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Principles of Exercise Testing and Interpretation, 5ed. [Wasserman - LIPPINCOTT Williams and Wilkins]

ISBN/EAN
9781609138998
Editore
LIPPINCOTT Williams and Wilkins
Formato
Cartonato
Anno
2011
Edizione
5
Pagine
592

Disponibile

139,00 €
Discover what exercise testing can reveal about cardiopulmonary, vascular, and muscular health. Now in its Fifth Edition, Principles of Exercise Testing and Interpretation continues to deliver timely information on the physiology and pathophysiology of exercise and their relevance to clinical medicine. The text begins by explaining the processes by which cells receive oxygen and dispose of carbon dioxide produced as a byproduct of exercise and metabolism. By measuring gas exchange, we can better evaluate cardiovascular and cardiopulmonary functioning, as well as cellular respiration. Detailed discussions explore various types of exercise intolerance, their effects on test results, and clinical diagnoses. Using real-world cases, the text illustrates how cardiopulmonary exercise testing can evaluate the functional competency of each component in the coupling of cellular to external respiration, including the cardiovascular system. Expert authors’ comments, analysis, and conclusions for each case, help to improve readers’ interpretive and diagnostic skills. This in-depth resource provides… • Updated content and new graphics present the most current information in a reader-friendly format. • Updated flow charts detail clinical presentations and differential diagnosis • More than 80 case presentations improve diagnostic accuracy. • Normal test values for a wide range of patient groups provide a basis for comparison and help to identify abnormalities. • Companion website includes the complete text, PLUS 30 additional case presentations.

Maggiori Informazioni

Autore Wasserman Karlman; Hansen James E.; Sue Darryl Y.; Stringer William W.
Editore LIPPINCOTT Williams and Wilkins
Anno 2011
Tipologia Libro
Lingua Inglese
Indice CHAPTER 1 Exercise Testing and Interpretation CHAPTER 2 Physiology of Exercise CHAPTER 3 Changes in Blood Gases and pH during Exercise CHAPTER 4 Measurements during Integrative Cardiopulmonary Exercise Testing CHAPTER 5 Pathophysiology of Disorders Limiting Exercise CHAPTER 6 Clinical Exercise Testing CHAPTER 7 Normal Values CHAPTER 8 Diagnostic Specificity of Exercise Intolerance: A Flowchart Approach CHAPTER 9 Clinical Applications of Cardiopulmonary Exercise Testing CHAPTER 10 Case Presentations Case 1. Normal Man Case 2. Normal Athletic Man Case 3. Normal Woman: Air and Oxygen Breathing Studies Case 4. Normal Man Case 5. Exceptionally Fit Man with Mild Lung Disease Case 6. Normal Subject: Cycle and Treadmill Studies Case 7. Normal Subject: Before and After β -Adrenergic Blockade Case 8. Normal Subject: Immediate Effects of Cigarette Smoking Case 9. Active Normal Man with Suspected Cardiac Disease Case 10. Normal Sedentary Woman Case 11. Normal Aging Athletic Man Case 12. Chronic Heart Failure: Nonischemic Cardiomyopathy Case 13. Chronic Heart Failure: Before and after Therapy Case 14. Chronic Heart Failure: Oscillatory Ventilation and Gas Exchange Case 15. Chronic Heart Failure: Cardiomyopathy with Intraventricular Conduction Delay Case 16. Myocardial Ischemia: Undiagnosed Angina and Hypertension Case 17. Myocardial Ischemia: Atypical Chest Pain Case 18. Myocardial Ischemia: Small Vessel Disease Case 19. Myocardial Ischemia: Interim Development of Coronary Artery Disease over 3 Years Case 20. Myocardial Ischemia: Coronary Artery Disease in a Previously Athletic Man Case 21. Peripheral Arterial Disease Case 22. Cardiovascular Impairment with Hypertension and Carboxyhemoglobinemia Case 23. Rate Disturbance due to β -Adrenergic Blockade for Treatment of Systemic Hypertension Case 24. Atrial Fibrillation with Rapid Ventricular Response during Exercise Case 25. Chronotropic Insufficiency with Escape Rhythm Case 26. Hypertrophic Cardiomyopathy with Postexercise Vasodepressor Syncope Case 27. Mitral Insufficiency Case 28. Congenital Heart Disease Surgically Corrected in Infancy Case 29. Congenital Heart Disease: Surgically Corrected Transposition of the Great Arteries Case 30. Patent Ductus Arteriosus with Left-to-Right Shunt Case 31. Patent Ductus Arteriosus with Right-to-Left Shunt (Eisenmenger Ductus) Case 32. Eisenmenger Complex (Ventricular Septal Defect with Pulmonary Hypertension) Case 33. Early Onset of Exercise Lactic Acidosis: Differentiating Circulatory from Muscular Impairment Case 34. Early Onset of Exercise Lactic Acidosis Suggesting Circulatory Impairment Case 35. Pulmonary Hypertension with Patent Foramen Ovale Case 36. Idiopathic Pulmonary Hypertension before and after Treatment Case 37. Long-standing Idiopathic Pulmonary Hypertension: Serial Tests over 17 Years of Treatment Case 38. Idiopathic Pulmonary Hypertension Case 39. Mixed Connective Tissue Disease with Pulmonary Involvement Case 40. Pulmonary and Systemic Vasculitis: Air and Oxygen Breathing Studies Case 41. Scleroderma with Pulmonary and Pulmonary Vascular Involvement Case 42. Severe Pulmonary Vascular Disease Secondary to Sarcoidosis: Air and Oxygen Breathing Studies Case 43. Exercise-Induced Pulmonary Hypertension Secondary to Left Ventricular Diastolic Dysfunction Case 44. Intrapulmonary Right-to-Left Shunt due to Pulmonary Arteriovenous Fistulae Case 45. Mild Chronic Bronchitis with Normal Exercise Performance Case 46. Emphysema with Mild Airway Obstruction Case 47. Severe Emphysema Case 48. Emphysema with Pulmonary Vascular Disease Case 49. Severe Emphysema and Bronchitis: Air and Oxygen Breathing Studies Case 50. Bullous Emphysema: Before and after Bullectomy Case 51. Chronic Obstructive Lung Disease with a History of Heart Failure Case 52. Mild Obstructive Airway Disease with Disproportionate Exertional Dyspnea Case 53. Mild Pulmonary Asbestosis Case 54. Severe Pulmonary Asbestosis Case 55. Idiopathic Interstitial Lung Disease Case 56. Interstitial Lung Disease Case 57. Sarcoidosis Case 58. Interstitial Pneumonitis: Before and after Corticosteroid Therapy Case 59. Interstitial Pulmonary Fibrosis: Air and Oxygen Breathing Studies Case 60. Obesity Contributing to Ventilatory Limitation Case 61. Extrapulmonary Restriction: Ankylosing Spondylitis Case 62. Extrapulmonary Restriction: Scoliosis Case 63. McArdle Disease Case 64. Myopathy with Exertional Rhabdomyolysis Case 65. Congenital Mitochondrial Myopathy Case 66. Mitochondrial Myopathy Case 67. Mixed Disorder: Chronic Bronchitis and Obesity Case 68. Mixed Disorder: Peripheral Arterial Disease, Anemia, Carboxyhemoglobinemia, and Cardiac Dysfunction Case 69. Mixed Disorder: Mild Interstitial Lung Disease, Obstructive Airway Disease, and Myocardial Ischemia Case 70. Mild Interstitial Lung Disease, Silent Myocardial Ischemia, and Uncontrolled Systemic Hypertension Case 71. Mixed Disease: Aortic Stenosis, Mitral Stenosis, and Obstructive Airway Disease Case 72. Mixed Disorder: Obstructive Airway Disease, Talc Pneumoconiosis, and Pulmonary Vascular Disease Case 73. Mixed Disorder: Peripheral Arterial Disease and Obstructive Lung Disease Case 74. Exercise Testing for Staging and Prognosis in Chronic Heart Failure Case 75. Exercise Testing in Preoperative Evaluation for Lung Cancer Resection Case 76. Exercise Testing for Evaluation of Work Fitness: Extreme Obesity Case 77. Exercise Testing for Assessment before and after Pulmonary Rehabilitation for Chronic Obstructive Pulmonary Disease Case 78. Evaluation of Unexplained Dyspnea: A Morbidly Obese Asthmatic Case 79. Evaluation of Unexplained Dyspnea: Thromboembolic Pulmonary Vascular Disease Case 80. Evaluation of Unexplained Dyspnea: An Obese Woman at Risk for Pulmonary Hypertension Bonus Cases Online Case 81 Apparently Healthy Man with Unexplained Tachycardia: Air and Oxygen Breathing Case 82 Apparently Healthy Woman with Mitral Valve Prolapse, Tachycardia, and Dyspnea Case 83 Apparently Healthy Cigarette Smoker Case 84 Normal Man with Ventilatory Chemore?ex Insensitivity Case 85 Ischemic Cardiomyopathy Case 86 Hypertrophic Cardiomyopathy Case 87 Mitral Stenosis: Before and after β-Adrenergic Blockade Case 88 Congenital Heart Disease: Pulmonic Valve Insuf?ciency Case 89 Peripheral Arterial Disease with Pulmonary Vascular and Obstructive Airway Disease Case 90 Fatigue and Exercise Intolerance Attributed to Vasoregulatory Asthenia Case 91 Chronic Bronchitis, Cigarette Smoking, and Obesity Case 92 Early Asbestosis, Chronic Bronchitis, and Cigarette Smoking Case 93 Pulmonary Alveolar Proteinosis: Air and Oxygen Breathing Case 94 Alveolar Proteinosis: Before and After Whole-Lung Lavage Case 95 Pulmonary Microlithiasis: Air and Oxygen Breathing Case 96 Abnormal Gas Exchange Due to a Circulatory Disorder in a Man with Systemic Hypertension and Early Asbestosis Case 97 Pulmonary Vascular Disease Secondary to Interstitial and Obstructive Lung Disease Case 98 Poor Effort and Hyperventilation Case 99 Poor Effort Case 100 Acute Hyperventilation in a Moderately Obese Man Case 101 Skeletal Disease Limiting Exercise Case 102 Myasthenia Gravis Case 103 Circulatory Dysfunction and Mild Obstructive Airway Disease: Cycle and Treadmill Studies Case 104 β-Adrenergic Blockade, Systemic Hypertension, Pulmonary Vascular Disease, and Mild Chronic Bronchitis Case 105 β-Adrenergic Blockade, Obesity, and Asbestosis Case 106 Pulmonary Vascular Disease, Chronic Bronchitis, Asbestosis, and Myocardial Ischemia Case 107 Systemic Sclerosis and Primary Lung Cancer: Preoperative Evaluation Case 108 Transition from Normal to Left Ventricular Dysfunction Case 109 Idiopathic Hyperventilation and β-Adrenergic Blockade Case 110 Ischemic Cardiomyopathy, Restrictive Lung Defect, and β-Adrenergic Blockade Appendix A. Symbols and Abbreviations 542 Appendix B. Glossary 544 Appendix C. Calculations, Formulas, and Examples 549 Appendix D. Placement of a Brachial Artery Catheter 557 Appendix E. Tables and Nomogram