EACPR/AHA scientific statement. Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations

Authors Viviane Conraads, Jonathan Myers, Carl Lavie, Marco Guazzi, Daniel Forman, Alessandro Mezzani, Dalane Kitzman, Ross Arena, Martin Halle, Gerald Fletcher, Volker Adams, Luc Vanhees
Published in Circulation
Publication date 2012
Research groups Lifestyle and Health
Type Article


From an evidence-based perspective, cardiopulmonary exercise testing (CPX) is a well-supported assessment technique in both the United States (US) and Europe. The combination of standard exercise testing (ET) (ie, progressive exercise provocation in association with serial electrocardiograms [ECG], hemodynamics, oxygen saturation, and subjective symptoms) and measurement of ventilatory gas exchange amounts to a superior method to: 1) accurately quantify cardiorespiratory fitness (CRF), 2) delineate the physiologic system(s) underlying exercise responses, which can be applied as a means to identify the exercise-limiting pathophysiologic mechanism(s) and/or performance differences, and 3) formulate function-based prognostic stratification. Cardiopulmonary ET certainly carries an additional cost as well as competency requirements and is not an essential component of evaluation in all patient populations. However, there are several conditions of confirmed, suspected, or unknown etiology where the data gained from this form of ET is highly valuable in terms of clinical decision making

Language English
Published in Circulation
Year and volume 126 18
Page range 2261-2274