How to Start an Invasive Cardiopulmonary Exercise Testing Program: A Comprehensive and Practical Guide.

Invasive cardiopulmonary exercise testing (iCPET) is increasingly recognized as a critical diagnostic tool for assessing exercise intolerance and dyspnea. The manuscript highlights the iCPET program's diagnostic precision in identifying various cardiopulmonary disorders, offering insights into tailored treatment strategies. This guide aims to assist institutions in establishing their iCPET programs, addressing both the technical and administrative facets essential for success. The narrative is rooted in personal experiences, reflecting on the demanding, yet rewarding, journey of enhancing patient care through advanced diagnostic capabilities.