心肺运动试验对肺动脉高压的临床意义  

Clinical Significance of Cardiopulmonary Exercise Test for Pulmonary Hypertension

作　　者：何璐 吴镜 HE Lu;WU Jing(Department of Geriatric Medicine,The Affiliated Hospital of Southwest Jiaotong University,The Third People’s Hospital of Chengdu,Chengdu 610031,Sichuan,China)

机构地区：[1]成都市第三人民医院老年医学科西南交通大学附属医院,四川成都610031

出　　处：《心血管病学进展》2024年第6期506-509,共4页Advances in Cardiovascular Diseases

摘　　要：随着科技和临床医学的发展,心肺运动试验(CPET)的临床应用价值越来越受到关注和重视。CPET通过连续动态监测人体运动时肺通气换气功能、心电图、血压、血氧饱和度等指标,并通过分析其相互关系,评价机体的整体功能。《2022 ESC/ERS肺动脉高压诊断和治疗指南》提出,对可疑肺动脉高压的患者,可考虑行CPET来进一步确定肺动脉高压的可能性,并有多项研究提及峰值摄氧量和二氧化碳通气当量的预测价值。现重点讨论CPET在肺动脉高压中的应用,包括早期诊断、预后评估以及康复指导的临床意义,其中以预后评估更具临床价值。With the development of science,technology and clinical medicine,the clinical application value of cardiopulmonary exercise test(CPET)has attracted more and more attention.CPET continuously and dynamically monitors lung ventilation function,electrocardiogram,blood pressure,blood oxygen saturation and other indicators during human exercise,and evaluates the overall function of the body by analyzing their relationships.The 2022 ESC/ERS guidelines suggest that CPET can be considered to further determine the likelihood of pulmonary hypertension in patients with suspected pulmonary hypertension,and a number of studies have mentioned the predictive value of peak oxygen uptake and ventilatory equivalent for carbon dioxide.This article focuses on the application of CPET in pulmonary hypertension,including the clinical significance of early diagnosis,prognostic evaluation and rehabilitation guidance,in which prognostic evaluation is more valuable.

关 键 词：心肺运动试验 肺动脉高压 峰值摄氧量 二氧化碳通气当量 

分 类 号：R544.1[医药卫生—心血管疾病]