Spiroergometrie – Schritt für Schritt

Abstract

Cardiopulmonary Exercise Testing (CPET) is a non-invasive simultaneous measurement of the cardiovascular and respiratory system during exercise to assess a patient’s exercise capacity.

It is used in a wide spectrum of clinical applications for the objective determination of functional capacity and impairment. Cardiopulmonary exercise testing involves measurements of respiratory oxygen uptake (VO2), carbon dioxide production (VCO2), and other cardiopulmonary and metabolic measures during a symptom‐limited exercise test.

This article gives an overview of indications and contraindications and explains step by step how cardiopulmonary exercise testing is being performed.

Die Spiroergometrie ist zeit- und geräteaufwändig. Für die strukturierte Auswertung muss man das Zusammenspiel von Herz, Lunge und Metabolismus unter körperlicher Belastung genau kennen. Daher wird sie oft nur von spezialisierten pneumologischen, kardiologischen oder sportmedizinischen Zentren angeboten; in der allgemeinen internistischen Praxis und Ausbildung wird sie seltener angewandt – trotz ihrer differenzialdiagnostischen Aussagekraft.

Schlüsselwörter

Spiroergometrie - Belastungsuntersuchung - kardiopulmonale Funktionsdiagnostik

Key words

cardiopulmonary exercise testing - exercise testing - cardiopulmonary function testing

• Literatur

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