CPET心肺运动试验课件.ppt

CPET心肺运动试验;Outline;Rationale for Exercise Testing;Clinical Exercise Tests;Karlman Wasserman;Coupling of External Ventilation and Cellular Metabolism;Adaptations of Wasserman’s Gears;General Mechanisms of Exercise Limitation;What is CPET?;Components of Integrated CPET;Modified Borg CR-10 Scale;Indications for CPET;Mortality in CF Patients;Mortality in CHF Patients;CPET to Predict Risk of Lung Resection in Lung Cancer;Absolute Contraindications to CPET;Relative Contraindications to CPET;Indications for Early Exercise Termination;CPET Measurements;Exercise Modality;Incremental vs Ramp Exercise Test Protocol;Physiology and Chemistry ;Properties of Skeletal Muscle Fibers;Lactic Acid is Buffered by Bicarbonate;Respiratory Exchange Ratio;Ventilatory Equivalents;Relationship of AT to RER and Ventilatory Equiv for O2;Lactate Threshold;Determination of AT from RER Plot (V Slope Method);Determination of AT from Ventilatory Equivalent Plot;Wasserman 9-Panel Plot;Oxygen Consumption: Fick Equation;Oxygen Pulse;Interpretation of CPET;Heart Rate Reserve;Estimation of Predicted Peak HR;Breathing Reserve;Comparison CPET results;Cardiac vs Pulmonary Limitation;CPET Interpretation;SUMMARY;SUMMARY;SUMMARY