Valvular diseases from the perspective of Cardiopulmonary Exercise Testing: an integrative review of the last 10 years
DOI:
https://doi.org/10.55892/jrg.v7i14.1089Keywords:
Heart Valve Diseases, Cardiopulmonary Exercise Testing, CardiologyAbstract
Objective: To identify the indication of Cardiopulmonary Exercise Testing (CPET) in moderate to severe valve diseases in oligo or asymptomatic patients. Methods: was an integrative literature review, including articles published between 2014 and 2024, without language restrictions, available online in full. The guiding question was: “What is the evidence on performing cardiopulmonary exercise testing in patients with moderate to severe valvular heart disease who are asymptomatic?”. The literature search was conducted through the PUBMED/MEDLINE, Latin American and Caribbean Health Sciences Literature (LILACS) and BVS Collection databases, using the following Health Sciences Descriptors (DeCS): Heart Valve Diseases; Cardiopulmonary Exercise Testing, with the Boolean operator “AND”. Results:The final sample consisted of 09 articles that met the previously defined inclusion and exclusion criteria. The conclusion drawn was that CPET is well established in the literature as a safe, accessible, and easily reproducible option for symptom assessment in falsely asymptomatic patients. Final considerations: The conclusion drawn was that CPET is well established in the literature as a safe, accessible and objective option for evaluating patients with valvular disease, allowing a real analysis of aerobic conditioning associated with the behavior of the cardiovascular, pulmonar and peripheral systems, bringing greater precision to the patient’s clinical assessment.
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