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Applicability of Cardiopulmonary Exercise Test
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2019) Wołoszyn, Filip; Pańczyszyn-Trzewik, Patrycja; Ziajor, Seweryn; Misygar, Aleksandra; Bednarski, Artur; Kwiatkowski, Oskar; Sowa-Kućma, Magdalena
Introduction. Cardiopulmonary Exercise Testing (CPET) test is a test that allows an integrated response to the physical effort of the cardiovascular system, respiratory system, nervous system, skeletal muscles and metabolism. The growing awareness of better correlation between health condition and exercise tolerance than with resting measurements is the key importance. The range of clinical applications is expanding to assess impairment of physical capacity with an unclear cause and to objectively determine functional capacity. Aim. The aim of this review was to discuss the applicability of cardiopulmonary exercise test in diverse branches of clinical and non-clinical use. Material and methods. This review was performed according to latest literature. We mainly searched PubMed and Google Scholar to look for previous cases of CPET applicability. Results. CPET has a very wide range of applications for the diagnosis of physical productivity as seen through athletes and amateurs in their own right. This medical diagnostic practice allows us to map out the inconsistencies the blood, respiratory and bone systems/structures. Conclusion. Cardiopulmonary exercise test is a safe method of different disease assessment. It can be use in various cases, to rate reaction of an organism to physical effort.
Circulatory and ventilatory power markers in patients with diabetes mellitus – influence of glycemic control
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2022-12) Menegalli Santos, Letícia; Donisete Da Silva, Claudio ; Lorevice, Laura Beatriz; Italiano Monteiro, Clara ; Ricci, Paula Angélica ; Borghi-Silva, Audrey; Gonçalves Mendes, Renata
Introduction and aim. Cardiorespiratory function has been shown to be impaired in individuals with type 2 diabetes mellitus (T2DM). Some deficiencies in cardiopulmonary exercise test (CPET)-derived variables are known, however, the influence of glycemic control on cardiovascular integrity indices as circulatory power (CP) and ventilatory power (VP), deserve to be instigated. The aim was to investigate the influence of glycemic control on CP and VP indices in T2DM. Material and methods. T2DM individuals of both sexes aged between 40 and 64 years were allocated into two groups: Good glycemic control (GGC, n=11; HbA1c≤7%) and insufficient glycemic control (IGC, n=26; HbA1c>7%). All participants underwent a CPET on a treadmill using a gas analyzer and a laboratory blood test. CP values were obtained by the product of peak of oxygen uptake and systolic blood pressure (SBP) and VP by dividing SBP by the ventilatory efficiency (VE/VCO2 slope). The level of significance was set at p<0.05. Results. No baseline differences were found between the groups, except for the expected fasting glucose and glycated hemoglobin. No differences were found between GGC and IGC groups for CP (4756.05±1061.67 and 4434.15±1247.83 mmHg.ml.kg-1min-1, p=0.460) and VP (5.85±1.08 and 5.86±1.31 mmHg, p=0.978), respectively. Conclusion. CP and VP were similar in individuals with T2DM regardless of glycemic control. Predictive ability of these variables in health outcomes deserves to be further investigated in T2DM.