Hagmeyer, Lars, Herkenrath, Simon, Anduleit, Norbert, Treml, Marcel and Randerath, Winfried (2019). Cardiopulmonary Exercise Testing Allows Discrimination Between Idiopathic Non-specific Interstitial Pneumonia and Idiopathic Pulmonary Fibrosis in Mild to Moderate Stages of the Disease. Lung, 197 (6). S. 721 - 727. NEW YORK: SPRINGER. ISSN 1432-1750

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Abstract

It is unclear whether there are cardiopulmonary exercise testing (CPET) parameters which may indicate poor prognosis in the early course of fibrosing interstitial lung disease. 27 untreated consecutive subjects (13 idiopathic non-specific interstitial pneumonia (iNSIP), 14 idiopathic pulmonary fibrosis (IPF); 19 male; age 69 +/- 10 years) were enrolled in this observational pilot study. Subjects underwent routine pulmonary function testing and CPET. Statistically, the t test and the Mann-Whitney-U test were applied in the presence of normal and non-normal distribution (according to Shapiro-Wilk), respectively. Analyzing the whole cohort, only mild functional impairments were determined. Comparison of iNSIP and IPF groups detected significant differences for the CPET parameters V'O(2)Peak[%pred] (p = 0.011), V'O-2/kgPeak (p = 0.033), Watt[%pred] (p = 0.048), V'E/V'CO2 (Rest: p = 0.016; AT: p = 0.011; Peak: p = 0.019; Slope: p = 0.040), V'E/V'O-2 (Rest: p = 0.033 AT: p = 0.014; Peak: p = 0.035). CPET parameters may indicate IPF-specific impairments even in mild disease. It may be hypothesized that these parameters are early biomarkers of poor prognosis.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hagmeyer, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Herkenrath, SimonUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Anduleit, NorbertUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Treml, MarcelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Randerath, WinfriedUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-129575
DOI: 10.1007/s00408-019-00282-9
Journal or Publication Title: Lung
Volume: 197
Number: 6
Page Range: S. 721 - 727
Date: 2019
Publisher: SPRINGER
Place of Publication: NEW YORK
ISSN: 1432-1750
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
PREDICTING SURVIVAL; LUNG-DISEASE; MECHANISMS; DIAGNOSISMultiple languages
Respiratory SystemMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/12957

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