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Welcome to the Cardiopulmonary Exercise Testing

Welcome to the Cardiopulmonary Exercise Testing. Innomed Inc. & Piston Ltd. Name and description: Ergo spirometer Spiro ergometer exercise test Cardiopulmonary Exercise Testing CPX or CPEX. Fields of applications: Preoperative Evaluation Evaluation of Impairment/Disability

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Welcome to the Cardiopulmonary Exercise Testing

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  1. Welcome to theCardiopulmonaryExerciseTesting Innomed Inc. & Piston Ltd. www.piston.hu

  2. Name and description: • Ergo spirometer • Spiro ergometer exercise test • Cardiopulmonary Exercise Testing • CPX or CPEX www.pistonmedical.com

  3. Fields of applications: • Preoperative Evaluation • Evaluation of Impairment/Disability • Pulmonology rehabilitation • Sports medicine www.pistonmedical.com

  4. International guidelines and requirements: • Statement on Cardiopulmonary Exercise Testing,American Thoracic Society and American College of Chest PhysiciansNovember 1, 2001 • Clinician’s Guide to Cardiopulmonary Exercise Testing in AdultsA Scientific Statement from the American Heart Association,Circulation Journal, 2010-07-21 • Standardization of Lung Function TestingATS/ERS Task force, European Respiratory Journal 2005 www.pistonmedical.com

  5. Diagnostic goal of the test: • Determination of functional impairment • Determination of exercise-limiting factors • Assessing contribution of cardiac and pulmonary etiology in coexisting disease • Functional evaluation and prognosis in patients with heart failure • Evaluation for lung, heart–lung transplantation • Exercise evaluation and prescription for pulmonary rehabilitation • Exercise-induced bronchospasm www.pistonmedical.com

  6. Basic physiologic signals: • Airflow and Volume • Gas Analyzers O2, CO2 • ECG • Blood pressure • Pulse Oximetry • Lactate (invasive) • Load: Bicycle, Treadmill www.pistonmedical.com

  7. Basic measured parameters : • VE: Ventilation • VO2: Oxygen uptake • VO2max: Maximal Aerobic Capacity • Vco2: Carbon dioxide production • RER: Respiratory Exchange Ratio (Vco2/Vo2) • AT: Anaerobic Threshold • METs: Metabolic equivalent (3,5 ml/kg) www.pistonmedical.com

  8. Exercise Testing Protocols: • Maximal Incremental Cycle Ergometry Protocols • Maximal Incremental Treadmill Protocols • Constant Work Rate Protocol www.pistonmedical.com

  9. Basic graphs: Basic graphs: www.pistonmedical.com

  10. Main competitors in Europe: • CareFusion, USA, Germany • Cortex, Germany • Cosmed, Italy • Custo, Germany • Ganshorn, Germany • Geratherm, Germany • Medi Soft, Belgium • Schiller, Switzerland www.pistonmedical.com

  11. Thank you for your attention By now you may run home… www.piston.hu

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