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E-grāmata: Wasserman & Whipp's: Principles of Exercise Testing and Interpretation: Including Pathophysiology and Clinical Applications

  • Formāts: 600 pages
  • Izdošanas datums: 02-Jul-2020
  • Izdevniecība: Wolters Kluwer Health
  • Valoda: eng
  • ISBN-13: 9781975136451
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  • Formāts: 600 pages
  • Izdošanas datums: 02-Jul-2020
  • Izdevniecība: Wolters Kluwer Health
  • Valoda: eng
  • ISBN-13: 9781975136451
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Thoroughly revised and updated for today&;s clinicians, Wasserman & Whipp&;s Principles of Exercise Testing and Interpretation, Sixth Edition, provides a comprehensive, practical overview of cardiopulmonary exercise testing (CPET) ideally suited for pulmonologists, cardiologists, anesthesiologists, and others with an interest in clinical exercise testing. Written by authors who are uniquely positioned to convey relevant aspects of research and apply them to clinical contexts, this volume offers in-depth coverage of essential information for conducting CPET, or for utilizing data from this discipline in clinical practice or research.
  • Clearly defines terminology throughout and focuses on the core elements of CPET that are common to all users, ensuring that content is easily accessible to clinicians from a wide variety of backgrounds.
  • Reviews the central aspects of exercise physiology and metabolism important for understanding measurements used in CPET.
  • Identifies core procedures and measurements for conducting tests and laboratory quality control.
  • Outlines systematic, step-by-step approaches to the interpretation of exercise data, including the scientific and technical basis of the methods and analyses.
  • Includes a new chapter on approach to data and interpretation &; focused on practical approaches to viewing, summarizing, and reporting results of a test.
  • Illustrates normal and abnormal results of exercise tests through discussion of dozens of actual case presentations.
  • Draws on the extensive experience and expertise of authors from the fields of pulmonary medicine and physiology with experience in research and clinical studies related to cardiology, metabolism, sports medicine, and other areas.

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Thoroughly revised and updated for today&;s clinicians, Wasserman & Whipp&;s Principles of Exercise Testing and Interpretation, Sixth Edition, provides a comprehensive, practical overview of cardiopulmonary exercise testing (CPET) ideally suited for pulmonologists, cardiologists, anesthesiologists, and others with an interest in clinical exercise testing. Written by authors who are uniquely positioned to convey relevant aspects of research and apply them to clinical contexts, this volume offers in-depth coverage of essential information for conducting CPET, or for utilizing data from this discipline in clinical practice or research.
 
Preface v
Kathy E. Sietsema
Darryl Y. Sue
William W. Stringer
Susan A. Ward
Acknowledgments vii
Contributors ix
1 Exercise Testing and Interpretation
7(1)
Kathy E. Sietsema
William W. Stringer
Darryl Y. Sue
Susan A. Ward
2 Physiology of Exercise
8(51)
Susan A. Ward
Harry B. Rossiter
3 Measurements During Integrative Cardiopulmonary Exercise Testing
59(38)
Susan A. Ward
4 Pathophysiology of Disorders Limiting Exercise
97(15)
Darryl Y. Sue
Kathy E. Sietsema
5 Performance of Clinical Cardiopulmonary Exercise Testing
112(23)
William W. Stringer
Janos Porszasz
Harry B. Rossiter
6 Approaches to Data Summary and Interpretation
135(24)
Kathy E. Sietsema
7 Normal Values
159(30)
Darryl Y. Sue
8 Clinical Applications of Cardiopulmonary Exercise Testing
189(34)
William W. Stringer
Darryl Y. Sue
9 Diagnostic Specificity of Exercise Intolerance: A Flowchart Approach
223(6)
Darryl Y. Sue
10 Case Presentations
229(339)
Kathy E. Sietsema
Darryl Y. Sue
Case 1 Normal Man
231(3)
Case 2 Normal Athletic Man
Case 3 Normal Woman: Air and Oxygen Breathing Studies
234(5)
Case 4 Normal Man
239(3)
Case 5 Fit Cyclist
242(4)
Case 6 Normal Individual: Cycle and Treadmill Studies
246(5)
Case 7 Normal Individual: With and Without β-Adrenergic Blockade
251(5)
Case 8 Normal Man With and Without Acute Cigarette Smoking
256(6)
Case 9 Active Man With Dyspnea at High Altitude
262(5)
Case 10 Active Woman With Patent Foramen Ovale
267(3)
Case 11 Normal Aging Athletic Man: Serial Tests Between Age 66 and 76
Case 12 Mild Airflow Obstruction and Hyperventilation
270(4)
Case 13 A Submaximal Test
274(4)
Case 14 A Long Test
278(4)
Case 15 Chronic Heart Failure With Reduced Ejection Fraction
282(3)
Case 16 Chronic Heart Failure With Reduced Ejection Fraction
285(4)
Case 17 Chronic Heart Failure With Reduced Ejection Fraction and Pacemaker Dependence
289(5)
Case 18 Chronic Heart Failure: Oscillatory Ventilation and Gas Exchange
294(4)
Case 19 Chronic Heart Failure With Preserved Ejection Fraction (Exercise-Induced Pulmonary Venous Hypertension)
298(4)
Case 20 Gas Exchange Evidence of Myocardial Ischemia
302(5)
Case 21 Claudication: Gas Exchange Findings in Peripheral Arterial Disease
307(3)
Case 22 Exertional Chest Pain With Gas Exchange Evidence of Myocardial Ischemia
Case 23 Exercise-Induced Myocardial Ischemia
310(4)
Case 24 Myocardial Ischemia With Diffuse Distal Coronary Artery Disease
314(3)
Case 25 Myocardial Ischemia: Development of Inducible Myocardial Ischemia Over 3 Years
317(6)
Case 26 Atrial Septal Defect and Hemochromatosis
323(4)
Case 27 Symptomatic Chronic Mitral Insufficiency
327(3)
Case 28 Congenital Heart Disease: Coarctation and Ventricular Septal Defect Surgically Repaired
330(4)
Case 29 Congenital Heart Disease: Transposition of the Great Arteries With Surgical Repair
334(3)
Case 30 Patent Ductus Arteriosus With Left-to-Right Shunt, Presurgical Closure
337(4)
Case 31 Patent Ductus Arteriosus With Right-to-Left Shunt (Eisenmenger Ductus Syndrome)
341(3)
Case 32 Bicuspid Aortic Valve With Aortic Regurgitation
344(4)
Case 33 Surgically Repaired Coarctation of the Aorta With Bicuspid Aortic Valve
Case 34 Fontan Circulation
348(4)
Case 35 Ventricular Septal Defect With Eisenmenger Syndrome
352(4)
Case 36 Tetralogy of Fallot, Surgically Repaired
356(4)
Case 37 Tetralogy of Fallot, Unrepaired
360(4)
Case 38 Amyloid Cardiomyopathy
364(4)
Case 39 Athletic Man With Tachyarrhythmia
368(4)
Case 40 Heart Rate Impairment Due to β-Adrenergic Blockade for Treatment of Hypertension
372(6)
Case 41 Atrial Fibrillation With Rapid Ventricular Response During Exercise
378(3)
Case 42 Chronotropic Insufficiency With Escape Rhythm
Case 43 Active Older Man With Second-Degree Heart Block
381(4)
Case 44 Active Man With Cardiac Conduction Defects
385(5)
Case 45 Early Onset of Exercise Lactic Acidosis: Differentiating Circulatory From Muscular Impairment
390(5)
Case 46 Early Onset of Exercise Lactic Acidosis Suggesting Circulatory Impairment
395(5)
Case 47 Mixed Connective Tissue Disease With Pulmonary Involvement
400(4)
Case 48 Pulmonary and Systemic Vasculitis: Air and Oxygen Breathing Studies
Case 49 Idiopathic Pulmonary Arterial Hypertension
404(4)
Case 50 Severe Pulmonary Vascular Disease Secondary to Sarcoidosis: Air and Oxygen Breathing Studies
408(5)
Case 51 Pulmonary Arterial Hypertension on Multidrug Therapy
413(5)
Case 52 Pulmonary Hypertension, Patent Foramen Ovale, and Exercise-Induced Right-to-Left Shunt
418(6)
Case 53 Idiopathic Pulmonary Arterial Hypertension Before and After Treatment
Case 54 Long-Standing Idiopathic Pulmonary Arterial Hypertension: Serial Tests Over 17 Years of Treatment
424(144)
Case 55 Intrapulmonary Right-to-Left Shunt Due to Pulmonary Arteriovenous Fistulae
430(4)
Case 56 Severe Interstitial Lung Disease
434(3)
Case 57 Sarcoidosis
437(4)
Case 58 Interstitial Pneumonitis: Before and After Empiric Corticosteroid Therapy
Case 59 Severe Interstitial Lung Disease: Air and Oxygen Breathing Studies
Case 60 Mild Pulmonary Asbestosis
441(4)
Case 61 Severe Pulmonary Asbestosis
445(4)
Case 62 Pleural and Pulmonary Asbestosis
449(3)
Case 63 Mild Chronic Bronchitis With Normal Exercise Performance
452(3)
Case 64 Emphysema With Mild Airway Obstruction
455(3)
Case 65 Severe Combined Obstructive and Restrictive Lung Disease
458(4)
Case 66 Severe Chronic Obstructive Lung Disease
462(3)
Case 67 Emphysema, Untreated
465(4)
Case 68 Severe Emphysema and Bronchitis: Air and Oxygen Breathing Studies
469(6)
Case 69 Bullous Emphysema: Before and After Bullectomy
475(6)
Case 70 A Runner With Obstructive Lung Disease
Case 71 Mild Obstructive Airway Disease With Disproportionate Exertional Dyspnea
481(4)
Case 72 Obesity Contributing to Ventilatory Limitation
Case 73 Extrapulmonary Restriction: Ankylosing Spondylitis
485(4)
Case 74 Extrapulmonary Restriction: Scoliosis
Case 75 Interstitial Lung Disease and Hemidiaphragm Paralysis
489(3)
Case 76 Active Man With Paralyzed Hemidiaphragm
492(3)
Case 77 McArdle Disease
495(4)
Case 78 Myopathy With Exertional Rhabdomyolysis
499(3)
Case 79 Congenital Mitochondrial Myopathy
502(3)
Case 80 Mitochondrial Myopathy
505(3)
Case 81 Woman With Multiple Sclerosis and Dyspnea
508(4)
Case 82 Congenital Myotonia
512(6)
Case 83 Mixed Disorder: Chronic Bronchitis and Obesity
Case 84 Mixed Disorder: Peripheral Arterial Disease, Anemia, Carboxyhemoglobinemia, and Cardiac Dysfunction
518(4)
Case 85 Mixed Disorder: Mild Interstitial Lung Disease, Obstructive Airway Disease, and Myocardial Ischemia
522(3)
Case 86 Chronic Heart Failure With Preserved Ejection Fraction and Obesity Hypoventilation Syndrome
525(4)
Case 87 Mixed Disease: Aortic Stenosis, Mitral Stenosis, and Obstructive Airway Disease
Case 88 Mixed Disorder: Obstructive Airway Disease, Talc Pneumoconiosis, and Pulmonary Vascular Disease
Case 89 Mixed Disorder: Peripheral Arterial Disease and Obstructive Lung Disease: Cycle and Treadmill Exercise
529(5)
Case 90 Morbid Obesity and Aortic Valve Disease
534(3)
Case 91 Morbid Obesity
537(4)
Case 92 Exercise Testing for Staging and Prognosis in Chronic Heart Failure
Case 93 Exercise Testing for Preoperative Evaluation for Lung Cancer Resection
541(4)
Case 94 Exercise Testing for Evaluation of Work Fitness: Morbid Obesity
545(3)
Case 95 Exercise Testing for Assessment Before and After Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease
Case 96 Evaluation of Unexplained Dyspnea: A Morbidly Obese Asthmatic
548(4)
Case 97 Evaluation of Unexplained Dyspnea: Chronic Thromboembolic Pulmonary Vascular Disease
552(3)
Case 98 Evaluation of Unexplained Dyspnea: An Obese Woman at Risk for Pulmonary Hypertension
555(3)
Case 99 Serial Tests: Active Man With CREST Syndrome
558(5)
Case 100 Serial Tests: Delayed Cardiotoxicity From Chemotherapy
563(5)
Appendices 568(14)
Darryl Y. Sue
Susan A. Ward
Index 582