Clinical Exercise Testing

Paolo Palange is currently Full Professor of Respiratory Medicine at the Sapienza University of Rome (Rome, Italy) and Head of the Division of Internal Medicine and Pulmonary Medicine, Adult Cystic Fibrosis programme at Policlinico Umberto I Hospital (Rome, Italy). Pierantonio Laveneziana is Pulmonologist and Associate Professor of Physiology at Sorbonne Universite and the University Hospital "Pitie-Salpetriere" in Paris, France. He is Director of the Dyspnoea and Exercise programme at the Respiratory Department of the University Hospital "Pitie-Salpetriere" and at the research unit UMRS 1158 at Sorbonne Universite. J. Alberto Neder is currently Professor of Medicine at Queen's University (Kingston, ON, Canada) and is a staff respirologist at the Kingston Health Sciences Centre (KHSC; Kingston, ON, Canada). He is the Director of the KHSC's Laboratory of Clinical Exercise Physiology and the Laboratory of Pulmonary Function Tests. Susan A. Ward was most recently (in 2003) appointed Chair of Sport and Exercise Science and Head of the School of Sport and Exercise Sciences at the University of Leeds (Leeds, UK), and then Emeritus Professor in 2007. She presently operates a research and educational consultancy.

Introduction: CPET in clinical practice. Recent advances, current challenges and future directions; Determinants of the physiological systems responses to muscular exercise in healthy subjects; Abnormal patterns of response to incremental CPET; Equipment, measurements and quality control; Reference values in adults; Patterns of cardiopulmonary response to exercise in COPD; Patterns of cardiopulmonary response to exercise in fibrotic ILD; Patterns of cardiopulmonary response to exercise in cardiac diseases; Patterns of cardiopulmonary response to exercise in pulmonary vascular diseases; Walking for the assessment of patients with COPD; Exercise testing in children with respiratory diseases; Exercise testing in adults with cystic fibrosis; Exercise testing in the prognostic evaluation of patients with lung and heart diseases; Exercise testing in the evaluation of pharmacotherapy in COPD; Exercise testing for pre-operative evaluation; A critical perspective on the use of exercise testing; Case 1; Case 2; Case 3