[Cardiopulmonary capacity in patients with mucoviscidosis. Comparison of ergospirometry findings with clinical and radiological scores].
OBJECTIVE
Shwachman-Kulczycki- and Chrispin-Norman-Scores are widely used scoring systems for CF-patients. Maximum bicycle exercise testing was performed in 15 patients (medium age 13.4 years) to investigate whether clinical and radiographic scores or pulmonary function testing could predict cardiorespiratory fitness.


METHODS
A progressive exercise test was used to determine maximum working capacity (Wmax). Prior to exercise testing, lung function and blood gases were investigated. Chest radiographs were scored by an independent radiologist (G.B.) applying the Chrispin-Norman-Score. The Shwachman-Kulczycki-Score was determined by two observers (F.F., H.S.).


RESULTS
Chrispin-Norman-Score, Schwachman-Kulczycki-Score, results of lung function testing and blood gas values were significantly correlated to each other. However no significant correlation was found to the degree of exercise limitation.


CONCLUSIONS
Clinical, radiographic scores and lung function testing cannot predict exercise tolerance. Exercise testing is mandatory to evaluate cardio-respiratory fitness in CF-patients.
Friedrichs
F
F
Kinderklinik, Rheinisch-Westfälische Technische Hochschule Aachen.
Kusenbach
G
G
Skopnik
H
H
Benz-Bohm
G
G
Döhmen
H
H
Heimann
G
G
D000293:Adolescent; D000328:Adult; D002245:Carbon Dioxide / Q000097:blood; D002648:Child; D003550:Cystic Fibrosis / Q000175:diagnosis / Q000503:physiopathology*; D005080:Exercise Test; D005260:Female; D006801:Humans; D008168:Lung / Q000503:physiopathology; D008176:Lung Volume Measurements; D008297:Male; D010100:Oxygen / Q000097:blood; D010807:Physical Endurance / Q000502:physiology*; D013147:Spirometry
D002245:Carbon Dioxide; D010100:Oxygen
Kardiopulmonale Leistungsfähigkeit von Patienten mit Mukoviszidose. Vergleich ergospirometrischer Befunde mit klinischen und radiologischen Scores.