The goal of this review is to examine practical considerations when conducting cardiopulmonary exercise testing during pregnancy. In a clinical and research setting, cardiopulmonary exercise testing during pregnancy is valuable in identifying underlying cardiopulmonary conditions, stratifying the risk of adverse pregnancy outcomes, as well as establishing exercise tolerance/limitations. This review encompasses information regarding the unique physiological adaptations that occur throughout gestation (e.g., changes in resting heart rate, blood pressure, glucose, etc.) and how these adaptations impact the interpretation of physiological measurements. There are also key concerns that are unique to pregnant populations that should be considered when participating in exercise (i.e., fetus, ventilation, thermoregulation, urinary incontinence, low back pain, and pelvic girdle pain). This step‐by‐step review of cardiopulmonary exercise testing outlines pregnancy related adjustments to standardized methods (i.e., screening/documentation, pre‐ and post‐test measurements, protocol specifics, modality selection, and fetal monitoring) which should be considered for the safety of both the participant and fetus. Currently, pregnancy specific exercise testing guidelines are lacking. Therefore, we will be discussing the limitations of current recommendations such as a safe cut off for resting heart rate and pregnancy specific test termination criteria.

中文翻译：

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孕期心肺运动测试

本综述的目的是检查在怀孕期间进行心肺运动测试时的实际考虑。在临床和研究环境中，怀孕期间的心肺运动测试对于识别潜在的心肺疾病、对不良妊娠结局的风险进行分层以及确定运动耐量/限制是有价值的。这篇综述包含关于整个妊娠期间发生的独特生理适应的信息（例如，静息心率、血压、血糖等的变化）以及这些适应如何影响生理测量的解释。参加运动时还应考虑怀孕人群特有的关键问题（即胎儿、通风、体温调节、尿失禁、腰痛和骨盆带痛）。心肺运动测试的分步审查概述了对标准化方法（即筛查/记录、测试前和测试后测量、协议细节、模式选择和胎儿监测）的妊娠相关调整，这些方法应考虑安全性参与者和胎儿。目前，缺乏妊娠特定的运动测试指南。因此，我们将讨论当前建议的局限性，例如静息心率的安全截止值和妊娠特定测试终止标准。方式选择和胎儿监护），应考虑参与者和胎儿的安全。目前，缺乏妊娠特定的运动测试指南。因此，我们将讨论当前建议的局限性，例如静息心率的安全截止值和妊娠特定测试终止标准。方式选择和胎儿监护），应考虑参与者和胎儿的安全。目前，缺乏妊娠特定的运动测试指南。因此，我们将讨论当前建议的局限性，例如静息心率的安全截止值和妊娠特定测试终止标准。