![]() ![]() The 2002 American Heart Association exercise testing guidelines cite an adverse event rate of up to 0.04% or tests. Previous studies demonstrated the safety of CPET for people with CV diseases such as heart failure (HF), coronary artery disease, and cardiac transplantation. Their reasons include: 1) concerns regarding the risk of an adverse event during CPET 2) unavailability of CPET equipment 3) lack of awareness about the importance of evaluating exercise capacity and 4) preference for evaluating cardiac function over performing exercise capacity assessment. Nonetheless, many Korean physicians are unwilling to perform exercise stress testing, especially in elderly patients with CV diseases. ![]() 5 Therefore, risk assessment using CPET in elderly patients with CV diseases is becoming more important. 4 CPET is also useful in the assessment of preoperative risk and prediction of postoperative CV outcomes. Current clinical indications of CPET are used to define the cause of dyspnea/exercise intolerance, establish the severity of advanced cardiac disease, determine cardiac intervention in valvular/congenital heart disease, and precisely evaluate the functional response to an intervention. Since CPET can assess integrated exercise responses of cardiopulmonary, vascular, and skeletomuscular systems, 3 it can reveal abnormalities that are not apparent in a resting state. 2 In order to better define treatment and predict prognosis, it is more important to determine the exercise capacity in elderly patients than that in younger patients.Ĭardiopulmonary exercise testing (CPET) is an exercise stress test with concomitant expired gas analysis, which provides objective parameters of functional capacity. 1 The management of elderly patients with CV diseases differs from the management of younger patients with the same diseases. Cardiovascular (CV) diseases are a leading cause of death in elderly people, and it presents various challenges in both diagnosis and treatment. The size of elderly population is increasing rapidly worldwide, and according to data from Statistics Korea in 2016, people aged 65 years and older accounted for 13.6% of the entire Korean population. ![]()
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