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E-grāmata: Practical Guide to the Interpretation of Cardiopulmonary Exercise Tests

(Consultant Respiratory Physician, Royal Brompton Hospital and Honorary Associate Professor at The In), (Consultant Respiratory Physician, Circle Nottingham, Nottingham NHS Treatment Centre, Queen's Medical Centre Campus, Nottingham, UK)
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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).

Maximum oxygen uptake during exercise is one of the best predictors of operative mortality and of prognosis in chronic cardiac or respiratory disease. Cardiopulmonary exercise tests (CPET) 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, 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). CPET is often perceived as being incredibly complex to evaluate so this book breaks down interpretation to simple steps, allowing readers to rapidly understand the key points underpinning the application and interpretation of CPET. The text is focused and with the use of a substantial number of figures, learning points, and self-test questions helps readers to build confidence in undertaking and interpreting CPET.

The second edition has been extended and extensively revised in line with the latest international guidelines and evidence, and includes 16 fully updated chapters, 4 new chapters, and a new section of worked examples has been added.

Recenzijas

This book breaks the interpretation down into simple steps which aids understanding and application. For anyone interested in performing and interpreting cardiopulmonary exercise tests this book aims to provide all the required information, and achieves this goal well. * Dr Katie Marino, BJSM *

Abbreviations xi
Section 1 Introduction
1(32)
1 Why do a cardiopulmonary exercise test?
3(4)
2 Pretest assessment
7(6)
3 Supervising a CPET
13(11)
4 How to do a CPET
24(9)
Section 2 Key cardiopulmonary exercise test parameters
33(74)
5 Oxygen uptake
35(9)
6 Heart rate
44(7)
7 Oxygen pulse
51(5)
8 Ventilation
56(7)
9 Carbon dioxide output
63(9)
10 Respiratory exchange ratio
72(5)
11 Ventilatory equivalents
77(9)
12 Anaerobic threshold
86(7)
13 Respiratory compensation point
93(4)
14 Oxygen saturation
97(5)
15 Additional respiratory measurements
102(5)
Section 3 Using CPET data
107(38)
16 Presentation of results
109(6)
17 Interpretative strategy
115(8)
18 Clinical scenarios
123(10)
19 Preoperative cardiopulmonary exercise testing
133(5)
20 Exercise prescription
138(7)
Appendices
Learning point questions
145(2)
List of learning points
147(4)
Practical tip questions
151(2)
List of practical tips
153(6)
Example exam questions
159(52)
Glossary 211(2)
Bibliography 213(2)
Index 215
William Kinnear is a Consultant Respiratory Physician at Circle Nottingham, Nottingham NHS Treatment Centre, Queen's Medical Centre Campus, Nottingham, UK and a Senior Lecturer in Sport Science at Nottingham Trent University. He studied at University College London and Westminster Hospital Medical School. He trained at the Brompton Hospital in London, Papworth Hospital and Addenbrooke's Hospital in Cambridge before moving to Nottingham. A Wellcome scholarship enabled him to spend a year at Erasmus Hospital in Brussels, developing his interest in respiratory muscle physiology. He worked as a consultant respiratory physician at the Queens Medical Centre in Nottingham for 25 years, setting up the regional non-invasive ventilation and sleep services. He introduced cardio-pulmonary exercise testing in the lung function laboratory and has published widely in the field of respiratory physiology.

James H. Hull, PhD, FRCP, FACSM is a Consultant Respiratory Physician at the Royal Brompton Hospital, London, UK and Hon. Associate Professor at the Institute of Sport, Exercise and Health (ISEH), UCL, London. His interest in exercise testing started with an undergraduate degree in exercise physiology at St George's Hospital Medical School with Professor Brian Whipp. He later completed a PhD in vascular physiology and was then awarded a National Institute for Health Research Clinical Lectureship, during which he spent time at UCLA, California developing expertise in clinical exercise testing. He currently personally supervises over 250 CPET tests per year, as lead for the clinical unexplained breathlessness service at the Royal Brompton.