{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:04:14Z","timestamp":1793754254091,"version":"4.6.1"},"reference-count":104,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>This expert opinion paper focuses on the clinical implementation, execution, and interpretation of cardiopulmonary exercise testing (CPET), providing comprehensive insights into its recognized prognostic, diagnostic, and prescriptive value in everyday clinical practice. A practical guide offers step-by-step instructions on conducting and interpreting CPET, emphasizing the importance of high-quality testing for the benefit of patients, healthy individuals, and athletes. The approach considers test objectives, how to adapt procedures for different medical inquiries and reporting. A systematic method for interpreting CPET data is outlined, covering aerobic\/exercise capacity evaluations with subsequent analyses of ventilatory, cardiovascular, cardiorespiratory gas-exchange, and muscular-metabolic responses to exercise. Special attention is given to post-exercise recovery and other novel parameters for informed clinical decision-making. The outcomes emphasize the need for better implementation of CPET for prognostic evaluations and in diagnostic pathways. Barriers to its adoption are discussed, including logistical challenges or resource constraints, and strategies for integrating CPET into routine care pathways are proposed. The statement provides further details on how to utilize CPET outcomes to tailor exercise prescription based on identified functional limitations and adjust exercise intensity using different physiological and pathological thresholds for both patients and athletes. Finally, the latest advancements in CPET are explored, including novel portable systems and integration with transcutaneous blood-gas monitoring, imaging, and (non-)invasive haemodynamic measures, also addressing the potential for smaller clinics, improving accessibility in clinical practice. This expert opinion statement aims to offer a roadmap for making CPET a more standardized and accessible tool in clinical care.<\/jats:p>","DOI":"10.1093\/eurjpc\/zwag365","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T11:54:43Z","timestamp":1783684483000},"source":"Crossref","is-referenced-by-count":2,"title":["A practical approach to cardiopulmonary exercise testing: from functional evaluation to adapted exercise prescription"],"prefix":"10.1093","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9775-4260","authenticated-orcid":false,"given":"Daniel","family":"Neunhaeuserer","sequence":"first","affiliation":[{"name":"Sports and Exercise Medicine Division, Department of Medicine, University of Padova , Padova ,","place":["Italy"]},{"name":"Sports and Exercise Medicine Division, Alto Adige Health Agency\u2014S\u00fcdtiroler Sanit\u00e4tsbetrieb\u2014Azienda Sanitaria dell\u2019Alto Adige , Bolzano ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas B","family":"Gevaert","sequence":"additional","affiliation":[{"name":"Research Group Cardiovascular Diseases, GENCOR Department, University of Antwerp , Antwerp ,","place":["Belgium"]},{"name":"Department of Cardiology, Antwerp University Hospital (UZA) , Edegem ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3074-2737","authenticated-orcid":false,"given":"Dominique","family":"Hansen","sequence":"additional","affiliation":[{"name":"Hasselt University, REVAL\/BIOMED - Biomedical Research Institute , Wetenschapspark 5, Diepenbeek 3590 ,","place":["Belgium"]},{"name":"Jessa Hospital, Heart Centre Hasselt , Hasselt ,","place":["Belgium"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0760-1354","authenticated-orcid":false,"given":"Francesca","family":"Battista","sequence":"additional","affiliation":[{"name":"Sports and Exercise Medicine Division, Department of Medicine, University of Padova , Padova ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6036-8689","authenticated-orcid":false,"given":"Pascal","family":"Bauer","sequence":"additional","affiliation":[{"name":"Department of Cardiology and Angiology, Justus- Liebig-University Giessen , Giessen ,","place":["Germany"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Constantinos H","family":"Davos","sequence":"additional","affiliation":[{"name":"Cardiovascular Research Laboratory, Biomedical Research Foundation, Academy of Athens , Athens 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