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Spiroergometry at the Institute of Sports Medicine, Charles University Prague

Publication at First Faculty of Medicine, Faculty of Physical Education and Sport |
2021

Abstract

While the contraindications of stress tests have remained almost unchanged for many years, the indications for spiroergometric examinations are expanding. In the last decade, the number of spiroergometries that were performed as part of preoperative examinations has increased.

The cardiorespiratory fitness indicator, VO2max.kg-1, has become one of the most important relevant parameters when considering surgical risks and postoperative complications in non-cardiac thoracic surgery. Aerobic cardiorespiratory fitness (in addition to VO2max also anaerobic threshold and ventilatory equivalent VE/VCO2) began to be used for risk stratification in other major operations, not least in bariatric procedures.

As part of the most common indication of spiroergometry, which is the assessment of cardiorespiratory fitness in healthy individuals, the authors deal with the possibility of automating the necessary tasks in writing a medical report, which includes a comprehensive assessment of aerobic fitness, sports activities in the last year, evaluation of spirometry and prescription of physical activity. For uncomplicated medical reports, it's a matter of tens of seconds.

The authors are currently looking for a suitable platform to offer this interactive report to the professional public. The basic prerequisite for the operation of the application is the possibility of exporting the measured data from the respiratory gas analyzer software to MS Excel.

No further technical modifications would be required when using the Cosmed analyzer.