Cardiopulmonary exercise testing (CPX) has become an important clinical tool to evaluate exercise capacity and predict outcomes in patients with heart failure and other cardiac conditions. It provides an assessment of the integrative exercise responses involving the pulmonary, cardiovascular, and skeletal muscle systems, which are not adequately reflected by measuring individual organ system function. CPX is being used increasingly in a wide spectrum of clinical applications to evaluate undiagnosed exercise intolerance and for objective determination of functional capacity and impairment (Albouaini, 2007). Finally, CPX's performance markers are useful to personalize your training program and track fitness changes over time.

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