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Clinical seminar: Exercise testing for cardiopulmonary diseases – application and feasibility (CS-12)

Chair: Shirley Ngai (Hong Kong)
Speakers: Yu-Jung Cheng (Taiwan), Mary Audrey Viloria (Philippines)

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Learning objectives

  1. To introduce the commonly used exercise tests for assessing people with cardiopulmonary diseases.

  2. To discuss the practicability and feasibility of conducting these tests and the modifications applied.

  3. To discuss key issues when designing and progressing training.

Session outline

Exercise testing plays a crucial role in the assessment and management of individuals with cardiopulmonary diseases. These tests provide valuable insights into an individual’s exercise capacity, cardiopulmonary function, and response to various interventions. However, the practical application of exercise testing in real-world clinical settings can be challenging, with considerations around resource requirements, feasibility, and the need for protocol adaptations.

 

The clinical seminar will provide a comprehensive overview of the role and practical application of exercise testing for individuals with cardiopulmonary diseases. The session will be led by a panel of experienced clinicians and researchers, who will discuss the various exercise tests commonly used in the assessment and management of these patient populations. The key content will include:

 

  1. Introduction to exercise testing for people with cardiopulmonary diseases
  2. Practicability and feasibility of exercise testing – practical considerations and challenges associated with conducting exercise tests in real-world clinical settings – case sharing
  3. Using exercise testing results to design and progress training programs of patients with heart diseases – case sharing

 

Throughout the seminar, participants will be engaged in interactive discussions and will be asked thought-provoking questions in order to foster a dynamic exchange of knowledge and experiences. The attendees will be able to have a deeper understanding of the clinical applications and practical considerations of exercise testing in the management of cardiopulmonary diseases upon attending the seminar.

References
  1.  Ngai SPC, Jones AYM, Jenkins S. Regression equations to predict 6-minute walk distance in Chinese aged 55-85 years. Hong Kong Physiotherapy Journal 2014; 32(2): 58-64.
  2. Ngai SPC, Spencer LM, Jones AYM, Alison JA. Repeatability of the endurance shuttle walk test in people with Chronic Obstructive Pulmonary Disease (COPD). Clin Respir J. 2017 11(6):875-880. doi: 10.1111/crj.12430 2015 Dec 10; doi: 10.1111/crj.12430 Epub 2016 Jan 13.
  3. Takahashi T, Iwata K, Morisawa T, Kato M, Kono Y, Taya M, Iida Y, Funami Y, Kamiya K, Sakurada K, Saitoh M. Incidence of Hospitalization-Associated Disability in Older Patients With Heart Failure. Circ J. 2024;88(5):672-679.
  4. Takahashi T , Watanabe H, Mochizuki M, Kikuchi Y, Kitahara E, Yokoyama-Nishitani M, Morisawa T, Saitoh M, Iwatsu K, Minamino T, Tabata M, Fujiwara T, Daida H. Relationship between prehabilitation responsiveness and postoperative physical functional recovery in cardiovascular surgery. J Cardiol. 2024:S0914-5087(24)00097-2.
  5. Fujiwara K, Shimada K, Nishitani-Yokoyama M, Kunimoto M, Matsubara T, Matsumori R, Abulimiti A, Aikawa T, Ouchi S, Shimizu M, Fukao K, Miyazaki T, Honzawa A, Yamada M, Saitoh M, Morisawa T, Takahashi T Daida H, Minamino T. Arterial Stiffness Index and Exercise Tolerance in Patients Undergoing Cardiac Rehabilitation. Int Heart J. 2021;62(2):230-237. 
  6. Abulimiti A, Nishitani-Yokoyama M, Shimada K, Kunimoto M, Matsubara T, Fujiwara K, Aikawa T, Ouchi S, Sugita Y, Fukao K, Kadoguchi T, Miyazaki T, Shimada A, Yamamoto T, Takahashi T, Fujiwara T, Asai T, Amano A, Daida H, Minamino T. Prognostic impact of peak oxygen uptake and heart rate reserve in patients after off-pump coronary artery bypass grafting. Clin Cardiol. 2021;44(4):580-587.
  7. Miyazawa R, Iso Y, Tsujiuchi M, Shoji M, Takahashi T, Koba S, Ebato M, Miyagawa T, Geshi E, Suzuki H. Potential Association of Circulating MicroRNA-181c and MicroRNA-484 Levels with Cardiorespiratory Fitness after Myocardial Infarction: A Pilot Study. Prog Rehabil Med. 2021;6:20210017.
  8. Kamiya K, Sato Y, Takahashi T, Tsuchihashi-Makaya M, Kotooka N, Ikegame T, Takura T, Yamamoto T, Nagayama M, Goto Y, Makita S, Isobe M. Multidisciplinary Cardiac Rehabilitation and Long-Term Prognosis in Patients With Heart Failure. Circ Heart Fail. 2020;13(10):e006798.
  9. Ichikawa Y, Maeda T, Takahashi T, Ashikaga K, Tanaka S, Sumi Y, Itoh H. Changes in oxygen uptake kinetics after exercise caused by differences in loading pattern and exercise intensity. ESC Heart Fail. 2020;7(3):1109-1117.
  10. Takahashi T, Jenkins SC, Strauss GR, Watson CP, Lake FR. A new unsupported upper limb exercise test for patients with chronic obstructive pulmonary disease. J Cardiopulm Rehabil. 2003;23(6):430-7.
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