Introduction To Cardiopulmonary Exercise Testing

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Introduction To Cardiopulmonary Exercise Testing

Author : Andrew M. Luks
ISBN : 9781461462835
Genre : Medical
File Size : 90.94 MB
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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.
Category: Medical

Computerized Cardiopulmonary Exercise Testing

Author : U.J. Winter
ISBN : 9783642854040
Genre : Medical
File Size : 61.39 MB
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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.
Category: Medical

Cardiopulmonary Exercise Testing In Children And Adolescents

Author : Thomas W. Rowland
ISBN : 9781492586524
Genre : Science
File Size : 58.60 MB
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Exercise testing plays an increasingly important role in the diagnosis and assessment of heart disease and lung disease in children and adolescents. In Cardiopulmonary Exercise Testing in Children and Adolescents, leading expert Thomas W. Rowland, backed by the American College of Sports Medicine (ACSM) and the North American Society for Pediatric Exercise Medicine (NASPEM), compiles the latest evidence-based research to provide guidance for clinical exercise physiologists, cardiologists, pulmonologists, and students of exercise physiology who conduct exercise stress testing for young patients. The core objective of the book is to clarify the differences between clinical exercise testing for children and testing for adults. Because of obvious differences between the two populations, test protocols must be modified based on the patient's age, size, level of physical fitness, body composition, intellectual and emotional maturity, and state of cardiac and pulmonary health. Part I provides an introduction to pediatric exercise testing. Part II examines exercise testing methodologies and discusses blood pressure, cardiac output, electrocardiography, oxygen uptake, and pulmonary function. Part III focuses on specific clinical issues addressed by exercise testing, guiding readers through protocols for diagnosis, evaluation, and exercise testing. Part IV explores testing in special populations and focuses on topics such as childhood obesity, neuromuscular disease, and intellectual disabilities. Where applicable, sample forms and checklists provide practitioners with practical materials to use during exercise testing. Sidebars offer readers insight into considerations such as the presence of parents during testing and adjustments of cardiac measures for youth body dimensions. This book serves as a means of focusing and unifying approaches to performing pediatric exercise testing in order to lay the foundation for new and innovative approaches to exercise testing in the health care of children and adolescents.
Category: Science

Clinical Exercise Testing

Author : Idelle M. Weisman
ISBN : 9783805572989
Genre : Medical
File Size : 55.62 MB
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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.
Category: Medical

A Practical Guide To The Interpretation Of Cardiopulmonary Exercise Tests

Author : William Kinnear
ISBN : 9780191006852
Genre : Medical
File Size : 83.2 MB
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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.
Category: Medical

Asep S Exercise Medicine Text For Exercise Physiologists

Author : Tommy Boone
ISBN : 9781681083216
Genre : Health & Fitness
File Size : 24.68 MB
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Watching TV, surfing the Internet, and sitting for long hours have replaced more active pursuits. Millions of Americans are simply not moving enough to meet the minimum threshold for good health and longevity. Exercise physiologists have researched and highlighted this fact for decades. That is why they emphasize the importance of regular exercise in the prevention of chronic diseases associated with physical inactivity and a sedentary lifestyle. Heart disease, obesity, type 2 diabetes, high blood pressure, stroke, peripheral arterial disease, depression, several types of cancers, and osteoporosis can be treated or even prevented with properly prescribed exercise. There is a need for integrating exercise physiology knowledge and rehabilitation programs as a continuous part of the healthcare profession. This opens up the opportunity for new approaches to manage patients suffering from chronic diseases and disabilities. ASEP’s Exercise Medicine Text for Exercise Physiologists is designed to educate exercise physiologists about the significance of professionalism in exercise physiology, exercise medicine, and entrepreneurship opportunities. It combines scientific principles with cardiovascular calculation steps that support its use in the development of safe, well-rounded, and individualized exercise programs to help clients and patients sleep better, reduce stress, maintain a healthy body weight, keep bones strong and joints healthy, decrease the risk for colon cancer, and improve mental function. This textbook demonstrates the importance of exercise medicine, and will familiarize readers with ASEP guidelines. Exercise physiologists in training will, therefore, be prepared for contributing a meaningful role in the healthcare services sector.
Category: Health & Fitness

Pulmonary Function Testing

Author : David A. Kaminsky
ISBN : 9783319941592
Genre : Medical
File Size : 39.87 MB
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This book serves as a unique, comprehensive resource for physicians and scientists training in pulmonary medicine and learning about pulmonary function testing. Pulmonary function testing and the physiological principles that underlie it are often poorly understood by medical students, residents, fellows and graduate students training in the medical sciences. One reason is that students tend to get overwhelmed by the basic mathematical descriptions that explain the working of the respiratory system and the principles of pulmonary function testing. Another reason is that too many approaches focus on the math without explaining the clinical relevance of these principles and the laboratory testing that enables us to measure the very lung function that these principles are describing. This book answers that need by providing a series of chapters that guide the reader in a natural order of learning about the respiratory system. In particular, after a general overview of the structure-function design of the lung and the history of pulmonary function testing, authors begin with the drive to breathe, and then follow the pathway of air as it is drawn into the lung, undergoes gas exchange, and is then exhaled back out again. Each chapter focuses on the key principles and corresponding pulmonary function tests that explain each step in this pathway. Each chapter is written by at least two experts, one with expertise in the underlying physiology, and the other with expertise in the clinical testing and application of pulmonary function testing in practice. Many figures and tables highlight key points, and multiple case studies in each section provide specific examples of the clinical application of each pulmonary function test. This is an ideal guide to pulmonary function tests for practicing pulmonologists, residents, fellows, and medical students.
Category: Medical

Air Pollution And Lung Disease In Adults

Author : Philip Witorsch
ISBN : 0849301815
Genre : Nature
File Size : 39.92 MB
Format : PDF
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Air Pollution and Lung Disease in Adults provides a general approach to problems involving air pollutants and respiratory disorders in adults. The diversity among the authors, whose areas of expertise and interest include pulmonary medicine, toxicology, allergy immunology, pathology, environmental engineering, and industrial hygiene, parallels the diversity of the readers. Although selected chapters address specific conditions, the overall general approach creates a wide context in which to assess and explore several areas of interest. The book begins with a chapter on exposure and environmental characterization, followed by discussions on direct and indirect injury to the respiratory tract, carcinogenesis, and lung cancer. The book then covers the pathology of environmental lung disease, causality assessment, and causal inference and toxicology. Clinical evaluation of the individual patient, diagnosis and differential diagnosis, as well as spirometry and cardiopulmonary exercise testing in impairment evaluation follow. The three chapters addressing the more particular entities of immunologic mechanisms include pneumoconioses, chronic and interstitial pulmonary fibrosis and bronchiolitis, sick building syndrome, multiple chemical sensitivities, and chronic fatigue syndrome.
Category: Nature

Poor Performance In Incremental Shuttle Walk And Cardiopulmonary Exercise Testing Predicts Poor Overall Survival For Patients Undergoing Esophago Gastric Resection

Author :
ISBN : OCLC:1051919394
Genre :
File Size : 57.32 MB
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Abstract: Introduction: Esophageal and gastric cancer have a poor prognosis and surgical intervention is associated with considerable morbidity, highlighting the need for careful preoperative assessment. The Incremental Shuttle Walk Test (ISWT) and Cardiopulmonary exercise testing (CPET) can assess preoperative fitness. This study aims to investigate their correlation with both postoperative respiratory complications and overall survival. Patients and methods: Patients were identified who underwent esophageal or gastric resections for cancer between 2010 and 2014 and had ISWT and/or CPET assessments. Tumor differentiation, stage, postoperative respiratory complications, and outcome were documented and then correlated with the results of the preoperative fitness assessments. Results: Neither the ISWT result, anaerobic threshold (AT) nor VO2 Max correlated well with perioperative complications. However, ISWT (p

Repeatability And Meaningful Change Of Cpet Parameters In Healthy Subjects

Author :
ISBN : OCLC:1051937787
Genre :
File Size : 76.19 MB
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ABSTRACT: Introduction/Purpose: Cardiopulmonary exercise testing (CPET) plays an important role in clinical medicine and research. Repeatability of CPET parameters has not been well characterized, but is important to assess variability and determine if there have been meaningful changes in a given CPET parameter. Methods: We recruited 45 healthy subjects and performed two symptom-limited CPET within 30 d using a cycle ergometer. Differences in relevant CPET parameters between CPET-1 and CPET-2 were assessed using a paired t -test. Coefficient of variation (CoV) and Bland–Altman plots are reported. Factors that may be associated with variability were analyzed (sex, age, time of day, fitness level). The coefficient of repeatability was calculated for peak oxygen consumption (V ̇O2 ) and V ̇O2 at lactate threshold (LT) to establish a 95% threshold for meaningful change. Results: There were no significant differences between tests in the parameters reported. Specifically, we found overall low CoV in peak V ̇O2 (4.9%), V ̇O2 @LT (10.4%), peak O2 pulse (4.6%), peak minute ventilation ( V ̇ E ; 7.4%), V ̇ E /V ̇CO2 @LT (4.0%), and V ̇ E /V ̇O2 @LT (4.8%). The CoV for peak respiratory exchange [email protected] was significantly affected by diurnal factors; age, sex, and fitness level did not affect variability. The 95% threshold for meaningful change was 0.540 L·min −1 in peak V ̇O2 and 0.520 L·min −1 in V ̇O2 @LT. Conclusions: Repeatability of CPET parameters is generally higher than previously reported. There were no significant differences in variability related to sex, age, and fitness level; diurnal factors had a limited effect. The threshold for meaningful change in peak V ̇O2 and for V ̇O2 @LT should be considered when gauging a response to therapies or training. Abstract : Supplemental digital content is available in the text.

Clinical Focus Series Pulmonary Function Testing And Interpretation

Author : Hansen James E
ISBN : 9789350258446
File Size : 47.26 MB
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Doody Rating : 4 stars : The primary target audiences for this volume are pulmonologists, allergists, graduate students, thoracic surgeons, and their assistants, in training and in practice, who evaluate and treat patients who have or may have respiratory damage or disease. Unique insights into the interpretation of spirometric, lung volume, diffusing capacity, and other measurements commonly made in pulmonary function laboratories. Normal values are dependent on gender, age, and body size. Review of the best available reference equations and selection of the optimal equations, not only for th.
Category: MEDICAL

Murray And Nadel S Textbook Of Respiratory Medicine E Book

Author : Robert J. Mason
ISBN : 9781437735536
Genre : Medical
File Size : 70.51 MB
Format : PDF, ePub
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Murray and Nadel’s Textbook of Respiratory Medicine has long been the definitive and comprehensive pulmonary disease reference. Robert J. Mason, MD now presents the fifth edition in full color with new images and highlighted clinical elements. The fully searchable text is also online at, along with regular updates, video clips, additional images, and self-assessment questions. This new edition has been completely updated and remains the essential tool you need to care for patients with pulmonary disease. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Compatible with Kindle®, nook®, and other popular devices. Master the scientific principles of respiratory medicine and its clinical applications. Work through differential diagnosis using detailed explanations of each disease entity. Learn new subjects in Pulmonary Medicine including Genetics, Ultrasound, and other key topics. Grasp the Key Points in each chapter. Search the full text online at, along with downloadable images, regular updates, more than 50 videos, case studies, and self-assessment questions. Consult new chapters covering Ultrasound, Innate Immunity, Adaptive Immunity, Deposition and Clearance, Ventilator-Associated Pneumonia. Find critical information easily using the new full-color design that enhances teaching points and highlights challenging concepts. Apply the expertise and fresh ideas of three new editors—Drs. Thomas R. Martin, Talmadge E. King, Jr., and Dean E. Schraufnagel. Review the latest developments in genetics with advice on how the data will affect patient care.
Category: Medical

Manual Of Exercise Testing

Author : Victor F. Froelicher
ISBN : 9780323033022
Genre : Medical
File Size : 34.29 MB
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The new edition of the Manual of Exercise Testing is the perfect companion for the exercise testing laboratory. Filled with practical examples and diagnostic clues, this handy manual covers exercise testing for the main cardiovascular problems faced today. Testing and interpretation are extensively covered in this manual. There is a new section on exercise physiology to provide essential science background. New chapter on exercise physiology New chapter on estimating disease severity and prognosis New information on diagnosis of coronary artery disease and early testing after acute myocardial infarction New material on post-procedure exercise testing New information on congestive heart failure, transplantation and valvular heart disease
Category: Medical

Intensive Care Medicine

Author : Jean-Louis Vincent
ISBN : 0387922784
Genre : Medical
File Size : 69.52 MB
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The Update compiles the most recent developments in experimental and clinical research and practice in one comprehensive reference book. The chapters are written by well recognized experts in the field of intensive care and emergency medicine. It is addressed to everyone involved in internal medicine, anesthesia, surgery, pediatrics, intensive care and emergency medicine.
Category: Medical

Manual Of Heart Failure

Author : Kanu Chatterjee
ISBN : 9789350906309
Genre : Medical
File Size : 32.71 MB
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Comprehensive guide to heart failure for clinicians. Includes chapter in cardiopulmonary exercise testing. Internationally recognised US author team.
Category: Medical

Copd An Issue Of Medical Clinics E Book

Author : Stephen I. Rennard
ISBN : 9781455742936
Genre : Medical
File Size : 71.58 MB
Format : PDF
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This issue of Medical Clinics of North America provides the latest essential updates on COPD. The following topics are covered: pathobiological mechanisms; genes and the disease (alpha-l-antitrypsin); the environment, phenotype, and comorbidity; the role and potential of imaging; pulmonary function and its importance; exercise in testing and therapy; patients’ perception and quality of life; exacerbations, causes, prevention, and treatment; an integrated approach to the medical treatment; meducal pneumoplasty, surgical resection, or lung transplant; and smoking cessation and environmental hygiene.
Category: Medical

The Washington Manual Pulmonary Medicine Subspecialty Consult

Author : Adrian Shifren
ISBN : 0781743761
Genre : Medical
File Size : 85.33 MB
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Written by residents, fellows, and attending physicians, this handbook is ideal for residents called on to do an inpatient consult, for students working on an inpatient medicine service, and for specialists seeking information on pulmonology and general internal medicine management. Chapters cover pulmonary function testing, respiratory failure, hemoptysis, solitary pulmonary nodule, community-acquired pneumonia, pulmonary embolus, and much more. Coverage includes a section on the appropriate conduct and approach of a medical consultant and reviews of selected clinical trials.
Category: Medical

Diastology E Book

Author : Allan L. Klein
ISBN : 9781437711004
Genre : Medical
File Size : 83.6 MB
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This reference thoroughly equips you to successfully diagnose and manage even the most complex incidences of diastolic heart failure and their comorbidities. It examines the basic mechanisms of this condition through discussions of both cellular and anatomic causes; guides you through non-invasive techniques for diagnosis, including echocardiography, cardiac CT, and MRI; and provides expert advice on pharmacologic management. Covers the basic mechanisms of diastolic heart problems from both cellular and anatomic perspectives. Chapters covering modalities helpful in assessment of diastolic function such as: echocardiography, cardiac MRI, radionuclide ventriculography, and invasive hemodynamic measurements. Features in-depth assessments of all diagnostic methods for diastolic heart failure, including rationales for their use. Examines contributing conditions that play a role in diastolic heart failure and offers guidance on their management. Offers pharmacologic strategies for multiple problem management.
Category: Medical

Exercise And Rehabilitation In Heart Failure An Issue Of Heart Failure Clinics

Author : Ross Arena
ISBN : 9780323341936
Genre : Medical
File Size : 85.62 MB
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This multidisciplinary issue of Heart Failure Clinics examines a critical element in the management and treatment of heart failure (HF)—exercise and rehabilitation. Topics include the reversal of HF-associated pathophysiology with exercise; quantifying function; prognosis; rehabilitation practice patterns in the United States, Canada, South America, Asia, and Europe; special considerations such as obesity, high-intensity interval training, inspiratory muscle training, and technology to promote and increase physical activity.
Category: Medical