Full Description
In the last several years, Clinical Exercise Testing has become an increasingly important tool for patient evaluation in clinical medicine due to a growing awareness of the limitations of traditional resting cardiopulmonary measurements. Emphasizing scientific and technological advances and focusing on clinical applications for patient diagnosis and management, this volume provides a comprehensive interdisciplinary review of clinical exercise testing, concentrating on Cardiopulmonary Exercise Testing (CPET). 25 reader-friendly chapters discuss important topics, including the physiologic responses to exercise in normal subjects, in the aged and in various disease states; the set-up of an exercise lab; the methodology and protocols used for clinical exercise testing; and an integrative approach to the interpretation of CPET results. CPET in heart failure, deconditioning, COPD, ILD, pulmonary vascular disease, neuromuscular disease, and asthma is thoroughly discussed. Clinical applications including pulmonary and cardiac rehabilitation, heart and lung transplantation evaluation, unexplained exertional dyspnea assessment, evaluation for lung resection and lung volume reduction surgery, and impairment-disability evaluation are also covered in detail. Additional chapters on clinical exercise testing in children, during pregnancy and the post-partum, and in other systemic disorders complete this extensive publication. Written by well-respected experts, this volume will be a valuable resource for a wide audience including pulmonologists, cardiologists, pediatricians, exercise physiologists, rehabilitation specialists, nurse clinician specialists, and respiratory therapists.
Contents
Cardiovascular and Respiratory System Responses and Limitations to Exercise, Rodman, J.R., Haverkamp, H.C., Gordon, S.M., Dempsey, J.A.; Muscular Alterations in Chronic Obstructive Pulmonary Disease and Chronic Heart Failure at Rest and during Exercise, Gosker, H.R., Uszko-Lencer, N.H.M.K., Wouters, E.F.M., van der Vusse, G.J., Schols, A.M.W.J.; Modalities of Clinical Exercise Testing, Zeballos, R.J., Weisman, I.M.; Methods for Cardiopulmonary Exercise Testing, Beck, K.C., Weisman, I.M.; Deconditioning, and Principles of Training, Troosters, T., Gosselink, R., Decramer, M.; Mechanisms and Measurement of Exertional Dyspnea, Mahler, D.A., Fierro-Carrion, G., Baird, J.C.; Cardiopulmonary Exercise Testing in Unexplained Dyspnea, Gay, S.E., Weisman, I.M., Flaherty, K.R., Martinez, F.J.; Respiratory System Responses to Exercise in Aging, Johnson, B.D. Evolving Role of Cardiopulmonary Exercise Testing in Heart Failure and Cardiac Transplantation, Agostoni, P., Guazzi, M.; Noninvasive Exercise Testing Modalities for Ischemia, Strelich, K., Bach, D.S.; Role of Cardiac Rehabilitation in Heart Failure and Cardiac Transplantation, Braith, R.W., Edwards, D.G.; Exercise Limitation and Clinical Exercise Testing in Chronic Obstructive Pulmonary Disease, O'Donnell, D.E.; The Importance of Exercise Training in Pulmonary Rehabilitation, Celli, B.R.; Functional Evaluation in Lung Volume Reduction Surgery, Sciurba, F.C., Patel, S.A.; Cardiorespiratory Responses during Exercise in Interstitial Lung Disease, Krishnan, B.S., Marciniuk, D.D.; Role of Cardiopulmonary Exercise Testing in Patients with Pulmonary Vascular Disease, Systrom, D.M., Cockrill, B.A., Hales, C.A.; Asthma and Exercise, Tan, R.A., Spector, S.L.; Evaluation of Impairment and Disability, The Role of Cardiopulmonary Exercise Testing, Sue, D.Y.; Role of Cardiopulmonary Exercise Testing in the Preoperative Evaluation for Lung Resection, Diacon, A.H., Bolliger, C.T.; The Role of Cardiopulmonary Exercise Testing for Patients with Suspected Metabolic Myopathies and Other Neuromuscular Disorders, Flaherty, K.R., Weisman, I.M., Zeballos, R.J., Martinez, F.J.; Role of Cardiopulmonary Exercise Testing in Lung and Heart-Lung Transplantation, Williams, T.J., Slater, W.R.; Exercise Responses in Systemic Conditions, Obesity, Diabetes, Thyroid Disorders, and Chronic Fatigue Syndrome, Sietsema, K.E.; Clinical Exercise Testing during Pregnancy and the Postpartum Period, O'Toole, M.L., Artal, R.; Clinical Exercise Testing in Children, Fahey, J., Nemet, D., Cooper, D.M.; An Integrative Approach to the Interpretation of Cardiopulmonary Exercise Testing, Weisman, I.M., Zeballos, R.J.
