Key result
Cardiopulmonary exercise testing provides safe and valuable prognostic and diagnostic information for risk stratification and exercise tolerance assessment in older patients, particularly those with heart failure and frailty.
Why the study?
Does cardiopulmonary exercise testing (CPET) provide safe and relevant diagnostic and prognostic information in older and oldest older patients?
Does cardiopulmonary exercise testing (CPET) provide safe and relevant diagnostic and prognostic information in older and oldest older patients?
Broader adoption of CPET in geriatric practice could improve functional assessment, frailty detection, and risk stratification in older adults.
Cardiopulmonary exercise testing is a study that provides both prognostic and diagnostic information about the state of the cardiovascular, respiratory systems and metabolic processes allowing us to determine how these systems contribute to a decrease in exercise tolerance. A large number of clinical studies using this method have shown its safety and diagnostic value. However, due to insufficient education among doctors and little experience, CPNT is currently not widely used in diagnostics, especially in the geriatrics. This review of available literature over the last 10 years is devoted to the relevance of the use of cardiopulmonary exercise testing in older and oldest older patients, the essence and methodology of the study, possible changes in indicators in patients with frailty, chronic heart failure, and diseases of the bronchopulmonary system.
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Ткачева et al. (2023) conducted a review in Cardiovascular, respiratory diseases, chronic heart failure, and frailty in elderly and senile patients. Cardiopulmonary exercise testing (CPET) was evaluated. Cardiopulmonary exercise testing provides safe and valuable prognostic and diagnostic information for risk stratification and exercise tolerance assessment in older patients, particularly those with heart failure and frailty.
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