TABLE 2

What cardiopulmonary exercise test patterns suggest

Nonspecific: suggest significant cardiopulmonary or metabolic impairment of any sort
Peak Vo2 < 80% of predicted
Ve/Vco2 slope > 34
Ventilatory (anaerobic) threshold < 40% of peak Vo2
Deconditioning
Low-normal peak Vo2
Low ventilatory (anaerobic) threshold
Absence of any other abnormal responses
Obesity
Increased Vo2/work slope
Indexed peak Vo2 (mL/kg/min) less than predicted
Absolute Vo2 (L/min) normal or greater than predicted
Oxygen indexed to lean body mass normal or greater than predicted
Cardiac limitations
Oxygen pulse (O2 -pulse) < 80% predicted or flattened or falling curve Chronotropic incompetence
Heart rate recovery ≤ 12 beats per minute after 1 minute of recovery Standard electrocardiographic criteria for ischemia
Pulmonary limitations
Peak exercise respiratory rate > 50 per minute
Ventilatory reserve (peak Ve /Mvv) < 15%
Oxygen desaturation by pulse oximetry
Abnormal results on pretest screening spirometry
Abnormal exercise flow-volume loops
Muscular disease
Submaximal cardiac and respiratory responses
Ventilatory (anaerobic) threshold < 40% of peak Vo2
Elevated lactate at any given level of submaximal work