1. Welcome to the Cardiopulmonary Exercise Testing
Innomed Inc. & Piston Ltd.

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

3. Fields of applications:
Preoperative Evaluation
Evaluation of Impairment/Disability
Pulmonology rehabilitation
Sports medicine

4. 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,
Standardization of Lung Function Testing ATS/ERS Task force, European Respiratory Journal 2005

5. 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

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

7. 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)

8. Exercise Testing Protocols:
Maximal Incremental Cycle Ergometry Protocols
Maximal Incremental Treadmill Protocols
Constant Work Rate Protocol

9. Basic graphs:
Basic graphs:

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

11. Thank you for your attention
By now you may run home…