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Two-day cardiopulmonary exercise testing or 2-day CPET is a ...of post-exertional malaise (PEM), one of the cardinal symptoms that distinguishes between individuals with and without ME/CFS. The hypothesis is that ME/CFS patients are almost unique in having a severe deterioration in the second of the two cardiopulmonary exercise tests performed on consecutive days. The test is also frequently used in research to compare outcomes pre- and post- exercise. (more...)

post-exertional malaise (PEM) - A notable exacerbation of symptoms brought on by small physical or cognitive exertions. PEM may be referred to as a "crash" or "collapse" and can last for days or weeks. Symptoms can include cognitive impairments, muscle pain, trouble remaining upright (orthostatic intolerance), sleep abnormalities, and gastro-intestinal impairments, and others.

See post-exertional malaise.

See myalgic encephalomyelitis.

See chronic fatigue syndrome.