Cardio Pulmonary Exercise Test

To safely measure the performance of the heart and lungs under stress to help determine if the patients symptoms are due to a medical problem such as heart or lung disease or due to poor fitness.

Who performs the testing?

Two Respiratory Therapists specially trained in CPET testing will perform your test. A pulmonary physician will also be in attendance during testing. A Pulmonologist will interpret the results and provide your physician with a report.

Indications for PFT testing

Including but not limited to:

  • Evaluation of undiagnosed exercise intolerance
  • Evaluation of patients with cardiovascular disease
  • Evaluation of patients with respiratory disease
  • Preoperative evaluation
  • Exercise evaluation and prescription for pulmonary rehabilitation
  • Evaluation for disability
  • Evaluation for lung, heart-lung transplant
  • Industrial and sport evaluations

When is a test contraindicated?

  • Including but not limited to:
  • Myocardial Infarction in the last 4 weeks
  • Unstable angina
  • Uncontrolled arrhythmia’s causing symptoms
  • Syncope
  • Uncontrolled heart failure
  • Acute pulmonary embolus or pulmonary infarction
  • Thrombosis of the lower extremities
  • Suspected dissecting aneurysm
  • Uncontrolled or untreated asthma
  • Pulmonary edema
  • Mental impairment leading to inability to cooperate or a non-compliant patient.
  • Severe untreated arterial hypertension at rest o (>200 mmHg systolic, >110 mmHG diastolic)

How do I prepare?

  • Plan on arriving 15 minutes before your appointment for check-in. You will check in at the patient registration desk in the main lobby of the hospital.
  • No heavy exercise should be done on the same day of the test.
  • Do not eat or drink anything except for water for 4 hours before the test.
  • Do not smoke the day of the test.
  • Do not eat or drink caffeinated, decaffeinated or caffeine free products (cola, chocolate products, coffee or tea) for 12 hours before the test. Caffeine may interfere with results of your test.
  • Wear loose, comfortable clothes. Bring shoes suitable for exercise.
  • Do not bring valuables.
  • If you take medications, consult with your physician to determine when you should take medications prior to being tested.

What do I do during testing?

During testing you will be breathing through a specialized mouthpiece and hooked up to ECG monitoring equipment. Before and during testing arterial blood samples will be taken. You will be asked to exercise on a bike or treadmill to your maximum ability while being closely monitored by KRMC staff and a physician.

How do I get my test results?

You may receive a copy of your test results by contacting the Health Information Department 509-946-4611, ext 2017.

How do I schedule testing?

To schedule a CPET you must have a test ordered by a physician. To make an appointment call 509-946-4611 ext 2119.