Cardio-Pulmonary Stress Testing Course

1st Edition

January 12, 2023
Curso Provas de Esforço Cardio-Pulmonar









Cardio-Pulmonary Stress Testing Course

Chronic diseases affect more than 5 million Portuguese, with cardiovascular and respiratory diseases accounting for approximately 2/5 of the annual mortality in Portugal. Morbidity frequently and inexorably undermines autonomy, social participation, and quality of life. These facts are sufficient condition and claim the development of knowledge and skills to assess and intervene in the context of cardiopulmonary health. O cardio-pulmonary stress test course intends to train and specialize professionals to intervene, making a difference, through a specialized exercise, for people.

Cardio-pulmonary stress tests have, in many cases, a determining role in the diagnosis, prevention, stratification and risk as a function of the characterization of the response to exercise of different cardiac, pulmonary and metabolic parameters. Evaluating and measuring cardio-pulmonary function parameters under the circumstances of physical exercise provides and enables health and sports science professionals to intervene safely and effectively. The focus is precisely on the need to intervene in the context of cardiopulmonary and metabolic function, to mitigate morbidity and mortality associated with and/or dependent on sedentary lifestyle, respiratory, cardiovascular, and metabolic diseases, and, above all, to improve individual and social indicators of well-being and health.

The Cardio-Pulmonary Stress Testing Course offers you an educational and training context, theoretical and practical, led by clinicians with different and complementary specialties that, as a whole, enable you to assimilate, retain, and apply a set of knowledge and skills that prepare you to implement assessments in public and private services and/or units.

The Cardio-Pulmonary Stress Testing Course was developed on and a technical scientific reference of 360 degrees, which prepare you to know how to do, communicate and apply to a multitude of clinical contexts, health and sports. Thus, the course program supports advanced learning about cardiorespiratory physiology, methodological rigor and techniques of cardiopulmonary assessment, metabolic, cardiovascular and ventilatory responses and limitations to progressive exercise, interpretation of tests, preparation of reports and discussion of clinical cases of the most frequent and/or serious cardiovascular and respiratory diseases.

The programmatic contents were detailed and thoroughly selected to add to the context of action of health professionals and sports science professionals, without unnecessary "fat" or redundancies. The main purpose is to objectively train for the application of cardiopulmonary exercise testing in the context of the competencies that arise from the graduate training of students and professionals in sports science and medical sciences.

Welcome to the Academia Clínica Espregueira.


  Describe and explain physiological responses and factors limiting exercise;
  Describe and demonstrate methodological procedures to be developed with devices used in cardio-pulmonary stress tests;
  Describe and explain metabolic responses and limiting factors to exercise;
  Describe and explain exercise limiting cardiovascular responses and factors;
  Describe and explain exercise responses and limiting factors in the context of ventilation;
  Evaluate and select protocols for performing stress tests in athletes, sedentary individuals, and in patients;
  Know the role and interest of constant-load stress tests;
  Recognize the contraindications to performing the cardio-pulmonary stress test;
  Implement and describe methods of physical fitness assessment in a laboratory setting;
  Differentiate and evaluate normal and pathological findings frequent in cardio-pulmonary stress testing;
  Interpret and evaluate the behavior of variables during cardio-pulmonary stress tests;
  Organize and develop objective and intelligible reports;
  Discuss and evaluate case studies in light of biological individuality, training effect in different circumstances, and varied clinical cases;
  Implement cardio-pulmonary stress tests in a practical context and evaluate the results obtained.


  • Understand the physiological response to progressive exercise;
  • Understand the limiting factors of the physiological response to progressive exercise;
  • Describe the typical responses found in patients with certain cardiorespiratory pathologies;
  • Distinguish pathological changes from "abnormal" physiological changes;
  • Know how to perform a PECP, from start to finish:
    • Proper choice of proof protocol;
    • Assessment and preparation of the subject;
    • Performance of the test;
    • Finish the test;
    • Proper data collection and evidence analysis;
    • Preparation of PECP reports;
  • Evaluating the effects of therapeutic interventions.


8:00pm | 9:00pm Diana Ferreira

Course Presentation
Introduction to PECP - clinical applications/indications of PECP.

8:00pm | 10:00pm José Alberto Duarte

Exercise physiology
Physiology of exercise limiting factors

8:00pm | 9:00pm

- Equipment and calibration;
- Quality control;
- Procedures (PECP preparation, subject evaluation, and how to finish the test).

9:00pm | 10:00pm Ricardo Minhalma

Meaning of the PEC variables

8:00pm | 10:00pm Ana Sousa

Metabolic response to progressive exercise
Metabolic limits to exercise

8:00pm | 10:00pm José Alberto Duarte

Cardiovascular response to progressive exercise
Cardiovascular limitation to exercise

8:00pm | 10:00pm Nuno Neuparth

Ventilatory response to progressive exercise
Ventilatory limits to exercise
Limitation of pulmonary and vascular gas exchange during exercise

8:00pm | 9:00pm 

Stress test protocols in athletes: how to choose

9:00pm | 10:00pm 

Constant load tests

8:00pm | 10:00pm

Stress test protocols in patients: how to choose.
Contraindications to performing PECP

8:00pm | 9:00pm

Laboratory assessment and fitness evaluation methods

9:00pm | 10:00pm

Normal values and most frequent pathological findings in PECP

8:00pm | 9:00pm Ricardo Minhalma

Interpretation of PECP
Reporting: particularities of the response to the technical team

9:00pm | 10:00pm


8:00PM | 11:00PM

Presentation and discussion of clinical cases (heart failure; pulmonary hypertension; congenital heart disease; chronic obstructive pulmonary disease; interstitial lung disease; obesity; athletes; sedentary; cardiac rehabilitation; adaptation to altitude)

9:00am | 1:00pm

Part 1
Maximum progressive stress tests

2:00pm | 5:00pm

Part 2
Analysis, interpretation, and discussion of the evidence from Part 1


Diana Ferreira
Diana Ferreira
Ana Sousa Atual
Ana Sousa
Nuno Neuparth
Nuno Neuparth



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  22 hours of theoretical teaching - 100% online
  6 hours of practical component at Centro de Medicina Desportiva do Porto (R. de António Pinto Machado 32, 4100-068 Porto)
  Access to the replay of the classes up to 31 days after the last class of the course
  Vocational Training Certificate* or Vocational Training Attendance Certificate
   * In addition, the right to the Diploma issued by a FIFA, ISAKOS, ESSKA and ICRS accredited centre.
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Curso Provas de Esforço Cardio-Pulmonar
Registration fees:

until 12/12/2022 - 360
after 12/12/2022 - 450

Phased payment with registration:

70% - Upon registration
30% - After 30 days

Cardio-Pulmonary Stress Testing Course

1st Edition

  • View details
Curso Provas de Esforço Cardio-Pulmonar
Registration fees:

until 12/12/2022 - 360
after 12/12/2022 - 450

Phased payment with registration:

70% - Upon registration
30% - After 30 days

Cardio-Pulmonary Stress Testing Course

Fees and Emoluments
Admission Fee:


  • View details

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