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//68mmHg 128 / 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//kg 20.0 \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//kg 11.9 \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
92-118 92-118 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