Exercise

Principles of Exercise Testing and Interpretation: Including Pathophysiology and Clinical Applications

• Comprehensive presentation addressing cardiovascular, metabolic, and respiratory responses to exercise—in both health and disease states.
• Principles and rationale behind exercise testing, commonly used testing protocols, guidelines for normal and abnormal values, and tips for accurate interpretation of test results.
• Normal test values for a range of patient groups—including children, over- and underweight patients, and the elderly.
• More than 80 case histories, each accompanied by exercise physiology results, highlight differential diagnosis by applying basic physiological concepts to real-world examples.
• Coverage of disorders that can be diagnosed only through cardiopulmonary exercise testing.

• New chapter covering regulation of arterial and mixed venous blood gases
• New nine-panel graphic array illustrating critical aspects of exercise testing
• Updated flow charts to help with clinical interpretation and differential diagnosis

Table Of Contents

• Why Measure Gas Exchange to Evaluate Cardiovascular Function and Cellular Respiration?
• Cardiac Stress Test and Pulmonary Stress Test: Nomenclature and Fallacies
• Cell Respiration and Bioenergetics
• Normal Coupling of External to Cellular Respiration
• Quantifying State and Time Course of Cellular Respiration from Measurements Of External Respiration
• Patterns of Change in External Respiration (O2 Uptake and CO2 Output) as Related to Function, Fitness and Disease
• Factors Limiting Exercise
• Evidence of Systemic Dysfunction Uniquely Revealed by Integrative Cardiopulmonary Exercise Testing

• Skeletal Muscle
• Oxygen Cost of Work
• Lactate Increase
• Buffering the Exercise-induced Lactic Acidosis
• Anaerobic Threshold (AT) Concept
• Metabolic-Cardiovascular-Ventilatory Coupling
• Control of Breathing
• Overview
• Gas Exchange Kinetics

• What is an Integrative Cardiopulmonary Exercise Test?
• When Should Integrative Cardiopulmonary Exercise Testing Be Used?
• Measurements
• Data Display and Interpretation

• Obesity
• Peripheral Arterial Diseases
• Heart Disease