Clinical Exercise Testing
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 post-partum, 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.
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Table of Contents
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1 - 17: Cardiovascular and Respiratory System Responses and Limitations to ExerciseByJoshua R. Rodman;Joshua R. RodmanThe John Rankin Laboratory of Pulmonary Medicine, Department of Preventive Medicine, University of Wisconsin at Madison., Wisc., USASearch for other works by this author on:Hans C. Haverkamp;Hans C. HaverkampThe John Rankin Laboratory of Pulmonary Medicine, Department of Preventive Medicine, University of Wisconsin at Madison., Wisc., USASearch for other works by this author on:Sinéad M. Gordon;Sinéad M. GordonThe John Rankin Laboratory of Pulmonary Medicine, Department of Preventive Medicine, University of Wisconsin at Madison., Wisc., USASearch for other works by this author on:Jerome A. DempseyJerome A. DempseyThe John Rankin Laboratory of Pulmonary Medicine, Department of Preventive Medicine, University of Wisconsin at Madison., Wisc., USASearch for other works by this author on:
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18 - 29: Muscular Alterations in Chronic Obstructive Pulmonary Disease and Chronic Heart Failure at Rest and during ExerciseByHarry R. Gosker;Harry R. GoskeraDepartments of Pulmonology,Search for other works by this author on:Nicole H.M.K. Uszko-Lencer;Nicole H.M.K. Uszko-LencerbCardiology andSearch for other works by this author on:Emiel F.M. Wouters;Emiel F.M. WoutersaDepartments of Pulmonology,Search for other works by this author on:Ger J. van der Vusse;Ger J. van der VussecPhysiology, Maastricht University, Maastricht, The NetherlandsSearch for other works by this author on:Annemie M.W.J. ScholsAnnemie M.W.J. ScholsaDepartments of Pulmonology,Search for other works by this author on:
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30 - 42: Modalities of Clinical Exercise TestingByR. Jorge Zeballos;R. Jorge ZeballosaDepartment of Internal Medicine, Texas Tech University Health Sciences Center and Department of Clinical Investigation, Human Performance Laboratory, William Beaumont Army Medical Center, El Paso, Tex.;Search for other works by this author on:Idelle M. WeismanIdelle M. WeismanbHuman Performance Laboratory, Department of Clinical Investigation, Pulmonary-Critical Care Service, William Beaumont Army Medical Center, El Paso, Tex., and Department of Medicine, Pulmonary-Critical Care Division, University of Texas Health Science Center at San Antonio, San Antonio, Tex., USASearch for other works by this author on:
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43 - 59: Methods for Cardiopulmonary Exercise TestingByKenneth C. Beck;Kenneth C. BeckaPhysiological Imaging Laboratory, Department of Radiology, University of Iowa, Iowa City, Iowa;Search for other works by this author on:Idelle M. WeismanIdelle M. WeismanbHuman Performance Laboratory, Department of Clinical Investigation, Pulmonary-Critical Care Service, William Beaumont Army Medical Center, El Paso, Tex., and Department of Medicine, Pulmonary-Critical Care Division, University of Texas Health Science Center at San Antonio, San Antonio, Tex., USASearch for other works by this author on:
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60 - 71: Deconditioning, and Principles of TrainingByThierry Troosters;Thierry TroostersaRespiratory Division and Respiratory Rehabilitation, University Hospital Gasthuisberg, Leuven,bFaculty of Physical Education and Physiotherapy, Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, BelgiumSearch for other works by this author on:Rik Gosselink;Rik GosselinkaRespiratory Division and Respiratory Rehabilitation, University Hospital Gasthuisberg, Leuven,bFaculty of Physical Education and Physiotherapy, Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, BelgiumSearch for other works by this author on:Marc DecramerMarc DecrameraRespiratory Division and Respiratory Rehabilitation, University Hospital Gasthuisberg, Leuven,bFaculty of Physical Education and Physiotherapy, Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, BelgiumSearch for other works by this author on:
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72 - 80: Mechanisms and Measurement of Exertional DyspneaByDonald A. Mahler;Donald A. MahleraDartmouth Medical School, Lebanon, N.H.;Search for other works by this author on:Gustavo Fierro-Carrion;Gustavo Fierro-CarrionaDartmouth Medical School, Lebanon, N.H.;Search for other works by this author on:John C. BairdJohn C. BairdaDartmouth Medical School, Lebanon, N.H.;bPsychological and Brain Sciences, Dartmouth College, Hanover, N.H., andcPsychological Applications, Newport, N.H., USASearch for other works by this author on:
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81 - 88: Cardiopulmonary Exercise Testing in Unexplained DyspneaBySteven E. Gay;Steven E. GayaUniversity of Michigan Health System, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Ann Arbor, Mich.,Search for other works by this author on:Idelle M. Weisman;Idelle M. WeismanbHuman Performance Laboratory, Department of Clinical Investigation, Pulmonary-Critical Care Service, William Beaumont Army Medical Center, El Paso, Tex., and Department of Medicine, Pulmonary-Critical Care Division, University of Texas Health Science Center at San Antonio, San Antonio, Tex., USASearch for other works by this author on:Kevin R. Flaherty;Kevin R. FlahertyaUniversity of Michigan Health System, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Ann Arbor, Mich.,Search for other works by this author on:Fernando J. MartinezFernando J. MartinezaUniversity of Michigan Health System, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Ann Arbor, Mich.,Search for other works by this author on:
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89 - 98: Respiratory System Responses to Exercise in AgingByBruce D. JohnsonBruce D. JohnsonDivision of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic and Foundation, Rochester, Minn., USASearch for other works by this author on:
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99 - 108: Evolving Role of Cardiopulmonary Exercise Testing in Heart Failure and Cardiac TransplantationByPiergiuseppe Agostoni;Piergiuseppe AgostoniCentro Cardiologico Monzino, IRCCS, Istituto di Cardiologia, Università di Milano, CNR, Milan, ItalySearch for other works by this author on:Marco GuazziMarco GuazziCentro Cardiologico Monzino, IRCCS, Istituto di Cardiologia, Università di Milano, CNR, Milan, ItalySearch for other works by this author on:
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109 - 119: Noninvasive Exercise Testing Modalities for IschemiaByKatherine Strelich;Katherine StrelichDepartment of Medicine, Division of Cardiology, University of Michigan, Ann Arbor, Mich., USASearch for other works by this author on:David S. BachDavid S. BachDepartment of Medicine, Division of Cardiology, University of Michigan, Ann Arbor, Mich., USASearch for other works by this author on:
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120 - 137: Role of Cardiac Rehabilitation in Heart Failure and Cardiac TransplantationByRandy W. Braith;Randy W. BraithCenter for Exercise Science, College of Health and Human Performance, College of Medicine, University of Florida, Gainesville, Fla., USASearch for other works by this author on:David G. EdwardsDavid G. EdwardsCenter for Exercise Science, College of Health and Human Performance, College of Medicine, University of Florida, Gainesville, Fla., USASearch for other works by this author on:
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138 - 158: Exercise Limitation and Clinical Exercise Testing in Chronic Obstructive Pulmonary DiseaseByDenis E. O´DonnellDenis E. O´DonnellDivision of Respiratory and Critical Care Medicine, Department of Medicine, Queen’s University, Kingston, Ont., CanadaSearch for other works by this author on:
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159 - 172: The Importance of Exercise Training in Pulmonary RehabilitationByBartolome R. CelliBartolome R. CelliPulmonary and Critical Care Division, St. Elizabeth’s Medical Center, and Tufts University School of Medicine, Boston, Mass., USASearch for other works by this author on:
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173 - 185: Functional Evaluation in Lung Volume Reduction SurgeryByFrank C. Sciurba;Frank C. SciurbaDivision of Pulmonary and Critical Care Medicine, University of Pittsburgh, Pa., USASearch for other works by this author on:Sanjay A. PatelSanjay A. PatelDivision of Pulmonary and Critical Care Medicine, University of Pittsburgh, Pa., USASearch for other works by this author on:
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186 - 199: Cardiorespiratory Responses during Exercise in Interstitial Lung DiseaseByBharath S. Krishnan;Bharath S. KrishnanaFaculty of Physical Activity Studies, University of Regina, Saskatchewan, andSearch for other works by this author on:Darcy D. MarciniukDarcy D. MarciniukbDivision of Respiratory Medicine, University of Saskatchewan, Royal University Hospital, Saskatoon, Saskatchewan, CanadaSearch for other works by this author on:
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200 - 204: Role of Cardiopulmonary Exercise Testing in Patients with Pulmonary Vascular DiseaseByDavid M. Systrom;David M. SystromPulmonary and Critical Care Unit, Medical Services, Massachusetts General Hospital and Harvard Medical School, Boston, Mass., USASearch for other works by this author on:Barbara A. Cockrill;Barbara A. CockrillPulmonary and Critical Care Unit, Medical Services, Massachusetts General Hospital and Harvard Medical School, Boston, Mass., USASearch for other works by this author on:Charles A. HalesCharles A. HalesPulmonary and Critical Care Unit, Medical Services, Massachusetts General Hospital and Harvard Medical School, Boston, Mass., USASearch for other works by this author on:
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205 - 216: Asthma and ExerciseByRicardo A. Tan;Ricardo A. TanCalifornia Allergy and Asthma Medical Group, Inc., Palmdale, Calif., USASearch for other works by this author on:Sheldon L. SpectorSheldon L. SpectorCalifornia Allergy and Asthma Medical Group, Inc., Palmdale, Calif., USASearch for other works by this author on:
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217 - 230: Evaluation of Impairment and Disability: The Role of Cardiopulmonary Exercise TestingByDarryl Y. SueDarryl Y. SueUCLA School of Medicine, Los Angeles, Calif., and Medical-Respiratory Intensive Care Unit and Associate Chair, Department of Medicine, Harbor-UCLA Medical Center, Torrance, Calif., USASearch for other works by this author on:
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231 - 241: Role of Cardiopulmonary Exercise Testing in the Preoperative Evaluation for Lung ResectionByA.H. Diacon;A.H. DiaconLung Unit, Department of Internal Medicine, University of Stellenbosch, Tygerberg, Cape Town, South AfricaSearch for other works by this author on:C.T. BolligerC.T. BolligerLung Unit, Department of Internal Medicine, University of Stellenbosch, Tygerberg, Cape Town, South AfricaSearch for other works by this author on:
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242 - 253: The Role of Cardiopulmonary Exercise Testing for Patients with Suspected Metabolic Myopathies and Other Neuromuscular DisordersByKevin R. Flaherty;Kevin R. FlahertyaUniversity of Michigan Health System, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Ann Arbor, Mich.;Search for other works by this author on:Idelle M. Weisman;Idelle M. WeismanbHuman Performance Laboratory, Department of Clinical Investigation, Pulmonary-Critical Care Service, William Beaumont Army Medical Center, El Paso, Tex., and Department of Medicine, Pulmonary-Critical Care Division, University of Texas Health Science Center at San Antonio, San Antonio, Tex.;Search for other works by this author on:R. Jorge Zeballos;R. Jorge ZeballoscHuman Performance Laboratory, Department of Clinical Investigation, William Beaumont Army Medical Center, and Department of Anesthesiology, Texas Tech University Health Sciences Center, El Paso, Tex., USASearch for other works by this author on:Fernando J. MartinezFernando J. MartinezaUniversity of Michigan Health System, Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Ann Arbor, Mich.;Search for other works by this author on:
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254 - 263: Role of Cardiopulmonary Exercise Testing in Lung and Heart-Lung TransplantationByTrevor J. Williams;Trevor J. WilliamsLung Transplant Service Medical, Department of Respiratory Medicine, Alfred Hospital, Monash University, Prahran (Melbourne), AustraliaSearch for other works by this author on:William R. SlaterWilliam R. SlaterLung Transplant Service Medical, Department of Respiratory Medicine, Alfred Hospital, Monash University, Prahran (Melbourne), AustraliaSearch for other works by this author on:
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264 - 272: Exercise Responses in Systemic Conditions: Obesity, Diabetes, Thyroid Disorders, and Chronic Fatigue SyndromeByKathy E. SietsemaKathy E. SietsemaUCLA School of Medicine, Harbor-UCLA Medical Center, Torrance, Calif., USASearch for other works by this author on:
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273 - 281: Clinical Exercise Testing during Pregnancy and the Postpartum PeriodByMary L. O´Toole;Mary L. O´TooleWomen’s Exercise Research Laboratory, Department of Obstetrics, Gynecology and Women’s Health, Saint Louis University, St. Louis, Mo., USASearch for other works by this author on:Raul ArtalRaul ArtalWomen’s Exercise Research Laboratory, Department of Obstetrics, Gynecology and Women’s Health, Saint Louis University, St. Louis, Mo., USASearch for other works by this author on:
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282 - 299: Clinical Exercise Testing in ChildrenByJohn Fahey;John FaheyaDepartment of Pediatrics, Section of Cardiology, Yale University School of Medicine, New Haven, Conn., andSearch for other works by this author on:Dan Nemet;Dan NemetbCenter for the Study of Health Effects of Exercise in Children, University of California, Irvine, College of Medicine, Orange, Calif., USASearch for other works by this author on:Dan M. CooperDan M. CooperbCenter for the Study of Health Effects of Exercise in Children, University of California, Irvine, College of Medicine, Orange, Calif., USASearch for other works by this author on:
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300 - 322: An Integrative Approach to the Interpretation of Cardiopulmonary Exercise TestingByIdelle M. Weisman;Idelle M. WeismanaHuman Performance Laboratory, Department of Clinical Investigation, Pulmonary-Critical Care Service, William Beaumont Army Medical Center, El Paso, Tex., and Department of Medicine, Pulmonary-Critical Care Division, University of Texas Health Science Center at San Antonio, San Antonio, Tex.;Search for other works by this author on:R. Jorge ZeballosR. Jorge ZeballosbHuman Performance Laboratory, Department of Clinical Investigation, William Beaumont Army Medical Center, and Department of Anesthesiology, Texas Tech University Health Sciences Center, El Paso, Tex., USASearch for other works by this author on: