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Exercise and the Heart |

Cardiopulmonary Exercise Testing and Prognosis in Chronic Heart Failure* : A Prognosticating Algorithm for the Individual Patient

Ugo Corrà, MD; Alessandro Mezzani, MD; Enzo Bosimini, MD; Pantaleo Giannuzzi, MD
Author and Funding Information

From the Division of Cardiology, “Salvatore Maugeri” Foundation, Istituto di Ricovero e Cura a Carattere Scientifico, Veruno, Italy.

Correspondence to: Ugo Corrà, MD, Divisione di Cardiologia, Fondazione “S. Maugeri,” Via per Revislate, 13, 28010 Veruno, Italy; e-mail: ucorra@fsm.it



Chest. 2004;126(3):942-950. doi:10.1378/chest.126.3.942
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The identification of individuals who are at high risk of chronic heart failure (HF) is a medical art of growing concern. Cardiopulmonary exercise stress testing (CPX) has become an important clinical tool to predict outcome. The value of peak oxygen consumption rests in the fact that it integrates elements of cardiac adaptations, and skeletal muscle, pulmonary, and endothelial dysfunctions more than other traditional prognostic indicators of chronic HF. Recently, exercise-related ventilatory abnormalities have gained attention, stimulating scientific debate and an innovative perspective. This review, through a critical examination of previous experiences, will focus on the prognostic application of CPX, defining a proficient outline of treatment for the individual patient.

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