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Michael G. Risbano, MD, explains the advanced cardiopulmonary exercise testing (ACPET) program at UPMC.
Quyen Nguyen, MD, reviews a case study about advanced cardiopulmonary exercise testing (ACPET) and explains how to determine the etiology of multifactorial dyspnea. Belinda Rivera-Lebron, MD, presents pulmonary thromboendarterectomy and pulmonary artery balloon angioplasty treatments for chronic thromboembolic pulmonary hypertension (CTEPH).

Educational Objectives

Upon completion of this activity, participants should be able to:

  • Explain the diagnostic ability of ACPET testing and identify benefits of performing an ACPET study
  • Describe an abnormal pulmonary vascular response to exercise during ACPET
  • Identify the causes of dyspnea obtained from advanced ACPET testing and improve diagnostic skills
  • Recognize how to risk stratify patients with acute pulmonary embolism (PE) and assess their bleeding risk prior to starting anticoagulation
  • Implement medical, endovascular, and surgical strategies to manage the care of acute PE
  • Recall diagnosis of CTEPH and recognize treatment options


Dr. Nguyen and Dr. Rivera-Lebron has reported no relevant relationships with entities producing health care goods or services.

Dr. Risbano has financial interests with the following entity or entities producing health care goods or services as indicated below:

  • Grant/Research Support: United Therapeutics

All presenters' disclosures of relevant financial relationships with any entity producing, marketing, re-selling, or distributing health care goods or services used on or consumed by patients is listed above. No other planners, members of the planning committee, speakers, presenters, authors, content reviewers, and/or anyone else in a position to control the content of this education activity have relevant financial relationships to disclose.

Accreditation Statement

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education (CME) for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEUs) which are equivalent to 0.50 contact hours.

For your credit transcript, please access our website four weeks postcompletion at and follow the link to the Credit Transcript page.

Release Date: 9/25/2019 | Last Modified On: 9/25/2019 | Expires: 9/25/2020

This course has been expired.