6 Minute Walk Test Norms

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6 Minute Walk Test Norms Prof Z Mirza on CPET Test Interpretation Part 1 Ventilatory response Richard Johnston on Blog Author Richard Johnston on 2019 ATS ERS Spirometry Standards Tshay on Blog Author Brett on 2019 ATS ERS Spirometry Standards Rob on CPET Test Interpretation Part 4 Interpretation and Summary Andrey on CPET Test Interpretation Part 3

Prof Z Mirza on CPET Test Interpretation Part 1 Ventilatory response Richard Johnston on Blog Author Richard Johnston on 2019 ATS ERS Spirometry Standards Tshay on Blog Author Brett on 2019 ATS ERS Spirometry Standards Rob on CPET Test Interpretation Part 4 Interpretation and Summary Andrey on CPET Test Interpretation Part 3 Given that using FEV6 would simplify and speed up the spirometry test this is a seductive notion The use of an expired volume with a fixed expiratory time as a replacement for FVC was proposed at least 25 years ago although at that time FEV7 was proposed as being slightly more accurate than FEV6

6 Minute Walk Test Norms

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To review an LCI test is a multi breath nitrogen washout test An individual is switched into a breathing circuit with 100 O2 Once this happens tidal volume is measured continuously and used to determine the cumulative exhaled volume Exhaled nitrogen is also measured continuously and is used to determine the cumulative exhaled nitrogen volume Recently I was trying to explain the effect of altitude on blood oxygenation to somebody with IPF They had observed that their oxygen saturation was fairly normal at sea level but that they needed to use their supplemental O2 when they went up to 2000 feet and didn t understand why such a low altitude made that much of a difference

Determining whether a subject has a ventilatory limitation to exercise used to be fairly simple since it was based solely on the maximum minute ventilation Ve as a percent of predicted There has been some mild controversy about how the predicted maximum ventilation is derived FEV1 x 35 FEV1 x 40 or measured MVV but these don t affect the overall approach When it comes to spirometry it s really all about FEV1 FVC and the FEV1 FVC ratio are also important of course but because FVC is more likely to be underestimated than FEV1 they are less reliable

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The two tracer gases in question are Helium and Sulfur Hexaflouride SF6 Helium has a density of 4 gm mol and the density of SF6 is 146 gm mol and it is the difference in densities between these two inert and insoluble gases that make this test useful In order to understand why we need to revisit to the anatomy of the terminal airways Late last week however I found myself on the horns of a dilemma The test results for a patient with a helium dilution TLC that was 68 of predicted but at the same time with a VA that was 93 of predicted and a DLCO that was 129 of predicted came across my desk Continue reading

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