Cardio pulmonary exercise test: CPET
Aims: to accurately measure exercise capacity for clinical use and research
|What is CPET ?||Cardio pulmonary Exercise Testing (CPET) is a non-invasive simultaneous measurement of the cardiovascular and respiratory system during exercise to assess a patient’s exercise capacity.|
|How to refer||
Mobile Number 07849 016074
Landline 020 3447 2838
|Why do a CPET ?||
CPET is used for many specific reasons, but in general it can
|Patients: What does it involve for you ?||
Patients please click here to see our YOU tube guide!
Before the test- please don't eat for 2 hours and drink no coffee or tea for 4 hours. Take all your normal medicines as usual.
When you arrive we will ask you about your medical history and what exercise you're normally able to do, and ask your permission to record your data for research and audit use.
We take baseline observations and a blood test. You wear a mask to allow us to measure the gas you breathe in and out.
Once seated on the bike, we ask you to start cycling. The bike then gets harder to cycle- and we ask you to carry on until you can't exercise any more. We record readings (such as heart rate) as you exercise.
The test gives a guide to your fitness and may be helpful in planning your treatment.
The CPET tests are carried out at 3 sites;
University College London Hospital, Come to 1st floor podium in Clinic D 'preasessment'
Alternate Mondays, every Thursday and Friday
UCLH at Westmorland Street - alternate Mondays in the 'Cystectomy Clinic'
Patients having surgery at The Whittington Hospital, Archway are tested at the UCL Hospitals or the Royal Free.
Gurinder Rayat was our student 2015-16, and Tapi Mafuva is with us until August 2017.
Cardiopulmonary Exercise Testing, c/o ISEH,
170 Tottenham Court Road,
London, W1T 7HA
Dr Ramani Moonesinghe at SOURCE
The CPEX team is a multidisciplinary venture started by the Centre for Altitude Space and Extreme Environment Medicine group UCL
Mobile 07849 016074
Landline 020 3447 2838
UCLH: Clinic A, Room 4, Surgical Reception, University College Hospital
RFH: PITU area 3 Lung Function Diagnostic Room, 2nd Floor, Royal Free Hospital
We often have visiting teams in the clinic. Do view the videos above before. Please email ucl-tr.CPXref@nhs.net for availability.
During the CPET test, once consent has been taken and the preliminary tests (Hb, spirometry) are complete, the patient undertakes a 'ramped protocol test' on a cycle ergometer.
We attach a 12 lead ECG, blood pressure cuff, saturation probe and a soft rubber face mask with a turbine to measure the expired gases before the test starts. The patient then rests for 3 minutes then begins to cycle. After 3 minutes of unloaded cycling the resistance begins to increase. The patient continues pedalling at 60rpm until they can no longer cycle, unless they have chest pains, feel discomfort or rarely if the physiologist stops the test.
During every test exercise physiologists trained to carry out the CPET are present, in conjunction with a doctor.
Reports from the test are written up and sent back to the medical team.
Download a brief introduction to CPET by Adam Jackson
Here's a great introduction to CPET interpretation from the University of Washington
CPET Setup - what we do before the test
CPET for Patients - what to tell patients coming for a test
CPET Introduction - outlines a test
CPET Analysis - more information that the 'introduction' podcast
CPET Critique overview by Professor Mike Grocott
Contact Rob Stephens for more info
The ATS guidelines on performing a CPEx test