Zusammenfassung
Die Spiroergometrie („cardiopulmonary exercise testing“ CPX) mit der Aufzeichnung des Gasaustausches bietet neben dem konventionellen Belastungselektrokardiogramm eine Vielzahl von zusätzlichen Informationen zum integrativen Zusammenspiel von Ventilation, Zirkulation und Muskelstoffwechsel und ermöglicht so die Diagnostik und Differentialdiagnostik der Leistungslimitation. Durch die Bestimmung der Sauerstoffaufnahme bei maximaler Belastung sowie an der anaeroben Schwelle dient sie zudem der objektiven Graduierung der aktuellen kardiopulmonalen Leistungsfähigkeit, unabhängig von der Ursache der Leistungseinschränkung. Die Sauerstoffaufnahme als Maß der kardiopulmonalen Leistungsfähigkeit ist neben Alter, Größe und Gewicht auch abhängig von dem Geschlecht. Frauen erreichen in der Regel niedrigere Werte der Sauerstoffaufnahme als Männer gleichen Alters. Die kardiopulmonale Leistungsfähigkeit nimmt zudem — bei Frauen und Männern gleichermaßen — mit dem Alter ab.
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Literatur
Astrand I, Astrand PO, Hallback I, Kilbom A (1973) Reduction in maximal oxygen uptake with age. J Appl Physiol 35:649–654
Astrand PO (1956) Human physical fitness with special reference to sex and age. American Physiological Society 36:307
Beaver WL, Wasserman K, Whipp BJ (1986) A new method for detecting anaerobic threshold by gas exchange. J Appl Physiol 60:2020–2027
Chua TP, Ponikowski P, Harrington D, Anker SD, Webb-Peploe K, Clark AL, Poole-Wilson PA, Coats AJ (1997) Clinical correlates and prognostic significance of the ventilatory response to exercise in chronic heart failure. J Am Coll Cardiol 29:1585–1590
Cooper DM, Barstow TJ, Bergner A, Lee WN (1989) Blood glucose turnover during high-and low-intensity exercise. Am J Physiol 257:E405-E412
Davis JA, Storer TW, Caiozzo VJ (1997) Prediction of normal values for lactate threshold estimated by gas exchange in men and women. Eur J Appl Physiol 76:157–164
Drinkwater BL, Horvath SM, Wells CL (1975) Aerobic power of females, ages 10 to 68. J Gerontol 30:385–394
Gitt AK (2001) Ergospirometrie. In: Löllgen H, Erdmann E (Hrsg) Ergometrie. Springer, Berlin Heidelberg, S 152–174
Gitt AK, Winter UJ, Fritsch J, Pothoff G, Sedlak M, Ehmanns S, Ostmann H, Hilger HH (1994) [Comparison of four different methods for respiratory determination of the anaerobic threshold in normal people, and heart-and lung patients]. Z Kardiol 83(Suppl 3):37–42
Gitt AK, Bergmeier C, Winkler R, Kottmann T, Kleemann T, Kilkowski A, Schwarz A, Schneider S, Taubert G, Senges J (1999) Prognostische Bedeutung der maximalen O2-Aufnahme bei chronischer Herzinsuffizienz. Atemw-Lungenkrkh 25:497–502
Gitt AK, Bergmeier C, Kleemann T, Kilkowski A, Bangert M, Schneider S, Schwarz A, Senges J (2002) The exercise anaerobic threshold and ventilatory efficiency identify heart failure patients for high risk of early death. In: Wasserman K (ed) Cardiopulmonary exercise testing and cardiovascular health. Futura publishing Company, Armonte, New York, in press
Hansen JE, Sue DY, Oren A, Wasserman K (1987) Relation of oxygen uptake to work rate in normal men and men with circulatory disorders. Am J Cardiol 59:669–674
Hansen JE, Casaburi R, Cooper DM, Wasserman K (1988) Oxygen uptake as related to work rate increment during cycle ergometer exercise. Eur J Appl Physiol 57:140–145
Itoh H (2002) Exercise gas exchange abnormalities in CAD. In: Wasserman K (ed) Cardiopulmonary exercise testing and cardiovascular health. Futura publishing Company, Armonte, New York, in press
Kleber FX, Vietzke G, Wernecke KD, Bauer U, Opitz C, Wensel R, Sperfeld A, Glaser S (2000) Impairment of ventilatory efficiency in heart failure: prognostic impact. Circulation 101:2803–2809
Mancini DM (1997) Cardiopulmonary exercise testing for heart transplant candidate selection. Cardiologia 42:579–584
Mancini DM, Eisen H, Kussmaul W, Mull R, Edmunds LHJ, Wilson JR (1991) Value of peak exercise oxygen consumption for optimal timing of cardiac transplantation in ambulatory patients with heart failure. Circulation 83:778–786
Myers J, Gullestad L, Vagelos R, Do D, Bellin D, Ross H, Fowler MB (1998) Clinical, hemodynamic, and cardiopulmonary exercise test determinants of survival in patients referred for evaluation of heart failure. Ann Intern Med 129:286–293
Osman AF, Mehra MR, Lavie CJ, Nunez E, Milani RV (2000) The incremental prognostic importance of body fat adjusted peak oxygen consumption in chronic heart failure. J Am Coll Cardiol 36:2126–2131
Stelken AM, Younis LT, Jennison SH, Miller DD, Miller LW, Shaw LJ, Kargl D, Chaitman BR (1996) Prognostic value of cardiopulmonary exercise testing using percent achieved of predicted peak oxygen uptake for patients with ischemic and dilated cardiomyopathy. J Am Coll Cardiol 27:345–352
Stevenson LW (1994) Selection and management of patients for cardiac transplantation. Curr Opin Cardiol 9:315–325
Stevenson LW (1996) Role of Exercise Testing in the Evaluation of Candidates for Cardiac Transplantation. In: Wasserman K (ed) Exercise Gas Exchange in Heart Disease. Futura Publishing Company, Inc., Armonk, New York, pp 271–286
Stevenson LW, Steimle AE, Fonarow G, Kermani M, Kermani D, Hamilton MA, Moriguchi JD, Walden J, Tillisch JH, Drinkwater DC (1995) Improvement in exercise capacity of candidates awaiting heart transplantation. J Am Coll Cardiol 25:163–170
Sue DY, Hansen JE (1984) Normal values in adults during exercise testing. Clin Chest Med 5:89–97
Wasserman K (1967) Lactate and related acid base and blood gas changes during constant load and graded exercise. Can Med Assoc J 96:775–783
Wasserman K (1984) Coupling of external to internal respiration. Am Rev Respir Dis 129:S21-S24
Wasserman K (1984) The anaerobic threshold measurement in exercise testing. Clin Chest Med 5:77–88
Wasserman K (1984) The anaerobic threshold measurement to evaluate exercise performance. Am Rev Respir Dis 129:S35-S40
Wasserman K (1986) The anaerobic threshold: definition, physiological significance and identification. Adv Cardiol 35:1–23
Wasserman K (1987) Determinants and detection of anaerobic threshold and consequences of exercise above it. Circulation 76:VI29-VI39
Wasserman K, Koike A (1992) Is the anaerobic threshold truly anaerobic? Chest 101:211S–218S
Wasserman K, Whipp BJ (1975) Excercise physiology in health and disease. Am Rev Respir Dis 112:219–249
Wasserman K, Beaver WL, Whipp BJ (1990) Gas exchange theory and the lactic acidosis (anaerobic) threshold. Circulation 81:1114–1130
Wasserman K, Hansen JE, Sue DY, Whipp BJ, Casaburi R (1994) Principles of Exercise Testing and Interpretation. Lea & Febiger, Malvern, Pennsylvania
Wasserman K, Stringer WW, Casaburi R, Koike A, Cooper CB (1994) Determination of the anaerobic threshold by gas exchange: biochemical considerations, methodology and physiological effects. Z Kardiol 83(Suppl 3):1–12
Working Group on Cardiac Rehabilitation & Exercise Physiology and Working Group on Heart Failure of the European Society of Cardiology (2001) Recommendations for exercise testing in chronic heart failure patients. Eur Heart J 22:37–45
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Gitt, A., Senges, J. (2002). Geschlechtsunterschiede bei der Spiroergometrie. In: Brachmann, J., Medau, H.J. (eds) Die koronare Herzkrankheit der Frau. Steinkopff, Heidelberg. https://doi.org/10.1007/978-3-642-57534-1_13
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DOI: https://doi.org/10.1007/978-3-642-57534-1_13
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