Patients with cardiovascular disease
Rehabilitation and exercise prescription based on cardiopulmonary exercise testing (CPX) or 6-minute walk test
The JCS/JACR 2021 guideline outlines the assessment of exercise capacity using CPX or 6-minute walk tests to guide cardiac rehabilitation in cardiovascular disease patients.
PAD peripheral arterial disease PCI percutaneous coronary intervention peak V O2 peak oxygen uptake PH pulmonary hypertension PVCs premature ventricular contraction QOL quality of life RCT randomized controlled trial RPE rating of perceived exertion SGA Subjective Global Assessment STEMI ST elevation myocardial infarction TG triglyceride TAVI transcatheter aortic valve implantation VAD ventricular assist device V CO2 carbon dioxide output V E minute ventilation V E/V CO2 ventilatory equivalent for carbon dioxide V E vs. V CO2 slope minute ventilation vs. carbon dioxide output slope V O2 oxygen uptake V O2/HR oxygen pulse capacity is assessed by cardiopulmonary exercise testing (CPX), an exercise prescription is prepared based on the risk in terms of severity of illness, and then a treatment and CR plan is established. If CPX cannot be performed due to complications, low physical fitness, or low left ventricular function, exercise capacity should be confirmed by the 6-minute walk test.
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Shigeru Makita
Saitama International Medical Center
Takanori Yasu
Heart Failure & Transplant
Yoshihiro J. Akashi
General Cardiology
Circulation Journal
The University of Tokyo
Kyoto University
Tohoku University
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Makita et al. (Thu,) studied this question.
synapsesocial.com/papers/69da298dba6014a02e8366aa — DOI: https://doi.org/10.1253/circj.cj-22-0234