- A practical and accessible guide for all those carrying out CPEX tests, even with little prior knowledge
- Clinical scenarios, common patterns, key points, and practical tips all make this book easy to follow
- Guides the reader through the parameters of the test and how to interpret the results
Maximum oxygen uptake during exercise is one of the best predictors of operative
mortality and of prognosis in chronic cardiac or respiratory disease. Cardio-pulmonary
exercise (CPEX) tests are therefore an increasingly common component of pre-operative
assessment and the management of patients with chronic cardiopulmonary problems.
Part of the Oxford Respiratory Medicine Library (ORML) series, this pocketbook
guides clinicians through the parameters measured in CPEX testing so that they
can understand the underlying physiology and are able to interpret the results.
Clinical scenarios, common patterns, key points, and practical tips all make
this book easy to follow, even for those readers who have little prior knowledge
of the subject.
Readership: Respiratory physicians, cardiologists, anaesthetists, and trainees in those disciplines.
Table of Contents
Part 1. Introduction
Why do a CPEX?
How to do a CPEX
Part 2. Key CPEX parameters
Carbon dioxide output
The respiratory exchange ratio
The anaerobic threshold
The respiratory compensation point
Part 3. Using CPEX data
Presentation of results
Pre-operative CPEX testing
Part 4. Appendices
List of key points
List of practical tips
William Kinnear, Consultant Respiratory Physician, Queens Medical Centre, Nottingham University Hospitals NHS Trust, Nottingham, UK, and John Blakey, Senior Lecturer, Liverpool School of Tropical Medicine, Liverpool, UK