Welcome to the Cardiopulmonary Exercise Testing

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Presentation transcript:

Welcome to the Cardiopulmonary Exercise Testing Innomed Inc. & Piston Ltd. www.piston.hu

Name and description: Ergo spirometer Spiro ergometer exercise test Cardiopulmonary Exercise Testing CPX or CPEX www.pistonmedical.com

Fields of applications: Preoperative Evaluation Evaluation of Impairment/Disability Pulmonology rehabilitation Sports medicine www.pistonmedical.com

International guidelines and requirements: Statement on Cardiopulmonary Exercise Testing, American Thoracic Society and American College of Chest Physicians November 1, 2001 Clinician’s Guide to Cardiopulmonary Exercise Testing in Adults A Scientific Statement from the American Heart Association, Circulation Journal, 2010-07-21 Standardization of Lung Function Testing ATS/ERS Task force, European Respiratory Journal 2005 www.pistonmedical.com

Diagnostic goal of the test: Determination of functional impairment Determination of exercise-limiting factors Assessing contribution of cardiac and pulmonary etiology in coexisting disease Functional evaluation and prognosis in patients with heart failure Evaluation for lung, heart–lung transplantation Exercise evaluation and prescription for pulmonary rehabilitation Exercise-induced bronchospasm www.pistonmedical.com

Basic physiologic signals: Airflow and Volume Gas Analyzers O2, CO2 ECG Blood pressure Pulse Oximetry Lactate (invasive) Load: Bicycle, Treadmill www.pistonmedical.com

Basic measured parameters : VE: Ventilation VO2: Oxygen uptake VO2max: Maximal Aerobic Capacity Vco2: Carbon dioxide production RER: Respiratory Exchange Ratio (Vco2/Vo2) AT: Anaerobic Threshold METs: Metabolic equivalent (3,5 ml/kg) www.pistonmedical.com

Exercise Testing Protocols: Maximal Incremental Cycle Ergometry Protocols Maximal Incremental Treadmill Protocols Constant Work Rate Protocol www.pistonmedical.com

Basic graphs: Basic graphs: www.pistonmedical.com

Main competitors in Europe: CareFusion, USA, Germany Cortex, Germany Cosmed, Italy Custo, Germany Ganshorn, Germany Geratherm, Germany Medi Soft, Belgium Schiller, Switzerland www.pistonmedical.com

Thank you for your attention By now you may run home… www.piston.hu

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