Impact of Integrative Cardiopulmonary Exercise Testing (9)
1. Exercise Testing for Diagnosis and Screening
Occupational lung disease: Impairment is the loss or reduction in physiologic function. Evaluation of impairment from occupational lung disease evaluation is often difficult because of the potential for coexisting diseases being the cause of impairment. Furthermore, other factors may cause the patient to overestimate symptoms of exercise limitation or work capability. Integrative cardiopulmonary exercise testing would prove useful if it were helpful in differential diagnosis of the organ system limiting exercise and could provide a better objective assessment of functional capacity. flovent inhaler
Oren et al assessed the value of integrative cardiopulmonary exercise testing in patients with potential occupational asbestos disease. History and physical examination, pulmonary function tests, arterial blood gas levels, chest roentgenograms, and electrocardiogram were obtained prior to the exercise test. The degree of impairment and limiting mechanism to exercise as judged before the exercise test were compared with the conclusions reached after the exercise test results were considered. From a group of 348 men referred, 214 were classified as having either no decreased exercise capacity or definitely decreased exercise capacity from the nonexercise studies, but in 134 men, the evaluating physicians could not make an interpretation without the information provided by the exercise test.