geriatrРоссийский журнал гериатрической медициныRussian Journal of Geriatric Medicine2686-86362686-8709Сайт издателя10.37586/2686-8636-1-2023-44-53geriatr-333Research ArticleОБЗОРЫREVIEWSАктуальность использования кардиопульмонального нагрузочного тестирования у пациентов пожилого и старческого возрастаThe relevance of the use of cardiopulmonary exercise testing (CPET) in elderly and senile patientshttps://orcid.org/0000-0002-4193-688XТкачеваО. Н.TkachevaO. N.

Ткачева Ольга Николаевна, член-корреспондент РАН,д-р мед. наук, профессор, директор

телефон: +7(499)187-64-67

Москва

Tkacheva Olga N., MD, PhD, professor, corresponding member of the Russian Academy of Scien

Moscow

tkacheva@rgnkc.ruhttps://orcid.org/0000-0002-1628-5093КотовскаяЮ. В.KotovskayaYu. V.

Котовская Юлия Викторовна, д-р мед. наук, профессор, заместитель директора по научной работе

телефон: +7(499)187-78-09

Москва

Kotovskaya Yulia V., MD, PhD, professor, Deputy Director

Moscow

kotovskaya_yv@rgnkc.ruhttps://orcid.org/0000-0001-5272-0454РунихинаН. К.RunikhinaN. K.

Рунихина Надежда Константиновна, д-р мед. наук, заместитель директора по гериатрической работе

телефон: +7(499)187-78-09

Москва

Runikhina Nadezhda K., MD, PhD, professor, Deputy  Director

Moscow

nkrunihina@rgnkc.ruhttps://orcid.org/0000-0002-4497-1277АлимоваЕ. Р.AlimovaE. R.

Алимова Екатерина Ринатовна, врач-кардиолог, младший научный сотрудник лаборатории сердечно-сосудистого старения

Москва

Alimova Ekaterina R., MD, cardiologist, junior researcher,Laboratory of  Cardiovascular Aging

Moscow

atka22@rambler.ruАрефьеваМ. C.ArefievaM. S.

Арефьева Мария Сергеевна, ординатор кафедрыболезней старения

Москва

Arefieva Maria S., resident of the Department of AgingDiseases

Moscow

https://orcid.org/0000-0003-0048-268XЕруслановаК. А.EruslanovaK. A.

Ерусланова Ксения Алексеевна, канд. мед. наук, заведующая лабораторией сердечно-сосудистого старения

телефон: +7(499)187-78-09

Москва

Eruslanova Ksenia A., MD, PhD, Head of  Laboratory of  Cardiovascular Aging

Moscow

Eruslanova_KA@rgnkc.ruhttps://orcid.org/0000-0002-5313-2715РозановА. В.RozanovA. V.

Розанов Александр Владимирович, канд. мед. наук,помощник директора по региональному развитию и федеральным проектам

телефон: +7(985)991-75-47

Москва

Rozanov Alexander V., MD, PhD, Assistant Director

Moscow

rozanov_av@rgnkc.ruФГАОУ ВО РНИМУ им. Н.И. Пирогова Минздрава России, Российский геронтологический научно-клинический центрРоссияPirogov Russian National Research Medical University, Russian Gerontology Research and Clinical CentreRussian Federation202306042023014453Copyright © Ткачева О.Н., Котовская Ю.В., Рунихина Н.К., Алимова Е.Р., Арефьева М.C., Ерусланова К.А., Розанов А.В., 20232023Ткачева О.Н., Котовская Ю.В., Рунихина Н.К., Алимова Е.Р., Арефьева М.C., Ерусланова К.А., Розанов А.В.Tkacheva O.N., Kotovskaya Y.V., Runikhina N.K., Alimova E.R., Arefieva M.S., Eruslanova K.A., Rozanov A.V.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.geriatr-news.com/jour/article/view/333

Кардиопульмональное нагрузочное тестирование (КПНТ)  — исследование, предоставляющее прогностическую и  диагностическую информацию о  состоянии сердечно-сосудистой, дыхательной систем и  метаболических процессах, позволяющее определить, какой вклад эти системы вносят в снижение толерантности к нагрузке. Большое количество проведенных клинических исследований с использованием этого метода показали его безопасность и диагностическую ценность. Однако ввиду недостаточного просвещения среди врачей и малого опыта КПНТ в настоящее время не получило широкое распространение в диагностике, в том числе в области гериатрии. Данный обзор имеющейся литературы за последние 10 лет посвящен актуальности использования КПНТ у пациентов пожилого и старческого возраста. Рассмотрены суть и методика проведения исследования, а также возможные изменения показателей у пациентов со старческой астенией, хронической сердечной недостаточностью (ХСН), заболеваниями бронхолегочной системы.

Cardiopulmonary exercise testing is  a study that provides both prognostic and diagnostic information about the state of the cardiovascular, respiratory systems and metabolic processes allowing us to determine how these systems contribute to a decrease in exercise tolerance. A large number of clinical studies using this method have shown its safety and diagnostic value. However, due to  insufficient education among doctors and little experience, CPNT is currently not widely used in diagnostics, especially in the geriatrics. This review of available literature over the last 10 years is devoted to the relevance of the use of cardiopulmonary exercise testing in older and oldest older patients, the essence and methodology of the study, possible changes in indicators in patients with frailty, chronic heart failure, and diseases of the bronchopulmonary system.

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The authors declare that there are no conflicts of interest present.