A Practical Guide to the Interpretation of Cardiopulmonary Exercise Tests

William Kinnear is a Consultant Respiratory Physician at Circle Nottingham, Nottingham NHS Treatment Centre,Queen's Medical Centre Campus, Nottingham, UK and a Senior Lecturer in Sport Science at Nottingham Trent University. He studied at University College London and Westminster Hospital Medical School. He trained at the Brompton Hospital in London, Papworth Hospital and Addenbrooke's Hospital in Cambridge before moving to Nottingham. A Wellcome scholarship enabled him to spend a year at Erasmus Hospital in Brussels, developing his interest in respiratory muscle physiology. He worked as a consultant respiratory physician at the Queens Medical Centre in Nottingham for 25 years, setting up the regional non-invasive ventilation and sleep services. He introduced cardio-pulmonary exercise testing in the lung function laboratory and has published widely in the field of respiratory physiology.James H. Hull, PhD, FRCP, FACSM is a Consultant Respiratory Physician at the Royal Brompton Hospital, London, UK and Hon. Associate Professor at the Institute of Sport, Exercise and Health (ISEH), UCL, London. His interest in exercise testing started with an undergraduate degree in exercise physiology at St George's Hospital Medical School with Professor Brian Whipp. He later completed a PhD in vascular physiology and was then awarded a National Institute for Health Research Clinical Lectureship, during which he spent time at UCLA, California developing expertise in clinical exercise testing. He currently personally supervises over 250 CPET tests per year, as lead for the clinical unexplained breathlessness service at the Royal Brompton.

This book breaks the interpretation down into simple steps which aids understanding and application. For anyone interested in performing and interpreting cardiopulmonary exercise tests this book aims to provide all the required information, and achieves this goal well.

• AbbreviationsSECTION 1 INTRODUCTION1: Why do a CPET?2: Pre-test assessment3: Supervising a CPET4: How to do a CPETSECTION 2 KEY CPET PARAMETERS5: Oxygen uptake6: Heart rate7: Oxygen-pulse8: Ventilation9: Carbon dioxide output10: Respiratory exchange ratio11: Ventilatory equivalents12: Anaerobic threshold13: Respiratory compensation point14: Oxygen saturation15: Additional respiratory measurementsSECTION 3 USING CPET DATA16: Presentation of results17: Interpretative strategy18: Clinical scenarios19: Pre-operative testing20: Exercise prescriptionAPPENDICESLearning point questionsList of learning pointsPractical tip questionsList of practical tipsExample exam questionsGlossaryBibliographyIndex