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Reliability and Validity of a Self-paced Cardiopulmonary Exercise Test in Post-MI Patients

Jenkins, L.A., Mauger, Alexis R., Fisher, Jane, Hopker, James G. (2017) Reliability and Validity of a Self-paced Cardiopulmonary Exercise Test in Post-MI Patients. International Journal of Sports Medicine, 38 (4). pp. 300-306. ISSN 0172-4622. E-ISSN 1439-3964. (doi:10.1055/s-0042-122818) (KAR id:57654)


A self-paced peak oxygen uptake (V?O2peak) test (SPV) has been shown to produce higher V?O2peak values compared to standard cardiopulmonary exercise tests (sCPET), but has not been tested on any clinical population. This study aimed to assess the reliability of the SPV in a healthy population (study 1), and the validity and reliability of the SPV in post Myocardial Infarction (post-MI) patients (study 2). For study 1, twenty-five healthy participants completed three SPV’s. For study 2, twenty-eight post-MI patients completed one sCPET and two SPV’s. The SPV consisted of 5 x 2- min stages where participants were able to self-regulate their effort by using incremental ‘clamps’ in ratings of perceived exertion. The sCPET consisted of a 20 W/min ramp. Results demonstrated the SPV to have a coefficient of variation for V?O2peak of 4.7% for the healthy population, and 8.2% for the post-MI patients. Limits of agreement ranged between ± 4.22-5.86 ml·kg-1·min-1, with the intraclass correlation coefficient ranging between 0.89-0.95. In study 2, there was a significantly higher V?O2peak achieved in the SPV (23.07 ± 4.90 ml·kg-1·min-1) against the sCPET (21.29 ± 4.93 ml·kg-1·min-1). It is concluded that these results provide initial evidence that the SPV may be a safe, valid and reliable method for determining exercise capacity in post-MI patients.

Item Type: Article
DOI/Identification number: 10.1055/s-0042-122818
Subjects: R Medicine > RC Internal medicine > RC1235 Physiology of sports
R Medicine > RC Internal medicine > RC667 Diseases of the circulatory (cardiovascular) system
Divisions: Divisions > Division of Natural Sciences > Sport and Exercise Sciences
Funders: East Kent Hospitals University NHS Foundation Trust (
Depositing User: James Hopker
Date Deposited: 03 Oct 2016 16:54 UTC
Last Modified: 21 May 2024 07:22 UTC
Resource URI: (The current URI for this page, for reference purposes)

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