Stress Testing: Principles and Practice / Edition 4

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These are exciting times as the proliferation of new information augments our understanding of ischemic heart disease. Reports on how coronary flow is regulated have changed our expectation in many ways. Even before the third Edition of stress testing: Principles and Practice it was apparent that coronary perfusion was more dependent on vasomotion than we had heretofore believed.

The book contains black-and-white illustrations.

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Editorial Reviews

Charles Lanzarotti
This is a fourth edition of a well-known book that presents an interesting and comprehensive review of the mechanisms of normal cardiac exercise physiology, the physiology of cardiac ischemia, stress testing parameters, protocols, and the clinical implication of exercise testing. The purpose is to present a relevant review of the current understanding of cardiac stress testing and its implications in coronary ischemia. In light of the large number of patients that undergo this test each year, this is an important topic in the area of cardiovascular disease. This book will be very useful to its target audience of cardiologists, internists, residents, and students Interested in exercise testing. The authors and contributors are well known and respected In the field of cardiovascular disease. The book contains countless illustrations, charts, and graphs that effectively provide a comprehensive review of the parameters, protocols and ECG tracings essential to this topic. This edition contains expanded chapters on pediatric, nuclear, and pharmacological exercise testing that are thorough and complete. The references are comprehensive and up-to-date. This is a useful text for students, residents, and clinicians interested in the field of cardiac exercise testing. It provides a detailed and comprehensive review of all aspects of cardiac exercise physiology and the protocols and Implications of cardiac exercise testing. The numerous detailed schematics and Illustrations help clarify the intricate mechanisms involved in this subject. Thus, this book will be of value to those who seek a better understanding of this complex topic.
A comprehensive text for students of exercise testing. This extensively revised edition (including some 350 additional references) contains invited contributions from four experts who add depth to the selections on pediatric, nuclear, and dobutamine exercise testing, in addition to an expanded chapter on the use of the computer. Annotation c. Book News, Inc., Portland, OR (
Doody's Review Service
Reviewer: Gabor F Matos, MD (Loyola University Stritch School of Medicine)
Description: This book provides a comprehensive review of the underlying physiology and technique of stress testing. It is an integrated collection of current research, pathophysiology and clinical applications of the technique. This new edition includes additional clinical pearls (unconventional markers of ischemia) to the arsenal of the cardiologist. There are also two new chapters, one on stress testing in congestive heart failure and one on exercise echocardiography. The previous edition was published in 1996.
Purpose: The purpose is to provide an integrated review of stress testing in a clinically relevant manner. This edition incorporates new data from recent research since 1996. It also includes the review of stress testing in heart failure and stress echocardiography. Providing this updated reference book to the practitioners of stress testing is an important and worthy objective as it may impact the use and interpretation of this frequently ordered diagnostic tool. The book meets the author's objectives.
Audience: The author's primary targets are cardiologists, general practitioners and exercise physiologists. The entire book or certain chapters can also be used by medical students and medical residents as well as nurse practitioners/physician assistants interested in stress testing. The author is credible authority.
Features: Following a historical overview, the book proceeds to lay down the principles of exercise physiology. Unequivocal identification of indications, contraindications to stress testing as well as recommendations for termination of the stress test is especially valuable for the clinical user. The book is educational in the interpretation of the ECG, physiological data, and imaging modalities in different clinical settings and populations. Major concepts are emphasized by "take home messages" and concise summaries, which seems especially practical to me. Disagreements in regard to certain clinical situations (interpretation of stress ECG in LBBB; relevance of ST elevation in leads with Q waves) are not unequivocally resolved. This can be confusing for practitioners.
Assessment: This is an excellent reference of very high quality and it is probably the best source for clinical practitioners and researchers in the field of exercise testing. The book is concise, easy to read and understand, and useful in everyday practice. It is less focused on nuclear imaging and intravascular ultrasound than Marwick's Cardiac Stress Testing and Imaging: A Clinician's Guide (Churchill Livingstone, 1996). It is also more comprehensive than Chung and Tighe's Pocket Guide to Stress Testing (Blackwell, 1997). This fifth edition is an important improvement over the previous edition because the new material carries clinical significance and impacts the way stress testing is used in the clinical practice.
From the Publisher
"The main audience for this text will likely continue to be cardiologistsbut parts may be of value as reference material for more experienced clinicians who perform or interpret stress tests regularly." -Physical Therapy

3 Stars from Doody
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Product Details

  • ISBN-13: 9780803600553
  • Publisher: Oxford University Press, USA
  • Publication date: 6/1/1996
  • Edition description: Ed. 4
  • Edition number: 4
  • Pages: 624
  • Product dimensions: 6.20 (w) x 9.00 (h) x 1.30 (d)

Table of Contents

1 History of Stress Testing 1
2 Cardiovascular and Pulmonary Responses to Exercise 11
3 Physiology of Cardiac Ischemia 43
4 Indications 77
5 Contraindications, Risks, and Safety Precautions 85
6 Paramaters to Be Measured 103
7 Stress Echocardiography 127
8 Stress Testing Protocol 135
9 Memorial Heart Institute Protocol 157
10 Stress Testing After Myocardial Infarction 169
11 Stress Testing After Surgical Intervention and Coronary Angioplasty 179
12 ECG Patterns and Their Significance 189
13 Rhythm and Conduction Disturbances in Stress Testing 241
14 Predictive Implications 271
15 Stress Testing in Women 309
16 Exercise Testing in Congestive Heart Failure 319
17 Chest Pain and Normal Coronary Arteries 327
18 Blood Pressure Measurements During Exercise 335
19 Silent Myocardial Ischemia 353
20 Sports Medicine and Rehabilitation 367
21 Pediatric Exercise Testing 381
22 Radionuclide Techniques in Stress Testing 413
23 Metabolic Abnormalities and Drugs 481
24 Computer Technology and Exercise Testing 513
Index 535
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