Pulmonary artery pressure measurement during exercise testing in patients with suspected pulmonary hypertension.

@article{Raeside2000PulmonaryAP,
  title={Pulmonary artery pressure measurement during exercise testing in patients with suspected pulmonary hypertension.},
  author={David Raeside and A A Smith and A Brown and K. R. Patel and Rajneesh Madhok and John G.F. Cleland and Andrew J Peacock},
  journal={The European respiratory journal},
  year={2000},
  volume={16 2},
  pages={
          282-7
        }
}
It is recognized that exercise produces abnormally large increases in pulmonary artery pressure in patients with pulmonary vascular disease as a consequence of a variety of disorders, but the relationship between pressure and cardiopulmonary exercise performance is poorly understood. This lack of understanding is due (in part) to difficulty making measurements of pulmonary haemodynamics using conventional fluid filled catheters. This article seeks to improve understanding by comparing variables… 
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62 Citations
Background Citations
12
Methods Citations
3
Results Citations
2

62 Citations

Citation Type

Citation Type

Cardiopulmonary Exercise Testing in Pulmonary Hypertension
TLDR
An overview of the history of CPET is provided, how measurements are obtained and interpreted are described, and its use in diagnosis and monitoring of pulmonary hypertensive diseases including exercise-induced pulmonary hypertension and pulmonary hypertension associated heart and lung disease is discussed.
Implications of exercise-induced pulmonary arterial hypertension.
TLDR
Elevated pulmonary artery pressure on exercise can be associated with hemodynamic and ventilatory abnormalities typical of PAH, along with impaired exercise capacity and reduced QOL.
Pulmonary Vascular Response Patterns to Exercise: Is there a Role for Pulmonary Arterial Pressure Assessment during Exercise in the Post-Dana Point Era?
  • G. Lewis
  • Medicine
    Advances in pulmonary hypertension
  • 2010
TLDR
Exercise effectively unmasks early forms of several cardiopulmonary diseases but it is not clear whether these diseases are related or not.
Pulmonary vascular responses to exercise: a haemodynamic observation
TLDR
The potential clinical utility of identifying “ normal” and “abnormal” pulmonary vascular response patterns to exercise in patients aged ≤50 yrs is discussed and the clinical significance of a hypertensive P pa response to exercise is currently uncertain.
Exercise-Induced Pulmonary Arterial Hypertension
TLDR
Exercise-induced PAH is an early, mild, and clinically relevant phase of the PAH spectrum, and the takeoff pattern was present in nearly all normals.
An official European Respiratory Society statement: pulmonary haemodynamics during exercise
TLDR
The term “exercise pulmonary hypertension” may be the most adequate to describe an abnormal pulmonary haemodynamic response characterised by an excessive pulmonary arterial pressure (PAP) increase in relation to flow during exercise.
Reduced exercise capacity and stress-induced pulmonary hypertension in patients with scleroderma.
TLDR
Measurement of PASP during exercise may prove to be a useful tool for the identification of future resting PHTN, and is linearly related to exercise time and maximum workload achieved.
The relationship between the components of pulmonary artery pressure remains constant under all conditions in both health and disease.
TLDR
SPAP, MPAP, and DPAP were strongly related, and these relationships were maintained under varying conditions, and this finding will allow comparison between invasive and noninvasive descriptions of pulmonary hemodynamics found in the literature.
Cardiopulmonary exercise testing in the assessment of pulmonary hypertension
TLDR
The pathophysiology of PAH and secondary PH and its impact on cardiac function is discussed, the clinical presentation of patients with elevated pulmonary pressures is reviewed, a case for the use of CPX as an integral assessment technique is outlined and clinical recommendations for CPX are provided.
Exercise limitations in various forms of pulmonary hypertension
TLDR
The contribution of PH in exercise limitations observed in sickle cell disease and patients idiopathic pulmonary fibrosis is assessed and the use of exercise testing as parameter of outcome is assessed.
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