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Owing to International Copyright Laws it is not always possible to publish complete articles.
Where we are legally able, we will do that; other articles are abstracted but contain the web address where the entire article may be obtained.

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and select 'Save' or 'Save As...' when prompted. Then open the file from your local system.

There are currently 15 publications available from ISEIRE.

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VO2 peak vs. VO2 max

Professor B Whipp
Exclusive to ISEIRE
The term VO2 max has almost become common English usage for the highest VO2 obtained during a CPET. This article clearly explains the difference between VO2 max and VO2 peak.


Some facts and some thoughts on the history of oxygen uptake and its measurement

Dr Paul Older
Exclusive to ISEIRE
This paper is a brief history of our knowledge of oxygen uptake. It starts just before Lavoisier and ends in our time.
The file is 1 MB (there are five pictures) so it may take a while to load.


When is 863 actually 863?

Brian J. Whipp, Ph.D., D.Sc.
Institute of Membrane and Systems Biology, Leeds
In order to adequately understand the behavior of a physiological system it is important to characterize both its control and regulatory features. By control is meant the change in the magnitude of a particular variable, in response to a physiological stressor, that operates to establish the relative stability of another (i.e. the regulated variable) to some degree of adequacy. A typical example would be the change in alveolar ventilation (Va) , the controlled variable), or its functional counterpart the minute ventilation (Ve) which stabilizes the level of arterial PCO2 (PaCO2, the regulated variable) at, or close to, its set point value in response to the increased pulmonary CO2 output (VCO2 ) demands of muscular exercise of moderate intensity


Recommendations on the clinical use of exercise testing in clinical practice

P Palange, SA Ward, K-H Carlsen et al
Eur Respir J 2007: 29; 185-209
This is an excellent review article which is available in full on www.erj.ersjournals.com/cgi/content/full/29/1/185


Alveolar-arterial gas tension differences during graded exercises

Whipp BJ & Wasserman K
Journal of Applied Physiology Vol.27, No 3, September 1969
This paper measures both arterial and gas exchange data and publishes the A-a gradient for oxygen and the a-A gradient for carbon dioxide. The paper also provides measurements for Vd/Vt, Qva/Qt.
Although it was published in 1969 it remains as pertinent today as it was then.


Aerobically generated CO2 stored during early exercise

Chuang, M. L. Ting, H. Otsuka, T. et al
J Appl Physiol 87:1087-1097; 1999
This paper discusses the acid base changes that occur in the first 90 secs of exercise. It goes into the initial alkalosis of exercise.


Diagnosing Cardiovascular and Lung Pathophysiology From Exercise Gas Exchange

Karlman Wasserman, MD, PhD, FCCP
Chest 1997; 112: 1091-1101
A classic paper describing diagnosis of cardio-pulmonary pathophysiology from CPET.


Effect of heliox on lung dynamic hyperinflation, dyspnea, and exercise endurance capacity in COPD patients

Paolo Palange, Gabriele Valli, Paolo Onorati, Rosa Antonucci, Patrizia Paoletti, Alessia Rosato, Felice Manfredi, and Pietro Serra
J Appl Physiol 97: 1637–1642, 2004.
This paper looks at the effect of Heliox on lung mechanics and exercise capacity using CPET.


A Treadmill Ramp Protocol Using Simultaneous Changes in Speed and Grade

Janos Porszasz, Richard Casaburi, Attila Somfay, Linda J. Woodhouse, and Brian J. Whipp
Med. Sci. Sports Exerc., Vol. 35, No. 9, pp. 1596-1602, 2003
This paper provides a treadmill protocol to provide a linear work rate profile.


Effects of Whole-Body Exercise Training on Body Composition and Functional Capacity in Normal-Weight Patients With COPD

Frits M.E. Franssen, Roelinka Broekhuizen, Paul P. Janssen, Emiel F.M. Wouters, Annemie M.W. Schols
Chest 2004; 125:2021-2028
This article looks at the effects of exercise training on body composition and functional capacity in normal weight patients with COPD


Exercise-induced myocardial ischaemia detected by cardiopulmonary exercise testing

Romualdo Belardinelli, Francesca Lacalaprice, Flavia Carle, Adelaide Minnucci, Giovanni Cianci, GianPiero Perna, Giuseppe D'Eusanio
European Heart Journal (2003) 24, 1304-1313
This paper looks at using CPET to improve accuracy of standard ECG stress testing in identifying exercise induced myocardial ischaemia.


Work-rate affects cardiopulmonary exercise test results in heart failure

Piergiuseppe Agostonia, Michele Bianchia, Andrea Moraschia, Pietro Palermoa, Gaia Cattadoria, Rocco La Gioiab, Maurizio Bussottia, Karlman Wasserman
Europ J of Heart Failure 2005; 7: 498-504
This paper examines the effect that exercise protocol may have on CPET measurements.


Pulmonary O2 Uptake during Exercise: Conflating Muscular and Cardiovascular Responses

Brian J. Whipp, Susan A. Ward, and Harry B. Rossiter
Med. Sci. Sports Exerc., Vol. 37, No. 9, pp. 1574-1585, 2005
The ability to develop high levels of aerobic energy transfer is important in most athletic activities and many everyday activities. This paper describes the possible mechanisms.


Gas Exchange Responses to Constant Work-Rate Exercise in Patients with Glycogenosis Type V and VII

Hean-Yee Ong, Conor S. O’Dochartaigh, Sharon Lovell, Victor H. Patterson, Karlman Wasserman, D. Paul Nicholls, and Marshall S. Riley
Am J Respir Crit Care Med, Vol 169. pp 1238-1244, 2004
This paper looks at CPET responses to constant work rate exercise. It utilises patients with McArdles disease.


Cardiopulmonary Exercise Testing as a Screening Test for Perioperative Management of Major Surgery in the Elderly

Paul Older, MBBS; Adrian Hall, MBBS; and Raymond Hader, MBBS
Chest 1999; 116: 355-362
This paper looks at the use of CPET for evaluation of perioperative risk.