Cardiopulmonary Exercise Testing (CPET) in Vienna, VA
If you experience unexplained shortness of breath, fatigue, or difficulty exercising, a Cardiopulmonary Exercise Test (CPET) can provide valuable information about how your heart and lungs respond to physical activity.
At NOVA Pulmonary Critical Care and Sleep Associates in Vienna, VA, cardiopulmonary exercise testing can help evaluate exercise-related breathing problems and provide a more complete picture of how your heart, lungs, circulation, and muscles work together during activity.
NOVA Pulmonary Critical Care and Sleep Associates
📍 Vienna Office
124 Park Street SE, Suite 203
Vienna, VA 22180
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📞 571-367-0000
Office Hours:
Mon – Fri: 9:00AM – 5:00PM
Sat & Sun: Closed
What Is Cardiopulmonary Exercise Testing?
Cardiopulmonary Exercise Testing, also known as CPET or a Cardiopulmonary Exercise Stress Test, is a specialized diagnostic test that measures your body’s response to exercise.
Unlike tests performed while you are resting, CPET evaluates your breathing and cardiovascular response while your body is working harder. This can help identify limitations that may not be apparent during a routine examination or standard pulmonary testing.
During the test, you typically exercise on a stationary bicycle or treadmill while your breathing, oxygen use, heart rate, and other measurements are continuously monitored.
What Does a CPET Measure?
CPET collects information about several body systems at the same time. Depending on your individual evaluation, measurements may include:
- Oxygen consumption
- Carbon dioxide production
- Breathing rate and breathing pattern
- Heart rate
- Blood pressure
- Oxygen saturation
- Exercise capacity
- Your symptoms during physical activity
By looking at these measurements together, your physician can better understand how your lungs, heart, and circulation respond to increasing levels of exercise.
Why Is CPET Performed?
One of the most common reasons for cardiopulmonary exercise testing is unexplained shortness of breath during activity.
Some patients experience significant breathlessness, fatigue, or reduced exercise tolerance even when routine tests do not fully explain their symptoms. CPET provides additional information by evaluating the body under the physical stress of exercise.
Your pulmonologist may recommend CPET to help evaluate:
- Unexplained shortness of breath
- Shortness of breath with exercise
- Reduced exercise tolerance
- Unexplained fatigue during activity
- Exercise limitations related to lung disease
- Exercise limitations related to heart or circulatory conditions
- Response to treatment or rehabilitation
- Overall functional exercise capacity
Who May Benefit From Cardiopulmonary Exercise Testing?
CPET may be useful for patients with known or suspected conditions that can affect breathing and exercise capacity.
These may include:
- COPD or emphysema
- Pulmonary fibrosis
- Interstitial lung disease (ILD)
- Pulmonary hypertension
- Other chronic respiratory conditions
- Cardiovascular conditions
- Unexplained exercise intolerance
Your physician will determine whether CPET is appropriate based on your symptoms, medical history, physical examination, and results from previous testing.
What Happens During a Cardiopulmonary Exercise Test?
Before the exercise portion begins, baseline measurements may be taken while you are at rest.
During the test, you exercise on a stationary bicycle or treadmill while wearing a mask or mouthpiece that allows specialized equipment to measure the gases you breathe in and out.
The intensity of exercise is gradually increased while your healthcare team monitors your response.
Throughout the test, measurements may include your breathing, oxygen consumption, carbon dioxide production, heart rate, blood pressure, oxygen saturation, and exercise tolerance.
You will also be asked about symptoms such as shortness of breath, fatigue, chest discomfort, or leg fatigue during the test.
CPET for Unexplained Shortness of Breath
Shortness of breath can have many possible causes. In some cases, standard pulmonary function testing, imaging, or cardiac testing may not completely explain why a patient becomes breathless during activity.
Because CPET evaluates multiple body systems during exercise, it can provide additional information about where exercise limitations may be occurring.
The results are interpreted along with your medical history and other diagnostic testing to help your physician determine appropriate next steps.
How Is CPET Different From a Regular Exercise Stress Test?
A traditional cardiac exercise stress test primarily evaluates how the heart responds to physical activity.
Cardiopulmonary Exercise Testing provides additional information about the respiratory system and the body’s use of oxygen during exercise. It measures breathing and gas exchange along with cardiovascular responses.
This combination can be particularly useful when the reason for shortness of breath or exercise intolerance is unclear.
Preparing for Your CPET
Your healthcare team will provide specific instructions before your test. You may be asked to:
- Wear comfortable clothing suitable for exercise
- Wear supportive walking or athletic shoes
- Avoid strenuous exercise before your appointment
- Follow instructions regarding food and beverages before testing
- Bring a current list of medications
- Ask your physician whether any medications should be adjusted before the test
Do not stop or change prescribed medications unless instructed by your healthcare provider.

Cardiopulmonary Exercise Testing in Vienna, VA
If shortness of breath, fatigue, or reduced exercise tolerance is interfering with your daily activities, Cardiopulmonary Exercise Testing may provide important information about how your body responds to physical activity.
NOVA Pulmonary Critical Care and Sleep Associates provides pulmonary evaluation and diagnostic testing for patients in Vienna, Tysons, McLean, Fairfax, and surrounding Northern Virginia communities.
Contact our Vienna, VA office to schedule an evaluation and find out whether Cardiopulmonary Exercise Testing (CPET) may be appropriate for you.
Directions & Parking Information
Our Vienna office is located on Park Street SE near the Vienna Community Center and historic downtown Vienna.
Free parking available near the building
Elevator access to Suite 203
Easily accessible from Route 123 and I-66
Minutes from Tysons Corner
If you need assistance locating our office, please call and our staff will guide you.
Frequently Asked Questions
What is a Cardiopulmonary Exercise Test?
A Cardiopulmonary Exercise Test evaluates how your lungs, heart, circulation, and muscles respond to physical activity. It measures breathing, oxygen use, carbon dioxide production, heart rate, and other factors while you exercise.
Why would my pulmonologist order a CPET?
Your pulmonologist may recommend CPET if you have unexplained shortness of breath, fatigue, reduced exercise tolerance, or symptoms that are not fully explained by testing performed while you are at rest.
Is CPET useful for unexplained shortness of breath?
Yes. CPET can provide additional information about how your respiratory and cardiovascular systems respond during exercise and may help your physician better understand factors contributing to exercise-related breathlessness.
Do I have to run during a Cardiopulmonary Exercise Test?
Not necessarily. CPET is commonly performed using a stationary bicycle or treadmill. Exercise intensity is gradually adjusted according to the testing protocol and your individual ability.
What is the difference between CPET and a pulmonary function test?
Pulmonary function testing evaluates how your lungs function, generally while you are at rest. CPET evaluates breathing and gas exchange while you exercise and also measures how your cardiovascular system responds to physical activity.
Is CPET the same as a cardiac stress test?
No. A standard cardiac stress test primarily evaluates the heart’s response to exercise. CPET also measures breathing, oxygen consumption, carbon dioxide production, and other respiratory and metabolic responses during exercise.
How should I prepare for a CPET?
Wear comfortable clothing and appropriate shoes for exercising. Your healthcare team will provide instructions regarding eating, exercise, medications, and other preparation before your appointment.
Office Locations
Conveniently located near you in Dulles, Leesburg, (Loudoun County) and Vienna, (Fairfax County), VA
NOVA Pulmonary – Dulles
24430 Stone Springs Boulevard
Suite 550
Dulles, VA 20166
NOVA Pulmonary – Lansdowne
19415 Deerfield Avenue
Suite 301
Landsdowne, VA 20176
NOVA Pulmonary Critical Care and Sleep Associates is committed to providing excellent care in all aspects of Pulmonary Medicine and Sleep Disorders. With offices located in Lansdowne and Dulles, South Riding, we offer care for the entire Northern Virginia region, serving locations from Chantilly, Fairfax, Vienna, Centreville, Manassas, Gainesville to Reston, Sterling, Leesburg, Ashburn, Brambleton, Purcellville and more.
Meet the team at NOVA Pulmonary Critical Care and Sleep Associates
Dr. Aditya N Dubey, M.D, F.C.C.P. – Founder
Specialty:
Pulmonary, Critical Care and Sleep Medicine
Board Certified by American Board of Internal Medicine in the Subspecialities of Pulmonary Medicine, Critical Care Medicine and Sleep Medicine. Learn more about Dr. Dubey
Dr. Petra Thomas, M.D.
Specialty:
Pulmonary Medicine
Board Certified by American Board of Internal Medicine in the Subspecialities of Pulmonary Medicine. Learn more about Dr. Thomas
Dr. Esha Kapania, M.D.
Specialty:
Pulmonary Medicine
Board Certified by American Board of Internal Medicine in the Subspecialities of Pulmonary Medicine. Learn more about Dr. Kapania
Dr. Arman Murabia, M.D.
Specialty:
Pulmonary, Critical Care and Sleep Medicine
Board Certified by American Board of Internal Medicine in the Subspecialities of Pulmonary Medicine, Critical Care Medicine and Sleep Medicine. Learn more about Dr. Murabia

Dr. Zara Martirosyan, MD
Specialty:
Sleep Medicine & Internal Medicine Specialist
Board-certified physician in both Sleep medicine and Internal medicine. Learn more about Dr. Martirosyan
Rebekah Lee, AGNP-C, Lead APP
Nurse Practitioner. Learn more about Rebekah Lee
Paulos Abebe PA-C
Physician Assistant Learn more about Paulos Abebe PA-C

Katie Cameron, PA
Physician Assistant Learn more about Katie Cameron, PA-C







