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  Cardiopulmonary exercise assessment in the Department of Cardiology, Peking University Third Hospital

  Hospitalization number qquad\qquad
   Clinic number 000028333900
Name: Li Xianghua Gender: Female Age: 60 Bed No.: qquad\qquad Assessment Date: qquad\qquad 2025/5/6
  Exercise test results
  Bruce Flat Exercise Program: Treadmill
Bruce平板 运动方案: 踏车| Bruce平板 | | :--- | | 运动方案: 踏车 |
  stage
15   Exercise load time 5   second
  Reasons for discontinuation of exercise: fatigue; Borg Lower Extremities 18 Respiration 2
  Exercise test results: negative qquad\qquad Negative   Pulmonary ventilation:   Small airway function: normal
  Test Indicators:   Anaerobic threshold   maximum   (Maximum/Estimate\%)
  outcome   Reference values
  Power (W) treadmill 41 80 82
VE(L/min) 18.7 41.8 58
V02(ml/min/kg) 11.9 20.0 81 85 % 85 % >= 85%\geqslant 85 \%
V02(ml/min) 616.9 1036.1 81
RER 0.91 1.21
METs 3.4 5.7 81
HR(bpm) 92 129 81
V02/HR(ml/beat) 6.7 8.0 108 >80\%
VE/VC02 29.8 30.9
SBP(mmHg) 94 128
DBP(mmHg) 65 68
  Analytical Indicators:
  Exercise tolerance: decreased VE/VC02slope: 27.0
  Weber Grading Criteria: B OUES: L/min
  Heart rate recovery (= HRmax - HR recovery 1 minute): 28 28 _ 28 _\underline{28}   times   (Reference value:) 15 times)
  Other indicators:
  Oscillatory breathing:   not   Oxygen pulse trajectory: persistently elevated during exercise testing
  PETC02 (mmHg) at rest: 36.0
PETC02(mmHg)静息时: 36.0| PETC02(mmHg)静息时: | | :--- | | 36.0 |
  elevated on exercise testing: 5.7   Is it normal:   be
"Bruce平板 运动方案: 踏车" 阶段 15 运动负荷时间 5 秒 终止运动原因:疲乏;Borg 下肢18 呼吸2 运动试验结果:阴性 qquad阴性 肺通气功能: 小气道功能:正常 测试指标: 无氧阈 最大值 (最大值/预计值\%) 结果 参考值 功率(W)踏车 41 80 82 VE(L/min) 18.7 41.8 58 V02(ml/min/kg) 11.9 20.0 81 >= 85% V02(ml/min) 616.9 1036.1 81 RER 0.91 1.21 - METs 3.4 5.7 81 HR(bpm) 92 129 81 V02/HR(ml/beat) 6.7 8.0 108 >80\% VE/VC02 29.8 30.9 - SBP(mmHg) 94 128 - DBP(mmHg) 65 68 - 分析指标: 运动耐量:下降 VE/VC02slope: 27.0 Weber分级标准: B OUES: L/min 心率恢复(=HRmax-HR恢复1分钟): 28 _ 次 (参考值:)15次) 其他指标: 振荡呼吸: 否 氧脉搏轨迹:在运动试验期间持续升高 "PETC02(mmHg)静息时: 36.0" 运动试验时升高: 5.7 是否正常: 是 | Bruce平板 <br> 运动方案: 踏车 | | | | | 阶段 | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | | | | 15 | | | 运动负荷时间 | 5 | 秒 | | 终止运动原因:疲乏;Borg 下肢18 呼吸2 | | | | | | | | | | | 运动试验结果:阴性 $\qquad$阴性 | | | | 肺通气功能: | 小气道功能:正常 | | | | | | 测试指标: | | 无氧阈 | | 最大值 | (最大值/预计值\%) | | | | | | | | | | | | 结果 | | 参考值 | | | 功率(W)踏车 | | 41 | | 80 | | 82 | | | | | VE(L/min) | | 18.7 | | 41.8 | | 58 | | | | | V02(ml/min/kg) | | 11.9 | | 20.0 | | 81 | | $\geqslant 85 \%$ | | | V02(ml/min) | | 616.9 | | 1036.1 | | 81 | | | | | RER | | 0.91 | | 1.21 | | - | | | | | METs | | 3.4 | | 5.7 | | 81 | | | | | HR(bpm) | | 92 | | 129 | | 81 | | | | | V02/HR(ml/beat) | | 6.7 | | 8.0 | | 108 | | >80\% | | | VE/VC02 | | 29.8 | | 30.9 | | - | | | | | SBP(mmHg) | | 94 | | 128 | | - | | | | | DBP(mmHg) | | 65 | | 68 | | - | | | | | 分析指标: | | | | | | | | | | | 运动耐量:下降 | | | VE/VC02slope: | | 27.0 | | | | | | Weber分级标准: | B | | | OUES: | L/min | | | | | | 心率恢复(=HRmax-HR恢复1分钟): | | | $\underline{28}$ | 次 | | | (参考值:)15次) | | | | 其他指标: | | | | | | | | | | | 振荡呼吸: | 否 | | | 氧脉搏轨迹:在运动试验期间持续升高 | | | | | | | PETC02(mmHg)静息时: <br> 36.0 | | | | 运动试验时升高: | 5.7 | | 是否正常: | 是 | |
  Exercise prescription

  Conclusion of the exercise test:

1. The patient's static pulmonary function test, normal ventilatory function, and normal small airway function.
2. The RER of the patient's exercise test showed that the main reason for the restriction of exercise was the lack of strength of the lower limbs.
3. Negative exercise ECG (-). Normal blood pressure response during exercise, maximum hypertension 128 / 68 mmHg 128 / 68 mmHg 128//68mmHg128 / 68 \mathrm{mmHg} . High response rate of motor center. There were no obvious symptoms such as chest pain, dyspnea, dizziness and so on during the exercise test.
4. Maximal oxygen uptake 20.0 min / kg 20.0 min / kg 20.0min//kg20.0 \mathrm{~min} / \mathrm{kg} , accounting for the predicted value 81 % 81 % 81%81 \% , decreased exercise tolerance; The anaerobic threshold is , 11.9 ml / min / kg 11.9 ml / min / kg 11.9ml//min//kg11.9 \mathrm{ml} / \mathrm{min} / \mathrm{kg} which accounts for the expected maximal oxygen uptake 48 % 48 % 48%48 \% , and aerobic exercise tolerance is normal.
5. The exercise plan can be referred to: 1. Aerobic exercise: it is recommended to exercise heart rate 92 118 92 118 92-11892-118 times / min, it is recommended to tread, swimming, running and other sports methods, 3-5 days a week, 1-2 times a day, 20-40 minutes each time; 2. Resistance training: It is recommended to resist training 2-3 times a week; 3. Breathing training: It is recommended to breathe abdominally, pursed lips and other methods, 3-5 groups a day, 6-12 times each time; 4. Exercise process: warm-up 5 10 min 5 10 min 5-10min-5-10 \mathrm{~min}- - exercise training - cooling down 5 5 5-5- for 10 minutes - stretching. Resistance, flexibility, balance movement
  Cardiologist:
  Name: Li Xianghua Medical record number: 000028333900
姓名:李向华 病历号:000028333900| 姓名:李向华 | | :--- | | 病历号:000028333900 |
  Age: 60 years BMI: 18.57
  Height: 167.0 cm   Test time: 5/6/2025 14:01:48
  Weight: 51.8 kg
  index   unit AT RCP MaxVO2 Pred
AT\% MaxVO2 MaxVO2 \%Pred AT\% Pred
Time 0:00 08:48 10:58 11:25 -- -- -- --
  --------Scheme--------
Load w 41 74 80 97 51 82 42
RPM r/Min 64 61 61 -- 105 -- --
  --------- ventilation function--------
VTin L 0.9 1.1 1.1 -- 75 -- --
BF 1/Min 20 27 34 40 60 84 51
VE L/Min 18.7 31.9 41.8 71.9 45 58 26
BR \% 80.9 67.5 57.4 30.0 141 191 270
  -------- oxygen consumption--------
VO2/KG ml / min / kg ml / min / kg ml//min//kg\mathrm{ml} / \mathrm{min} / \mathrm{kg} 11.9 17.8 20.0 24.7 60 81 48
VO2 ml/Min 616.9 923.6 1036.1 1280.3 60 81 48
VCO2 ml/Min 562.9 1020.4 1249.8 -- 45 -- --
RER 1 0.91 1.10 1.21 -- 76 -- --
METS 1 3.4 5.1 5.7 7.1 60 81 48
  -------- cardiac function--------
HR 1/Min 92 118 129 160 71 81 58
VO2/HR ml/beat 6.7 7.8 8.0 7.5 83 108 90
  --------- ventilation function--------
VE/VCO2 35.4 29.8 28.7 30.9 -- 97 -- --
VE/VO2 29.8 27.2 31.7 37.3 -- 73 -- --
PeTCO2 mmHg 41.7 41.4 37.8 -- 110 -- --
PeTO2 mmHg 112.3 119.6 125.1 -- 90 -- --
  ---------Other--------
Psys mmhg 94 128 128 -- 73 -- --
Pdia mmhg 65 68 68 -- 96 -- --
SPO2 \% 99 -- -- -- -- -- --
Normal   Normal   Measured values
VO2 Max/Pred: >85 81
VO2 AT/Pred: 40 % 40 % >= 40%\geq 40 \% 48
Respiratory
Breath Reserve: >30\% 57
RR(Rest to VO2Max): 8-50 12-34
Ventilaton/Perfusion
VD/VT(Rest to VO2Max): 0.35-<0.25 0.35-0.20
Cardiac
Heart Rate Reserve: <15 31
Heart Rate Recovery(1 min): 28
02/HR(Rest to VO2Max): >6 2.9-8.0
Blood Preasure(Rest to VO2Max): <220/<110 89/67-128/68
dO2/dW Slope: 8-11 8.7
VE/VCO2 Slope: <30 27.0
OUES: >1096 1284.2
"姓名:李向华 病历号:000028333900" 年龄:60 岁 BMI: 18.57 身高: 167.0 cm 测试时间:2025/5/6 14:01:48 体重:51.8 Kg 指标 单位 AT RCP MaxVO2 Pred AT\% MaxVO2 MaxVO2 \%Pred AT\% Pred Time 0:00 08:48 10:58 11:25 -- -- -- -- --------方案-------- Load w 41 74 80 97 51 82 42 RPM r/Min 64 61 61 -- 105 -- -- ---------通气功能-------- VTin L 0.9 1.1 1.1 -- 75 -- -- BF 1/Min 20 27 34 40 60 84 51 VE L/Min 18.7 31.9 41.8 71.9 45 58 26 BR \% 80.9 67.5 57.4 30.0 141 191 270 --------氧耗量-------- VO2/KG ml//min//kg 11.9 17.8 20.0 24.7 60 81 48 VO2 ml/Min 616.9 923.6 1036.1 1280.3 60 81 48 VCO2 ml/Min 562.9 1020.4 1249.8 -- 45 -- -- RER 1 0.91 1.10 1.21 -- 76 -- -- METS 1 3.4 5.1 5.7 7.1 60 81 48 --------心功能-------- HR 1/Min 92 118 129 160 71 81 58 VO2/HR ml/beat 6.7 7.8 8.0 7.5 83 108 90 ---------通气功能-------- VE/VCO2 35.4 29.8 28.7 30.9 -- 97 -- -- VE/VO2 29.8 27.2 31.7 37.3 -- 73 -- -- PeTCO2 mmHg 41.7 41.4 37.8 -- 110 -- -- PeTO2 mmHg 112.3 119.6 125.1 -- 90 -- -- ---------其他-------- Psys mmhg 94 128 128 -- 73 -- -- Pdia mmhg 65 68 68 -- 96 -- -- SPO2 \% 99 -- -- -- -- -- -- Normal 正常值 实测值 VO2 Max/Pred: >85 81 VO2 AT/Pred: >= 40% 48 Respiratory Breath Reserve: >30\% 57 RR(Rest to VO2Max): 8-50 12-34 Ventilaton/Perfusion VD/VT(Rest to VO2Max): 0.35-<0.25 0.35-0.20 Cardiac Heart Rate Reserve: <15 31 Heart Rate Recovery(1 min): 28 02/HR(Rest to VO2Max): >6 2.9-8.0 Blood Preasure(Rest to VO2Max): <220/<110 89/67-128/68 dO2/dW Slope: 8-11 8.7 VE/VCO2 Slope: <30 27.0 OUES: >1096 1284.2 | 姓名:李向华 <br> 病历号:000028333900 | | | | | | | | | | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | :--- | | | | | | | | | | | | 年龄:60 岁 | | | | BMI: 18.57 | | | | | | 身高: 167.0 cm | | 测试时间:2025/5/6 14:01:48 | | | | | | | | 体重:51.8 Kg | | | | | | | | | | 指标 | 单位 | AT | RCP | MaxVO2 | Pred | | | | | | | | | | | AT\% MaxVO2 | MaxVO2 \%Pred | AT\% Pred | | Time | 0:00 | 08:48 | 10:58 | 11:25 | -- | -- | -- | -- | | --------方案-------- | | | | | | | | | | Load | w | 41 | 74 | 80 | 97 | 51 | 82 | 42 | | RPM | r/Min | 64 | 61 | 61 | -- | 105 | -- | -- | | ---------通气功能-------- | | | | | | | | | | VTin | L | 0.9 | 1.1 | 1.1 | -- | 75 | -- | -- | | BF | 1/Min | 20 | 27 | 34 | 40 | 60 | 84 | 51 | | VE | L/Min | 18.7 | 31.9 | 41.8 | 71.9 | 45 | 58 | 26 | | BR | \% | 80.9 | 67.5 | 57.4 | 30.0 | 141 | 191 | 270 | | --------氧耗量-------- | | | | | | | | | | VO2/KG | $\mathrm{ml} / \mathrm{min} / \mathrm{kg}$ | 11.9 | 17.8 | 20.0 | 24.7 | 60 | 81 | 48 | | VO2 | ml/Min | 616.9 | 923.6 | 1036.1 | 1280.3 | 60 | 81 | 48 | | VCO2 | ml/Min | 562.9 | 1020.4 | 1249.8 | -- | 45 | -- | -- | | RER | 1 | 0.91 | 1.10 | 1.21 | -- | 76 | -- | -- | | METS | 1 | 3.4 | 5.1 | 5.7 | 7.1 | 60 | 81 | 48 | | --------心功能-------- | | | | | | | | | | HR | 1/Min | 92 | 118 | 129 | 160 | 71 | 81 | 58 | | VO2/HR | ml/beat | 6.7 | 7.8 | 8.0 | 7.5 | 83 | 108 | 90 | | ---------通气功能-------- | | | | | | | | | | VE/VCO2 | 35.4 | 29.8 | 28.7 | 30.9 | -- | 97 | -- | -- | | VE/VO2 | 29.8 | 27.2 | 31.7 | 37.3 | -- | 73 | -- | -- | | PeTCO2 | mmHg | 41.7 | 41.4 | 37.8 | -- | 110 | -- | -- | | PeTO2 | mmHg | 112.3 | 119.6 | 125.1 | -- | 90 | -- | -- | | ---------其他-------- | | | | | | | | | | Psys | mmhg | 94 | 128 | 128 | -- | 73 | -- | -- | | Pdia | mmhg | 65 | 68 | 68 | -- | 96 | -- | -- | | SPO2 | \% | 99 | -- | -- | -- | -- | -- | -- | | Normal | | 正常值 | | 实测值 | | | | | | VO2 Max/Pred: | | >85 | | | 81 | | | | | VO2 AT/Pred: | | $\geq 40 \%$ | | | 48 | | | | | Respiratory | | | | | | | | | | Breath Reserve: | | >30\% | | | 57 | | | | | RR(Rest to VO2Max): | | 8-50 | | | 12-34 | | | | | Ventilaton/Perfusion | | | | | | | | | | VD/VT(Rest to VO2Max): | | 0.35-<0.25 | | 0.35-0.20 | | | | | | Cardiac | | | | | | | | | | Heart Rate Reserve: | | <15 | | | 31 | | | | | Heart Rate Recovery(1 min): | | | | | 28 | | | | | 02/HR(Rest to VO2Max): | | >6 | | | 2.9-8.0 | | | | | Blood Preasure(Rest to VO2Max): | | <220/<110 | | | 89/67-128/68 | | | | | dO2/dW Slope: | | 8-11 | | | 8.7 | | | | | VE/VCO2 Slope: | | <30 | | | 27.0 | | | | | OUES: | | >1096 | | | 1284.2 | | | |

  Peking University Third Hospital exercise cardiopulmonary test report

  Name: Li Xianghua
   Gender: Female
   Age: 60 years
   Height: 167.0 cm
   Weight: 51.8 kg
  Medical record number: 000028333900
   Bed No.:
BMI: 18.57
   Test time: 2025-05-06