Location
Title Statement Principles of exercise testing and interpretation : including pathophysiology and clinical applications
Publication, Distribution, etc. (Imprint) Lippincott Williams & Wilkins, Philadelphia : 2004.
Edition Statement
Physical Description
General Note Rev. ed. of: Principles of exercise testing & interpretation. 3rd ed. c1999.
Index Term - Uncontrolled
Added Entry - Personal Name
ISBN
Waiting
*000 am
*00128871
*00520080725135806.0
*007
*008040812s2004 pau | 001 0 eng
*020 $a0-7817-4876-3$x0-7817-4876-3
*035 $a(SE-LIBR)9610244$x9610244
*040 $aDNLM/DLC$cDLC$dGm
*042 $apcc
*05000$aRC683.5.E94$bP75 2004
*08204$a616.120754$222
*08200$a616.1/20754$222
*084 $aVeh$2kssb/7
*084 $aVac$2kssb/7
*084 $aVei$2kssb/7
*24500$aPrinciples of exercise testing and interpretation :$bincluding pathophysiology and clinical applications /$cKarlman Wasserman ... [et al.].
*250 $a4th ed /$bKarlman Wasserman
*260 $aPhiladelphia :$bLippincott Williams & Wilkins,$c2004.$y2004
*300 $a585 s :$bill.
*500 $aRev. ed. of: Principles of exercise testing & interpretation. 3rd ed. c1999.
*653 $aHjärtat
*653 $aTester
*653 $aFysisk aktivitet
*653 $aLungkapacitet
*653 $aFysiologi
*7001 $aWasserman, Karlman$4edt
*7300 $aPrinciples of exercise testing & interpretation.
*841 $ax a$b0901084u 8 1001uu 0901128$e4$5Gih
*852 $bGih$hVe$5Gih
^
No reviews exists for this book.
Click here
to be the first to write a review.
Thoroughly updated in its Fourth Edition, this exceptional resource is the most comprehensive, current text on the physiology and pathophysiology of exercise testing available. It is the only reference to address those disorders that can be diagnosed only through cardiopulmonary exercise testing.
Readers will find...
Comprehensive presentation addressing cardiovascular, metabolic, and respiratory responses to exercise--in both health and disease states. Principles and rationale behind exercise testing, commonly used testing protocols, guidelines for normal and abnormal values, and tips for accurate interpretation of test results. Normal test values for a range of patient groups--including children, over- and underweight patients, and the elderly. More than 80 case histories , each accompanied by exercise physiology results, highlight differential diagnosis by applying basic physiological concepts to real-world examples. Coverage of disorders that can be diagnosed only through cardiopulmonary exercise testing.
NEW to the Fourth Edition...
New chapter covering regulation of arterial and mixed venous blood gases New nine-panel graphic array illustrating critical aspects of exercise testing Updated flow charts to help with clinical interpretation and differential diagnosis
Exercise Testing and Interpretation: An Overview p. 1 Preparing for the Exercise Test p. 127 Requesting the Test and Notifying the Patient p. 127 The Patient in the Exercise Laboratory p. 128 Performing the Exercise Test p. 129 Incremental Exercise Test to Symptom-Limit Maximum p. 130 Pain p. 7 Constant Work Rate Exercise Tests p. 133 Treadmill Test for Detecting Myocardial Ischemia p. 135 Arm Ergometry p. 137 Other Tests Suitable for Fitness or Serial Evaluations p. 137 Preparing the Report p. 138 Summary p. 138 Normal Values p. 143 Peak Oxygen Uptake p. 144 Age and Gender p. 144 Activity Level p. 144 Evidence of Systemic Dysfunction Uniquely Revealed by Integrative Cardiopulmonary Exercise Testing p. 7 Adults of Normal (Predicted) Body Weight p. 144 Overweight Patients p. 146 Underweight Patients p. 148 Children p. 148 Exercise Mode p. 148 Maximum Heart Rate and Heart Rate Reserve p. 150 Relationship of VO[subscript 2] and Heart Rate: The Maximum Oxygen Pulse p. 151 Brachial Artery Blood Pressure p. 152 Anaerobic (Lactate, Lactic Acidosis) Threshold p. 153 Oxygen Uptake-Work Rate Relationship p. 154 Physiology of Exercise p. 10 Breathing Reserve, Tidal Volume, and Breathing Frequency at Maximum Exercise p. 155 Maximum Exercise Ventilation and Breathing Reserve p. 155 Tidal Volume and Breathing Frequency p. 156 Ventilatory Measures at the Anaerobic Threshold: VE/VCO[subscript 2], VE/VO[subscript 2], and the Breathing Reserve Index p. 156 Physiologic Dead Space/Tidal Volume Ratio p. 157 Arterial and End-Tidal CO[subscript 2] Tensions p. 159 Arterial, Alveolar, and End-Tidal Oxygen Tensions and Arterial Oxyhemoglobin Saturation p. 160 Femoral and Mixed Venous Values and Estimation of Cardiac Output p. 161 Acid-Base Balance p. 162 Summary p. 162 Skeletal Muscle p. 11 Principles of Interpretation: A Flow Chart Approach p. 165 Introduction to Flow Charts p. 166 Establishing the Pathophysiologic Basis of Exercise Intolerance p. 166 Maximum Exercise Capacity and Anaerobic Threshold (Flow Chart 1) p. 166 Exercise Intolerance with Normal Peak VO[subscript 2] (Flow Chart 2) p. 167 Low Peak VO[subscript 2] with Normal AT (Flow Chart 3) p. 169 Low Peak VO[subscript 2] with Low AT (Flow Chart 4) p. 171 Low Peak VO[subscript 2] with AT Not Determined (Flow Chart 5) p. 175 Summary p. 177 Clinical Applications of Cardiopulmonary Exercise Testing p. 178 Differential Diagnosis of Disorders Causing Exercise Intolerance p. 179 Pathophysiological Responses in Common Disorders p. 179 O[subscript 2] Uptake and CO[subscript 2] Output as Related to Work-Rate p. 179 Heart Rate and VCO[subscript 2] as a Function of VO[subscript 2] p. 180 Heart Rate and O[subscript 2] Pulse as a Function of Work Rate p. 185 VT as a Function of VE p. 185 VE as a Function of VCO[subscript 2] p. 185 Ventilatory Equivalents for O[subscript 2] and CO[subscript 2] p. 185 Diagnoses Uniquely Made by Cardiopulmonary Exercise Testing p. 188 Development of Myocardial Ischemia with Myocardial Dyskinesis during Exercise p. 188 Energetics p. 12 Chronic Heart Failure Due to Diastolic Dysfunction p. 188 Pulmonary Vascular Occlusive Disease without Pulmonary Hypertension p. 189 Patent Foramen Ovale with Development of a Right to Left Shunt during Exercise p. 189 Pulmonary Vascular Disease Limiting Exercise in COPD p. 191 Impaired Muscle Bioenergetic Function p. 191 Psychogenic Dyspnea and Behavioral (Anxiety or Malingering) Causes of Exercise Intolerance p. 191 Grading Severity of Heart Disease p. 192 Estimating Peak Cardiac Output During Exercise from O[subscript 2] Uptake at Peak VO[subscript 2] p. 192 Cardiac Output Estimated by the Direct Fick Method p. 192 Behavior of Changing Arterial-Venous O[subscript 2] Difference during Exercise p. 193 Oxygen Cost of Work p. 17 Initial and Final Estimate of C(a - v)O[subscript 2] p. 193 Examples of Estimating C(a - v)O[subscript 2] p. 194 Short-Cut Estimate of Stroke Volume from O[subscript 2] Pulse p. 194 Prioritizing Patients for Heart Transplantation p. 194 Preoperative Evaluation of Surgical Risk p. 196 Thoracotomy p. 197 Abdominal Surgery p. 197 Analysis p. 198 Measuring Impairment for Disability Evaluation p. 198 Impairment and Disability p. 198 Work Efficiency p. 18 Problems in Assessing Impairment from Resting Measures Only p. 198 Exercise Testing and Impairment Evaluation p. 199 O[subscript 2] Cost of Work p. 200 Analysis p. 201 Exercise Rehabilitation p. 201 Physiological Basis of Exercise Rehabilitation p. 201 Exercise Rehabilitation in Heart Disease p. 204 Exercise Rehabilitation in Chronic Obstructive Pulmonary Disease p. 204 Assessing Effectiveness of Treatment p. 205 Screening for Development of Disease in High Risk Patients p. 208 Vo[subscript 2] Non-Steady State p. 19 Graded Exercise Testing and the Athlete p. 209 Summary p. 210 Case Presentations p. 215 Appendices Symbols and Abbreviations p. 523 Glossary p. 525 Calculations, Formulae, and Examples p. 531 Placement of a Brachial Artery Catheter p. 541 Tables and Nomogram p. 543 Index p. 546 Why Measure Gas Exchange to Evaluate Cardiovascular Function and Cellular Respiration? p. 2 Lactate Increase p. 19 Lactate Increase as Related to Work Rate p. 19 Lactate Increase as Related to Time p. 19 Lactate Increase in Response to Increasing Work Rate p. 20 Mechanisms of Lactate Increase p. 21 Buffering the Exercise-induced Lactic Acidosis p. 7 The Anaerobic Threshold (AT) Concept p. 29 Identifying AT by Gas Exchange p. 30 Altered Physiological Responses to Exercise above the AT p. 33 Anaerobic, Lactate and Lactic Acidosis Thresholds p. 39 Cardiac Stress Test and Pulmonary Stress Test: Nomenclature Fallacies p. 2 Metabolic-Cardiovascular-Ventilatory Coupling p. 40 Cellular Respiration and High Energy Phosphate Regeneration p. 40 Cardiovascular Coupling to Metabolism: Muscle O[subscript 2] Supply p. 40 Ventilatory Coupling to Metabolism p. 42 Effect of Dietary Substrate p. 46 Control of Breathing p. 47 Overview p. 47 Acid-Base Regulation p. 47 Physical Factors p. 48 Reflexes Regulating Breathing During Exercise p. 48 Cell Respiration and Bioenergetics p. 3 Gas Exchange Kinetics p. 52 Oxygen Uptake Kinetics p. 52 CO[subscript 2] Output Kinetics p. 55 Summary p. 56 Measurements During Integrative Cardiopulmonary Exercise Testing p. 62 What Is an Integrative Cardiopulmonary Exercise Test? p. 63 When Should Integrative Cardiopulmonary Exercise Testing Be Used? p. 64 Measurements p. 64 Electrocardiogram p. 64 Maximal Oxygen Uptake (Vo[subscript 2]max) Maximum Oxygen Uptake (Peak Vo[subscript 2]) p. 65 Normal Coupling of External to Cellular Respiration p. 4 Oxygen Uptake and Work Rate p. 67 Pattern of Work Rate Increase and the VO[subscript 2] Response p. 67 Upward Displacement of VO[subscript 2] as A Function of Work Rate p. 68 Cardiac Output and Stroke Volume p. 71 Anaerobic (Lactate, Lactic Acidosis) Threshold (AT, LT, LAT) p. 73 Heart Rate-Oxygen Uptake Relationship and Heart Rate Reserve p. 76 Oxygen Pulse (VO[subscript 2]/HR) and Stroke Volume p. 77 Arterial Blood Pressure p. 78 Breathing Reserve p. 79 Expiratory Flow Pattern p. 79 Quantifying State and Time Course of Cellular Respiration from Measurements of External Respiration p. 4 Tests of Uneven VA/Q p. 79 Arterial Bicarbonate and Acid-Base Response p. 83 Tidal Volume/Inspiratory Capacity Ratio (VT/IC) p. 84 Measurements Unique to Constant Work Rate Exercise Testing p. 84 Data Display and Interpretation p. 87 Summary p. 92 Pathophysiology of Disorders Limiting Exercise p. 95 Obesity p. 96 Peripheral Arterial Diseases p. 98 Heart Diseases p. 98 Patterns of Change in External Respiration (O[subscript 2] Uptake and CO[subscript 2] Output) as Related to Function, Fitness and Disease p. 6 Coronary Artery Disease p. 99 Myopathic Heart Disease p. 100 Valvular Heart Disease p. 101 Congenital Heart Disease p. 101 Pulmonary Vascular Diseases p. 102 Causes of Increased Ventilation p. 102 Causes of Exercise Arterial Hypoxemia p. 102 Effect on Systemic Hemodynamics p. 103 Ventilatory Disorders p. 104 Obstructive Lung Diseases p. 104 Factors Limiting Exercise p. 6 Restrictive Lung Diseases p. 107 Chest Wall (Respiratory Pump) Disorders p. 109 Defects in Hemoglobin Content and Quality p. 109 Anemia p. 110 Left-shifted Oxyhemoglobin Dissociation Curve p. 110 Carboxyhemoglobinemia and Cigarette Smoking p. 110 Chronic Metabolic Acidosis p. 110 Muscle Disorders and Endocrine Abnormalities p. 111 Psychogenic Causes of Exercise Limitation and Dyspnea p. 112 Anxiety p. 112 Fatigue p. 6 Poor Effort and Manipulated Exercise Performance p. 112 Combinations of Defects p. 112 Summary p. 113 Clinical Exercise Testing p. 115 Exercise Laboratory and Equipment p. 116 General (Laboratory) Environment p. 116 Measuring Gas Exchange p. 116 Measurement of Volume, Flow Rate, or Ventilation p. 117 Breathing Valves, Mouthpieces, and Masks p. 119 Gas Analyzers p. 119