A patient being considered for lung resection has impaired spirometry and a suboptimal shuttle-walk test. CPET shows peak oxygen uptake 11 mL/kg/min

Question

A patient being considered for lung resection has impaired spirometry and a suboptimal shuttle-walk test. CPET shows peak oxygen uptake 11 mL/kg/min and a VE/VCO2 slope of 42. How should this be interpreted?

Accepted Answer

High surgical risk requiring reconsideration of radical-treatment modality

Answer

Acceptable risk for pneumonectomy after standard perioperative optimisation

Answer

Low operative risk because peak oxygen uptake exceeds 10 mL/kg/min

Answer

Intermediate risk determined chiefly by the preserved resting oxygen saturation

Answer

An indeterminate result requiring repeat CPET without measurement of VE/VCO2

Pre-treatment physiological assessment — SCE Respiratory MCQ

A patient being considered for lung resection has impaired spirometry and a suboptimal shuttle-walk test. CPET shows peak oxygen uptake 11 mL/kg/min and a VE/VCO2 slope of 42. How should this be interpreted?