[Cardiopulmonary exercise testing and dyspnea in patients with chronic respiratory diseases].
Cardiopulmonary exercise testing (CPET) is the most comprehensive investigation for understanding the mechanisms responsible for dyspnea in patients with chronic respiratory disease. The two observations presented here illustrate how CPET can contribute to the management of patients with interstitial lung diseases. A 60-year-old woman had been followed for 20 years for non-progressive pulmonary sarcoidosis, untreated for many years. CPET led to the diagnosis of an atrial septal defect. A 76-year-old man was treated for idiopathic pulmonary fibrosis. Before pulmonary rehabilitation, CPET was performed which revealed significant aortic valve stenosis, which had been to that point asymptomatic. In these two observations, CPET determined the presence of an associated disease, distinct from the interstitial lung disease.
Service de pneumologie et immuno-allergologie, centre de compétence maladies pulmonaires rares, cliniques des maladies respiratoires, hôpital Calmette, CHRU, université Lille-2, boulevard Leclercq, 59037 Lille, France; Service d'exploration fonctionnelle respiratoire, hôpital Calmette, CHRU, université Lille-2, boulevard Leclercq, 59037 Lille, France.
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AM
De Jesus
Service de pneumologie, centre hospitalier, rue Delbecque, 62408 Beuvry, France.
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J
Chabrol
Faculté de médecine, université Joseph-Fourrier, domaine de La Merci, avenue des Maquis-de-Grésivaudan, 38706 La Tronche cedex, France; Department of physical education, McGill University, Montréal, Canada.
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B
Aguilaniu
Service de pneumologie et immuno-allergologie, centre de compétence maladies pulmonaires rares, cliniques des maladies respiratoires, hôpital Calmette, CHRU, université Lille-2, boulevard Leclercq, 59037 Lille, France; Service de pneumologie, centre hospitalier, rue Delbecque, 62408 Beuvry, France. Electronic address: benoit.wallaert@chru-lille.fr.
B
B
Wallaert
D000368:Aged; D002908:Chronic Disease; D004417:Dyspnea / Q000175:diagnosis* / Q000209:etiology* / Q000503:physiopathology; D005080:Exercise Test; D017079:Exercise Tolerance; D005260:Female; D006801:Humans; D017563:Lung Diseases, Interstitial / Q000150:complications / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D005082:Physical Exertion / Q000502:physiology; D012120:Respiration Disorders / Q000150:complications* / Q000503:physiopathology; D012129:Respiratory Function Tests; D017565:Sarcoidosis, Pulmonary / Q000150:complications / Q000503:physiopathology
Cardiopulmonary exercise testing; Dyspnea; Dyspnée; Exercice; Exercise; Exploration fonctionnelle d’exercice; Fibrose pulmonaire; Pulmonary fibrosis; Sarcoidosis; Sarcoïdose