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This 2001 book provides a practical and systematic approach to the acquisition, interpretation, and reporting of physiologic responses to exercise. Pulmonologists, cardiologists, and sports physicians, as well as respiratory therapists and other allied health professionals will find this book an indispensable resource when learning to select proper instruments, identify the most appropriate test protocols, and integrate and interpret physiologic response variables. The final chapter presents clinical cases to illuminate useful strategies for exercise testing and interpretation. Useful appendices offer laboratory forms, algorithms and calculations, as well as answers to FAQs. A glossary of terms, symbols, and definitions is also included. Exercise Testing and Interpretation: A Practical Approach offers clearly defined responses (both normal and abnormal) to over thirty performance variables including aerobic, cardiovascular, ventilatory, and gas-exchange variables. Practical, portable, and easy-to-read, this essential guidebook can be used as a complement to more detailed books on the topic, or stand on its own.
Maximum oxygen uptake during exercise is one of the best predictors of operative mortality and of prognosis in chronic cardiac or respiratory disease. Cardio-pulmonary exercise (CPEX) tests are therefore an increasingly common component of pre-operative assessment and the management of patients with chronic cardiopulmonary problems. Part of the Oxford Respiratory Medicine Library (ORML) series, this pocketbook guides clinicians through the parameters measured in CPEX testing so that they can understand the underlying physiology and are able to interpret the results. Clinical scenarios, common patterns, key points, and practical tips all make this book easy to follow, even for those readers who have little prior knowledge of the subject.
"In this fifth edition of Principles of Exercise Testing and Interpretation, as in earlier editions, we attempt to develop conceptual advances in the physiology and pathophysiology of exercise, particularly as related to the practice of medicine. The underlying theme of the book continues to be the recognition that the most important requirement for exercise performance is transport of oxygen to support the bioenergetic processes in the muscle cells (including, of course, the heart) and elimination of the carbon dioxide formed as a byproduct of exercise metabolism. Thus, appropriate cardiovascular and ven- tilatory responses are required to match those of muscle respiration in meeting the energy demands of exercise. As depicted by the logo on the book cover, normal exercise performance requires an efficient coupling of external to internal (cellular) respiration. Appropriate treatment of exercise intolerance requires that patients' symptoms be thought of in terms of a gas exchange defect between the cell and the environment. The defect may be in the lungs, heart, peripheral or pulmonary circulations, the muscles themselves, or there may be a combination of defects. Thus, we describe the pathophysiology in gas transport and exchange that affect any site in the cardio- respiratory coupling between the lungs and the muscles. We illustrate how cardiopulmonary exercise testing can provide the means for a critical evaluation by the clinician-scientist of the functional competency of each component in the coupling of cellular to external respiration, including the cardiovascular system. To achieve this, clinical cases are used to illustrate the wide spectrum of pathophysiology capable of causing exercise intolerance"--Provided by publisher.
Cardiopulmonary exercise testing is an important diagnostic test in pulmonary medicine and cardiology. Capable of providing significantly more information about an individual’s exercise capacity than standard exercise treadmill or 6-minute walk tests, the test is used for a variety of purposes including evaluating patients with unexplained exercise limitation or dyspnea on exertion, monitoring disease progression or response to treatment, determining fitness to undergo various surgical procedures and monitoring the effects of training in highly fit athletes. Introduction to Cardiopulmonary Exercise Testing is a unique new text that is ideal for trainees. It is presented in a clear, concise and easy-to-follow manner and is capable of being read in a much shorter time than the available texts on this topic. Chapters describe the basic physiologic responses observed during sustained exercise and explain how to perform and interpret these studies. The utility of the resource is further enhanced by several sections of actual patient cases, which provide opportunities to begin developing test interpretation skills. Given the widespread use of cardiopulmonary exercise testing in clinical practice, trainees in pulmonary and critical care medicine, cardiology, sports medicine, exercise physiology, and occasionally internal medicine, will find Introduction to Cardiopulmonary Exercise Testing to be an essential and one of a kind reference.
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 postpartum, 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.
The flagship title of the certification suite from the American College of Sports Medicine, ACSM's Guidelines for Exercise Testing and Prescription is a handbook that delivers scientifically based standards on exercise testing and prescription to the certification candidate, the professional, and the student. The 9th edition focuses on evidence-based recommendations that reflect the latest research and clinical information. This manual is an essential resource for any health/fitness and clinical exercise professional, physician, nurse, physician assistant, physical and occupational therapist, dietician, and health care administrator. This manual give succinct summaries of recommended procedures for exercise testing and exercise prescription in healthy and diseased patients.
A comprehensive and up to date guide to testing fitness, ideal for coaches, fitness industry professionals and anyone planning a training program for clients or groups.
This book makes sense of complex topics by distilling them to basic concepts. It provides normal physiology integrated with indications for and evaluation of disease states. With a fresh clinical approach, it helps answer reoccurring questions.
Here's authoritative, step-by-step guidance on performing a full range of cardiac exercise tests. The New Edition of this respected resource has been thoroughly revised and updated to reflect the most current techniques and latest clinical data. Provides comprehensive coverage of cardiopulmonary physiology and methodology, nuclear testing, and echocardiography helps readers avoid complications by detailing the most dangerous testing circumstances and citing instances when cool down walks, pre-test physical exams or echocardiograms are advisable Discusses the proper ways to adjust treadmill protocols, calculate target heart rates, position the patient post-exercise, report exercise capacity and include predicative equations as part of the treadmill report Provides tabular summaries of major studies, accompanied by expert commentary Follows the new evidence-based ACC/AHA guideline format, class I, II, or III Reflects the latest guidelines on exercise testing from the Agency for Health Care Policy and Research Practice Guidelines on Cardiac Rehabilitation, the Surgeon Generals Report on Physical Activity and Health, the new editions of the AACVPR, and the ASCM Guidelines on Exercise Testing and Prescription
The first practical guide to fully explain how to use gas exchange techniques in clinical and research settings.With the increased use of gas exchange techniques in exercise testing, you will want to understand this technology and its applications. This helpful book presents important background material on exercise physiology and cardiopulmonary responses to exercise, and it features previously unavailable information on calibration procedures and quality control. You'll learn the following:- The physiology behind exercise testing- Ventilatory gas exchange methods and applications- What instrumentation and calculations to use for measuring gas exchange responses- What information can be obtained from gas exchange techniques- How to interpret gas exchange data- How to apply this information to different cardiovascular and pulmonary disorders- Normal values for exercise capacity and reference equations- How to apply more specialized applications of invasive hemodynamic measurementsThis unique book also features highlighted key terms, a glossary and list of scientific abbreviations, a detailed appendix of equations and examples for predicting oxygen uptake, and a list of equipment manufacturers and other helpful resources and organizations.