心肺运动试验在动脉性肺动脉高压中的应用与进展

The application and progress of cardiopulmonary exercise testing in arterial pulmonary hypertension

动脉性肺动脉高压(pulmonary arterial hypertension,PAH)是一种进展性疾病,其特征为运动耐力下降、右心功能不全,最终可能发展为右心衰竭。心肺运动试验(cardiopulmonary exercise test,CPET)是一种无创评估工具,能够全面测量静息和运动状态下的循环、呼吸、代谢及肌肉功能,在PAH的诊断、病情评估及预后预测中显示出重要价值。文章综述了CPET在PAH中的应用与最新研究进展。

Pulmonary arterial hypertension(PAH)is a chronic progressive disease characterized by reduced exercise tolerance and right heart dysfunction,which can eventually lead to right heart failure.Cardiopulmonary exercise test(CPET)is a non-invasive assessment tool that comprehensively evaluates circulatory,respiratory,metabolic,and muscular functions under resting and exercise conditions.This article reviews the application and research progress of CEPT in PAH.