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Interpretation of Cardio Pulmonary Exercise Testing In Healthy and Subjects with Respiratory Diseases Healthy Assessment
Interpretation of Cardio Pulmonary Exercise Testing In Healthy and Subjects with Respiratory Diseases Healthy Assessment

Interpretation of Cardio Pulmonary Exercise Testing

In Healthy and Subjects with Respiratory Diseases

Healthy Assessment of the theoretically possible minute ventilation Ve =FEV * 35 theo 1 INSP
Healthy
Assessment of the theoretically
possible minute ventilation
Ve
=FEV * 35
theo
1
INSP
Flow
EXSP
VC
FEV 1
VE
Sports
VE theo
Normal Range
Limited
Pred
For example: FEV act = 3.6 L
1
FEF 50
Act
VE
= 3.6 L * 35 = 126 L/min
theo
F/V curve in normal range
VE in normal range
theo
Volume
F/V curve in normal range VE in normal range theo Volume Performance Assessment in Healthy Performance
Performance Assessment in Healthy Performance Load VO [ml/kg] Performance 2 70 excellently trained 60 well
Performance Assessment
in Healthy
Performance
Load
VO [ml/kg]
Performance
2
70
excellently trained
60
well trained
50
40
trained (normal)
30
untrained (weak)
20
Time
Time
VO 2
Oxygen Uptake
EQO 2
Gas Exchange
EQCO 2
Act
AT
Sports
Normal Range
Limited
Time
Time
EXSP
At Rest
At AT
At max. Load
Intrabreath loop
Breathing Baseline
Volume
Normal Range
INSP
Pred
Act from F/V measurement
Intrabreath loop from cardio pulmonary measurement
Normal exercise
VO and VE within normal range
Normal gas exchange
2
Flow
Airway Obstruction Assessment of the theoretically possible minute ventilation VE =FEV * 35 theo 1
Airway Obstruction
Assessment of the theoretically
possible minute ventilation
VE
=FEV * 35
theo
1
INSP
Flow
EXSP
VE
VC
FEV 1
Sports
Normal Range
VE theo
Limited
For example: FEV act = 2.2 L
Pred
1
FEF 50
Act
VE
= 2.2 L * 35 = 77 L/min
theo
F/V curve is clearly decreased
VE is clearly decreased
theo
Volume

Parameter Definition:

VC

FEV

FEF

VE

VO

VCO

BF

VE

RER

EQO

EQCO

AT

HR

VO /kg

MET

2

Vital Capacity

1 Forced Vital Capacity after 1 s

50

theo

2 Oxygen Uptake

2

2

Carbon Dioxide Output

Breathing Frequency Minute Ventilation Respiratory Exchange Rate (RQ)

Breathing Equivalent for O

2 Breathing Equivalent for CO Anaerobic Threshold Heart Rate

2

HRR

HR/VO

dO /dHR

2 Increase in Heart Rate

2

Lactate

Forced Expiratory Flow after 50% of VC Theoretically Possible Minute Ventilation (VE)

2

2

max

- HR

act

)

VO per kg Body Weight Metabolic Unit (1 MET = 3.5 ml/min/kg)

Heart Rate Reserve (Pred HR

Increase in Oxygen in Relation to Heart Rate Salt of Lactic Acid, End Product of the Anaerobic Glycolysis

Performance Assessment in Subjects with Airway Obstruction Performance Load VO [ml/kg] Performance 2 25 untrained
Performance Assessment
in Subjects with Airway Obstruction
Performance
Load
VO [ml/kg]
Performance
2
25
untrained
(weak)
20
mild
15
moderate - severe
10
severe
5
Time
critical
Time
VO 2
Oxygen Uptake
EQO
Gas Exchange
EQCO 2
2
40
AT
severe
35
Sports
moderate-severe
30
Act
borderline
25
normal Range
20
Limited
15
Time
Time
At Rest
At AT
At max. Load
Pred
Normal Range

Act from F/V measurementIntrabreath loop from cardio pulmonary measurement

Intrabreath loop from cardio pulmonary measurementAct from F/V measurement

R educed exercise VO and VE clearly decreased Limited gas exchange

2

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