A new statement by the American Heart Association has been recently published suggesting the addition of cardiorespiratory fitness (CRF) for risk classification in patient management and to encourage strategies designed to reduce cardiovascular risk. The purpose of this statement was to review current knowledge related to the association between…

A paper published in the British Medical Journal introduces purposes and methodology of a new clinical trial on gait inefficiencies on cerebral palsy adolescents that will be using COSMED wearable metabolic technology. A multicentre randomised controlled trial with a parallel process evaluation is going to be sponsored by Burnel University London…

A new study in the European Respiratory Journal focuses on proper interpretation values for the measured VO2max in elderly patients. This study stresses the importance of the selection of VO2max reference equations, especially for older subjects, and offers clinicians some information to guide their choice. As a matter of fact, predicted VO2max v…

The utility of graded exercise tests, cardiopulmonary exercise tests, submaximal walking tests, and other functional assessments (strength, frailty) for Cardiac Rehabilitation have been reviewed in this article of the Journal of Cardiac Rehabilitation and Prevention. This review addresses the role and optimal use of exercise testing in contempora…

The findings of a 12-year research period on elite football professional athletes were published in the Italian journal "Sport Sciences for Health". The aim of the research, conducted by the team of Italian sport scientist Danilo Manari, was to study the relations of maximal oxygen consumption (VO2max) and oxygen consumption at anaerobic threshol…

A new study was published in the American Journal of Medical Sciences highlighting the importance of a submaximal exercise parameter, the OUES, to identify exercise capacity of pulmonary thromboembolism (PE) patients. The objective of this article was to study the oxygen uptake efficiency, an index of cardiopulmonary functional reserve that can b…

The Mayo Clinic Procedures Journal hosts an article describing the project to create a registry of cardiorespiratory fitness (CRF) reference values. Given the importance of CRF in estimating health risk, it is essential to have accurate reference values to know what constitutes a “normal” value. In 2014, a multi-institutional initiative, the Fitn…

This scientific statement is a focused update to the 2012 Joint Scientific Statement on Clinical Recommendations for Cardiopulmonary Exercise (CPX) Testing Data Assessment in Specific Patient Populations from the European Association for Cardiovascular Prevention & Rehabilitation (EACPR) and the American Heart Association (AHA). The purposes…

An interesting validation study of perioperative CPET as a diagnostic tool for in-hospital morbidity was presented by the UK Perioperative Exercise Testing and Training Society. This study explored the relationship between cardiorespiratory fitness variables derived by cardiopulmonary exercise testing (CPET) and in-hospital morbidity after major…

An extremely interesting article on the New York Times of the 16th of May 2016 describes the attempts of sport scientist Prof. Yannis Pitsidalis to produce a revolutionary marathon time. Pitsidalis audacious plan is to use science to facilitate a sub-two-hour marathon by 2019, a decade or two sooner than many experts think possible. A sub 2 hour…

A multicentre study published in the Heart Journal investigates the possible ability of cardiopulmonary exercise test in improving contemporary strategies for Sudden Cardiac Death (SCD) risk stratification. Given that most of the factors associated with the risk of sudden cardiac death (SCD) in hypertrophic cardiomyopathy (HCM) are also involved…

The predictive strength of CPET parameters of mortality in Heart Failure patients has been studies in this paper in the Journal of American College of Cardiology. The study sought to describe the strength of the association among variables measured during a CPX test and all-cause mortality in patients with HF with reduced ejection fraction (HFrEF…

The role of CPET as a valuable preoperative assessment tool for colorectal cancer resection patients (80 yeas and above) has been examined in this article published on Colorectal Disease Journal. Pre-operative CPET testing in patients over 80 years undergoing elective colorectal cancer resection allows identification of higher risk patients and m…

An interesting article on the Annals of Electrocardiology showing the impact of cardiopulmonary exercise testing (CPX) variables on pulmonary hypertension in dilated cardiomyopathy (DCM). We evaluated the usefulness of crucial CPX variables for detecting elevated pulmonary arterial pressure (PAP) in patients with DCM. The study findings show tha…

A cross-sectional study on the potential value of cardiopulmonary exwercise test in Coronary Artery Disease (CAD) patients has been published in the BMJ Postgraduate Medical Journal. The aim of this study is to assess different parameters of cardiopulmonary exercise testing that can predict the development of myocardial ischaemia in patients with…

A useful review on exercise testing and in particular CPX was published in the American Academy of Physical Medicine and Rehabilitation (AAPMR) Journal. There are different modalities of exercise testing that can provide valuable information to physicians about patient and athlete fitness and cardiopulmonary status. Cardiopulmonary exercise testi…

The Journal of Patient-centred Research and Reviews published a study that validation a simplified diagnostic algorithm involving only six CPX variables. The study start from the asumption that CPX testing is underutilized by cardiologists due to complex diagnostic algorithms involving up to 30 variables as well as lack of validation studies. In…

A new study on Cardiology Journal investigates the role of the information obtained by Cardiopulmonary Exercise test in patients with limited aortic valve area (AVA). The aim of this study was to determine the feasibility, reproducibility, safety and information obtained on exercise physiology from cardiopulmonary exercise testing (CPX) in patien…

The Preventive Cardiology Jornal published a new study investigating the prognostic value of CPET in patients with tetralogy of Fallot. Oxygen uptake efficiency slope (OUES) and peak oxygen consumption (VO2peak) are exercise parameters that can predict cardiac morbidity in patients with numerous heart diseases. But the predictive value in patient…

A study on the European Surgery Journal compares the preoperative predictive value of spirometry and CPET in patients scheduled to undergo elective colorectal surgery. The aim of the study is to determine the predictive value of spirometry and cardiopulmonary exercise testing (CPET) preoperatively in patients scheduled to undergo elective colorec…