Advances in the clinical use of cardiopulmonary exercise testing in left ventricular assist techniques
10.3760/cma.j.cn112434-20230409-00079
- VernacularTitle:心肺运动试验在左心室辅助技术中的临床应用进展
- Author:
Yingxue LI
1
;
Wenyan WANG
;
Hong KONG
;
Keli HUANG
;
Tao YU
Author Information
1. 成都中医药大学医学与生命科学学院,成都 610075
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2023;39(11):700-704
- CountryChina
- Language:Chinese
-
Abstract:
Cardiopulmonary exercise test(CPET) is the most commonly used non-invasive tool in the world to objectively evaluate cardiopulmonary reserve function and exercise tolerance. CPET play an important role in diagnosis, risk stratification, prognosis evaluation and therapeutic planning in heart failure(HF) patients. In recent years, due to the increasing number of advanced HF patients and the paucity of heart donors, left ventricular assist device(LVAD) has represented a valid alternative to heart transplantation(HT) from bridge to transplantation indication to destination therapy. This article summarizes several topical issues regarding the current use of CPET in assessing the prognosis of HF patients, implantation and withdrawal of LVAD, postoperative right ventricular failure, and the effects of exercise rehabilitation in LVAD patients.