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心肺运动试验及侵入性心肺运动试验的临床应用
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Abstract:
本文介绍心肺运动试验和侵入性心肺运动试验的基本操作流程，心肺运动试验在冠状动脉粥样硬化性心脏病、肺动脉高压、运动反应性高血压和低血压、不明原因呼吸困难、心脏移植评估等临床应用，以及侵入性心肺运动试验在前负荷衰竭、线粒体肌病和一些亚临床疾病(运动诱发的肺动脉高压、运动诱发的射血分数保留的心力衰竭)中的临床应用。
This article introduces the basic operational procedures of cardiopulmonary exercise testing (CPET) and invasive cardiopulmonary exercise testing. It discusses the clinical applications of CPET in conditions such as coronary atherosclerotic heart disease, pulmonary artery hypertension, exercise-induced hypertension and hypotension, dyspnea of unknown origin, and evaluation for heart transplantation. Additionally, it outlines the clinical applications of invasive cardiopulmonary exercise testing in conditions like preload failure, mitochondrial myopathies, and some subclinical diseases (exercise-induced pulmonary artery hypertension and exercise-induced heart failure with preserved ejection fraction).
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