nutrition, Physical Activity, and Metabolism; Interdisciplinary Council on Quality of Care and Outcomes Research.

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