Cardiopulmonary Exercise
CPE
Description
"Cardiopulmonary Exercise" (CPET) test evaluates how well your heart, lungs, and muscles work during physical activity. Doctors may recommend this test when assessing shortness of breath, exercise intolerance, or chronic fatigue. While cycling or walking on a treadmill, your oxygen use and carbon dioxide output are measured. Abnormal results may reveal cardiovascular, respiratory, or muscular limitations. Doctors use this data to refine diagnoses and design personalized treatment. CPET also supports recovery monitoring, athletic assessment, and investigation of reduced stamina.
Test Category
Heart Function
Procedure
Non-Invasive
Sample Type
No biological sample is needed for this test.
Units
Percentage | Beats per Minute | Breaths Per Minute | Millimeters Of Mercury
Procedure Category
Assess
Test Group
Complete Pulmonary Function Group, Cardiac Assessment Group, Physical Function Group
Test Group Description
Complete Pulmonary Function Group: Comprehensive evaluations of respiratory function offer detailed insights into lung function, airway inflammation, and structural abnormalities, facilitating the precise diagnosis and management of pulmonary conditions. Physical Function Group: Tests within this group assess various aspects of physical function, offering insights into an individual's mobility, strength, and endurance. These tests help evaluate overall physical health and identify potential limitations or areas for improvement. Cardiac Assessment Group: Tests within this group focus on evaluating various aspects of heart health and function. They provide insights into cardiac performance, identify potential risk factors for cardiovascular diseases, and assist in diagnosing conditions such as arrhythmias, coronary artery disease, and heart failure.
Optimal Range
For All Individuals:
Conventional Unit: Peak Oxygen Content (PVo2): Not Available | Ventilatory Anaerobic Threshold (VAT): Not Available | Maximum Heart Rate (HRmax): Not Available | Heart Rate Reserve (HRR): Not Available | Blood Pressure (BP): Not Available | O2 Pulse (Vo2/HR): Not Available | Ventilatory Reserve (VR): Not Available | Respiratory Rate (RR): Not Available | VE/Vco2 at VAT: Not Available
SI Unit: Not Applicable
Normal Range
For All Individuals:
Conventional Unit: Peak Oxygen Content (PVo2): > 84 % Predicted | Ventilatory Anaerobic Threshold (VAT): 40–80 % PVo2 | Maximum Heart Rate (HRmax): > 90 % Age Predicted | Heart Rate Reserve (HRR): < 15 Beats/min | Blood Pressure (BP): < 220/90 mmHg | O2 Pulse (Vo2/HR): > 80 % | Ventilatory Reserve (VR): MVV−VEmax > 11 litres or VEmax/MVV × 100 < 85 % | Respiratory Rate (RR): < 60 Breaths/min | VE/Vco2 at VAT: < 34.00 R
SI Unit: Not Applicable
Results That Differ From The Norm (Direct and Indirect Causes)
Abnormal results may indicate:
Anemia (low red blood cell count)
Anxiety (mental health condition characterized by excessive worry)
Arrhythmias (abnormal heart rhythms)
Asthma (chronic respiratory condition causing airway inflammation)
Chronic Obstructive Pulmonary Disease (progressive lung disease)
Coronary Artery Disease (narrowing of...
Key Reasons For Testing
Cardiovascular Fitness Assessment: Evaluates heart and lung performance using VO2 max and anaerobic threshold.
Exercise Intolerance Diagnosis: Identifies causes of difficulty with physical activity or shortness of breath.
Exercise Capacity Evaluation: Determines physical activity limits to support tailored exercise plans.
Disease Progression Monitoring: Tracks changes in conditions like heart failure or COPD.
Health Status Conditions It May Be Used To Assess
Currently, this test is not directly associated with any conditions listed on the Health Status page. However, it may be included as part of a broader set of tests linked to specific health conditions.
Some Prominent Medical Labs That May Offer This Test
Please note that this particular test has not been associated with any of the listed prominent medical labs. We recommend enquiring with your private physician or nearest hospital to determine where this specific test can be performed.
References
Important Note
Any medical procedure yielding results outside the norm may be directly or indirectly linked to the conditions outlined on this page. Various factors, including genetics, medication and supplement usage, recent illnesses, pregnancy, pre-test eating, smoking, and stress, can impact the test's outcome. Additionally, factors like false positives, false negatives, inaccurate analyses, and others can influence results.
Reference ranges, which help healthcare professionals interpret medical tests, may vary depending on age, gender, and other factors. They may also differ between laboratories due to variations in instruments and methods used. Optimal ranges are designed for preventive purposes, aiming to identify trends and potential risks early, while normal ranges reflect conventional laboratory values indicating no current disease or pathology. Your healthcare practitioner may have specific reasons for testing that deviate from the usual or may interpret results differently based on individual circumstances. Proper interpretation typically involves considering clinical findings and other diagnostic tests. Hence, it is crucial to provide your healthcare professionals with a comprehensive medical history, consult with them for result interpretation, and follow their guidance for potential re-testing or additional diagnostics.
Disclaimer
This content is provided solely for informative and educational purposes. It is not intended as a substitute for medical advice or treatment from a personal physician. Regarding the interpretation of their medical test results and/or specific health questions, it is recommended that all readers and viewers consult their physicians or other qualified health professionals. The publisher is not responsible for any adverse health effects that may result from reading or following the information in this educational content. Before beginning any nutrition, supplement, or lifestyle program, all viewers, especially those taking prescription or over-the-counter medications, should consult their physician or health care practitioner.
Please note that while prominent lab names are included in this content, we cannot guarantee that these labs offer all the tests mentioned. For confirmation, individuals should contact the labs directly or consult their medical practitioners. The information provided reflects general knowledge at the time of publication and may not include recent updates or emerging research. Readers should verify details with qualified professionals to ensure the most up-to-date and accurate guidance.
[1] Albouaini K, Egred M, Alahmar A, Wright DJ. Cardiopulmonary exercise testing and its application. Heart.2007;93(10):1285-1292.
[2] Arena R, Myers J, Aslam SS, et al. Peak VO2 and VE/VCO2 slope in patients with heart failure: a prognostic comparison. Am Heart J. 2004;147(2):354-360.
[3] Balady GJ, Arena R, Sietsema K, et al. Clinician’s guide to cardiopulmonary exercise testing in adults: a scientific statement from the American Heart Association. Circulation. 2010;122(2):191-225.
[4] Ingle L, Goode K, Carroll S, et al. Prognostic value of the VE/VCO2 slope in chronic heart failure. Eur J Heart Fail.2005;7(3):370-376.
[5] Guazzi M, Adams V, Conraads V, et al. Clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations. Eur Heart J. 2012;33(23):2917-2927.
[6] Corrà U, Mezzani A, Bosimini E, et al. Ventilatory response to exercise improves risk stratification in patients with chronic heart failure and intermediate functional capacity. Am Heart J. 2002;143(3):418-426.
[7] Palange P, Ward SA, Carlsen KH, et al. Recommendations on the use of exercise testing in clinical practice. Eur Respir J. 2007;29(1):185-209.
[8] Belardinelli R, Georgiou D, Cianci G, Purcaro A. 10-year exercise training in chronic heart failure: a randomized controlled trial. J Am Coll Cardiol. 2012;60(16):1521-1528.
[9] O’Donnell DE, Webb KA, Neder JA. Cardiopulmonary exercise testing in patients with chronic obstructive pulmonary disease. Clin Chest Med. 2014;35(2):313-327.
[10] Wasserman K, Hansen JE, Sue DY, et al. Principles of Exercise Testing and Interpretation. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2011.
[11] Cahalin LP, Arena R, Labate V, et al. Heart rate recovery after the 6-min walk test predicts survival in patients with heart failure. Int J Cardiol. 2013;167(6):2720-2725.
[12] Wensel R, Georgiadou P, Francis DP, et al. Differential prognostic significance of ventilatory efficiency in heart failure patients with or without β-blocker treatment. Eur J Heart Fail. 2007;9(10):1081-1088.
[13] Arena R, Myers J, Williams MA, et al. Assessment of functional capacity in clinical and research settings: a scientific statement from the American Heart Association Committee. Circulation. 2007;116(3):329-343.
[14] Cooper CB, Storer TW. Exercise testing and interpretation: a practical approach. Clin Chest Med. 2001;22(4):679-701.
[15] Apostolo A, Giannitsi S, Cokkinos D, et al. The role of cardiopulmonary exercise testing in patients with heart failure. Heart Fail Rev. 2017;22(6):581-589.