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Cardiopulmonary Exercise Testing and Cardiovascular Health describes new research and findings relevant to cardiovascular health as assessed by cardiopulmonary exercise testing. It brings together investigational cardiologists, pulmonologists and scientists who share a wealth of experience needed to judge the cardiovascular health, and the impairments of patients with a variety of illnesses. It presents the latest applications of cardiopulmonary exercise testing, including the use of computers and rapidly responding gas analysers, which make it possible to evaluate the cardiovascular system in a quantitative way.
This book provides a comprehensive, updated presentation of the information that can be gained by cardiopulmonary exercise testing to assess the health of the cardiovascular system as a whole, and its individual components. It heralds a new era in which the instrumentation provides accurate measurements and the functions of the heart, pulmonary, and peripheral circulations and the lungs can be described quantitatively in graphical form. This enables the physician and investigator to measure the degree of success with which the cardiovascular system supports the O2 supply for the energy-generating mechanisms needed to sustain life.
SECTION 1. PHYSIOLOGICAL BASIS OF CARDIOPULMONARY EXERCISE TESTING.
Chapter 1. Circulatory Coupling of External to Muscle Respiration During Exercise (Karlman Wasserman, William W. Stringer, Xing-Guo Sun, and Akira Koike).
Chapter 2. Skeletal Muscle Metabolism During Exercise in Chronic Heart Failure (Koichi Okita).
SECTION 2. GRADING HEART FAILURE AND PREDICTING SURVIVAL.
Chapter 3. Predicting Survival in Heart Failure: Exercise-Based Prognosticating Algorithms (Donna Mancini).
Chapter 4. Grading Heart Failure and Predicting Survival: Slope of VE versus Vco2 (Andrew J. S. Coats).
Chapter 5. Peak Vo2, Anaerobic Threshold, and Ventilatory Equivalent as Predictors of Survival in Heart Failure (Anselm K. Gitt, Caroline Bergmeier, and Jochem Senges).
Chapter 6. Abnormalities in Exercise-Derived Gas Exchange Variables Other than Peak Vo2 and Anaerobic Threshold in Chronic Heart Failure (Alain Cohen-Solal, Maria Tokmakova, and Pierre Vladimir Ennezat).
Chapter 7. Time Constant for Vo2 and Other Parameters of Cardiac Function in Heart Failure (Akira Koike, Michiaki Hiroe, and Haruki Itoh).
Chapter 8. Optimizing Decision Making in Heart Failure: Applications of Cardiopulmonary Exercise Testing in Risk Stratification (Jonathan Myers).
Chapter 9. Preoperative Assessment of Elderly Surgical Patients (Paul Older and Adrian Hall) .
SECTION 3. DISEASE-SPECIFIC ABNORMALITIES IN EXERCISE GAS EXCHANGE.
Chapter 10. Lung Diffusion Abnormalities and Exercise Capacity in Heart Failure (Pier Guiseppe Agostoni and Maurizio Bussotti).
Chapter 11. Cardiopulmonary and Metabolic Responses to Exercise in Patients with Hypertrophic Cardiomyopathy (Brian J. Whipp, Soraya Jones, Perry M. Elliott, Sanjay Sharma, and William J. McKenna).
Chapter 12. Oxygen Uptake Abnormalities During Exercise in Coronary Artery Disease (Haruki Itoh, Akihiko Tajima, Akira Koike, Naohiko Osada, Tomoko Maeda, Makoto Kato, Kazuto Omiya, Long Tai Fu, Hiroshi Watanabe, and Kazuzo Kato).
Chapter 13. Cardiopulmonary Exercise Testing in Pulmonary Vascular Disease: Arterial and End-Tidal CO2 Partial Pressures in Patients with Acute and Chronic Pulmonary Embolism and Primary Pulmonary Hypertension (Peer E. Waurick, and Franz X. Kleber).
Chapter 14. Abnormalities in Exercise Gas Exchange in Primary Pulmonary Hypertension (Ronald J. Oudiz, and Xing-Guo Sun).
Chapter 15. Exercise Gas Exchange in Peripheral Arterial Disease (Timothy A. Bauer and William R. Hiatt) .
SECTION 4. SEQUENTIAL CHANGES IN EXERCISE GAS EXCHANGE TO ASSESS CLINICAL COURSE AND THERAPY.
Chapter 16. Changing Assessment of Exercise Capacity in Potential Candidates for Cardiac Transplantation (Lynne Warner Stevenson).
17. Exercise Training in Heart Failure Patients (Romualdo Belardinelli).
18. Exercise Testing to Monitor Heart Failure Treatment (Marco Guazzi).