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Table 1 Results of cardiorespiratory and clinical tests before and after a retraining program in a patient with combined pulmonary fibrosis and emphysema

From: Efficacy of aerobic physical retraining in a case of combined pulmonary fibrosis and emphysema syndrome: a case report

Test

Assessment before retraining program

Assessment after retraining program

Respiratory functional tests

FEV1/FVC

78%

FEV1/FVC

77%

• Spirometry

FEV1

79% of predicted value

FEV1

82% of predicted value

FVC

73% of predicted value

FVC

75% of predicted value

• Diffusion lung capacity for carbon monoxide

DLCO

44% of predicted value

DLCO

47% of predicted value

 

PaO2

63.4mmHg

PaO2

70.4mmHg

Arterial blood gas analysis

PaCO2

35.6mmHg

PaCO2

33.6mmHg

on oxygen 2.5L/min

pH

7.46

pH

7.369

Dyspnea scales

    

• Modified Medical Research Council

 

3.0

 

2.0

• Visual Analogue Scale

 

8.0

 

5.0

• Borg Scale

 

9.0

 

5.0

Transthoracic two-dimensional echocardiography

PAP

60mmHg

PAP

50mmHg

Right ventricular hypertrophy

 

Right ventricular hypertrophy

 

Physical exercise test

    

• Respiratory muscle strength

PiMax

40mmHg

PiMax

53mmHg

PeMax

25mmHg

PeMax

60mmHg

Six-minute walk test

 

90ma

 

210m

Geriatric Depression Scale

 

25/30 severe depression

 

16/30 mild depression

 

Symptoms

77.51

Symptoms

50.18

Quality of life

Physical activities

85.66

Physical activities

62.55

St. George Questionnaire

Impact

70.39

Impact

50.64

Total score

83.86

Total score

71.54

Long-term oxygen therapy

Flow 2.5L/min for 24 hours

 

Flow 1.5L/min for 24 hours

 
  1. aThe six-minute walk test, before the retraining program, was stopped due to patient breathlessness. DLCO, diffusion lung capacity for carbon monoxide; FEV 1, Forced expiratory volume in one second; FVC, forced vital capacity; PaO2, partial arterial pressure of oxygen; PaCO2, partial pressure of carbon dioxide; PAP, pulmonary artery pressure; PiMax, maximal inspiratory pressure; PeMax, maximal expiratory pressure.