Author: U.J. Winter
Publisher: Springer Science & Business Media
ISBN: 3642854044
Category : Medical
Languages : en
Pages : 194
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Book Description
The measurement of cardio-circulatory and gas-exchange parameters during phy sical exercise - the so-called ergo spirometry or cardiopulmonary exercise testing (CPX) - as a basis of pathophysiological and clinical research has a long tradition in Cologne. Knipping and his coworkers, especially Hollmann, performed basic re search work in healthy subjects. In the area of sports medicine, bicycle or treadmill exercise testing with parallel serial lactate determinations has gained increasing im portance for the assessment of cardiac functional capacity. Also, in other medical disciplines, ergospirometry lost its importance. K. Wasserman in Los Angeles is to be credited for having further improved the method to its present standard, a computerized, on-line measuring and practicable cardiopulmonary exercise testing procedure. The prerequisites were technical innovations, such as continuously measuring gas analyzers and personal computers. Thereby, the knowledge about physiology, pathophysiology, and clinical circumstances of cardiocirculatory and re spiratory regulation during exercise were significantly extended. The working groups of W. Hollmann, Cologne, and K. Wasserman, Los Angeles, determined normal values for the gas-exchange parameters and derived values for healthy normals in large populations. Wasserman and coworkers were able to introduce a differential diagnostic concept for patients suffering from various cardiovascular and cardio pulmonary diseases. Many cardiologists, working, for example in myocardial failure or with rate-adaptive pacemakers, belong to those who recommended the modem, computerized ergo spirometry. Furthermore, this method is controversely discussed· by colleagues working in sports medicine and pulmonary function.
Author: Andrew M. Luks
Publisher: Springer Science & Business Media
ISBN: 1461462835
Category : Medical
Languages : en
Pages : 147
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Book Description
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.
Author: William Kinnear
Publisher: OUP Oxford
ISBN: 019100684X
Category : Medical
Languages : en
Pages : 111
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Book Description
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.
Author: Idelle M. Weisman
Publisher: Karger Medical and Scientific Publishers
ISBN: 3805572980
Category : Medical
Languages : en
Pages : 339
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Book 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 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.
Author: James H. Hull
Publisher: Oxford Respiratory Medicine Library
ISBN: 019883439X
Category :
Languages : en
Pages : 241
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Book Description
Part of the Oxford Respiratory Medicine Library (ORML) series, A Practical Guide to the Interpretation of Cardiopulmonary Exercise Tests, Second Edition provides readers with a practical, concise, and accessible approach to all aspects of cardiopulmonary exercise tests (CPET).
Author: Myrvin H. Ellestad
Publisher: Oxford University Press, USA
ISBN: 0190225483
Category : Medical
Languages : en
Pages : 609
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Book Description
The sixth edition of Ellestad's classic text on cardiac stress testing has been extensively updated and re-written to communicate contemporary understanding of the classical principles of stress testing to clinicians and researchers, students and seasoned practitioners alike. The current techniques for performing stress tests presented herein reflect major technologic advances in imaging, physiologic monitoring and the assessment of cardiovascular risk, addressing fundamental paradigm shifts in interventional, surgical and medical treatment of heart disease. Moreover, the text addresses the dramatic changes that are occurring in patient demographics and the environmental, socioeconomic, gender and genomic factors that crucially impact heart disease and warrant attention when performing cardiac stress testing. Chapters on the physiology of exercise testing including practical details regarding protocols for conducting the stress test, proper supervision, important parameters to be monitored, and the diagnostic and prognostic information to be gleaned from the electrocardiogram set the stage for expanded chapters on the use of cardiac imaging in conjunction with stress testing. Physiologic and metabolic considerations during stress testing are covered in detail. Application of stress testing to special populations, such as women, children, athletes, and individuals in both high and low risk groups are covered in new chapters. Finally, the authors address the use of stress testing in limited resource environments and discuss global changes in the incidence of atherosclerosis, and suggest how stress testing may evolve.
Author: Jonathan Myers
Publisher: Human Kinetics Publishers
ISBN: 9780873226363
Category : Medical
Languages : en
Pages : 177
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Book Description
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.
Author: Antonio Pelliccia
Publisher: Oxford University Press
ISBN: 0192573837
Category : Medical
Languages : en
Pages : 432
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Book Description
Sports and exercise have been intensely advocated as protective lifestyle measures which prevent or reduce the risk of severe health issues, including cardiovascular disease. More extreme forms of sports (for instance at high altitudes) have been identified as an important way of promoting cardiovascular adaptation, but have also been associated with adverse effects and even major cardiovascular events in predisposed individuals. Participating in more commonplace sports and exercise, such as football, may also increase a person's risk of cardiac events. This publication is timely in the light of a burgeoning number of clinical papers in the field. The ESC Textbook of Sports Cardiology provides an overview of the detection and treatment of cardiovascular disease in elite athletes and young sports professionals in training, as well as prevention. It will be useful for clinical cardiologists, sports physicians, and general physicians alike. Split into 11 key areas in sports cardiology, ranging from sudden cardiac death in athletes to the most common cardiovascular abnormalities seen in athletes, and to the effects of substance abuse and doping, the text is an invaluable resource covering all aspects of sports cardiology. Access to the digital version of the textbook is included with purchase of the printed version. Highly illustrated with embedded multimedia features, together with cross-referenced links to related content and primary research data in major journals in the field, the digital version provides users with a dynamic and forward-thinking resource. The ESC Textbook of Sports Cardiology is the second textbook from the European Association of Preventive Cardiology (EAPC) and aligns with ESC clinical practice guidelines and EAPC recommendations and position papers.
Author: Karlman Wasserman
Publisher: Lww
ISBN: 9781469876917
Category : Exercise tests
Languages : en
Pages : 588
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Book Description
"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.
Author: Karlman Wasserman
Publisher:
ISBN:
Category : Cardiopulmonary system
Languages : en
Pages : 246
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Book Description
