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Index
Preface Acknowledgments 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
Appendix A. Symbols and Abbreviations Appendix B. Glossary Appendix C. Calculations, Formulas, and Examples Appendix D. Placement of a Brachial Artery Catheter Appendix E. Tables and Nomogram Index
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