Exercise Testing: New Concepts for the New Century

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Myrvin H. Ellestad, Ezra A. Amsterdam
Springer Science & Business Media, 30 nov 2001 - 183 páginas
Since it was introduced less than 100 years ago, analysis of the circulatory response to exercise as a measure of cardiac function has undergone remarkable development. Most recently this approach has incorporated the burgeoning technology of the last half of the 20th century to meet the physiological and diagnostic needs of scientist and clinicians. The ease of administration, economy and abundant data that characterize exercise testing for its relative staying power as the most frequently utilized noninvasive method of cardiovascular evaluation. The basic modalities of exercise electrocardiography of treadmill and bicycle have been extended by noninvasive cardiac imaging techniques, including scintigraphy and echocardiography, that have provided new insights in myocardial function during exertion and pharmacologic stress. At the same time, traditional exercise electrocardiography has also been refined by innovations that have broadened its applications.
Exercise Testing: Current Concepts and Recent Advances affords the reader a state-of-the-art presentation of the diverse and expanding methods of exercise testing and their roles in patient management. The contributors to this volume include individuals who have made seminal contributions to the field during the last several decades. Indeed, it is legitimate to designate this group as a `Who's Who of Exercise Testing'. It is our hope that this book will enhance the reader's understanding of contemporary methods of exercise testing, as well as provide a glimpse into future directions of this science, that this knowledge is applied to optimal diagnosis and management of our patients.
 

Índice

The Pathophysicology of Exercise Induced Ischemia
1
Does the Angiogram Still Qualify as The Gold Standard for Evaluation of Noninvasive Test?
7
Statistical Lessons Learned From Exercise Testing Research and Scores
15
Heart Rate Adjustment of Exercise ST Segment Depression The STHR Index
25
Chronotropic Incompetence and Heart Rate Recovery
37
STHeart RateRecovery Loops and Right Precordial Leads in Exercise Electrocardiography
49
Exercise Electrocardiography In Women with Suspected Coronary Disease
57
Exercise Electrocardiography in the Asymptomatic Patient
71
Exercise Testing in the Congenital Long QT Syndrome
101
Unconvential Markers of Exercise Induced Ischemia
105
Stress Echocardiography
109
NonInvasive Monitoring of Hemodynamic Stress Echocardiographic Testing Using Impedance Cardiography ICG
127
Gated Myocardial Perfusion SPECT for Diagnosis and Prognosis of Patients with Coronary Artery Disease
137
Exercise Testing in Congestive Heart Failure Patients
157
Should We Use Emotional Stress Testing to Identify Ischemia
163
Index
173

Exercise Testing of Low Risk Patients Presenting with Acute Chest Pain Rationale Methods Results
81
Premature Contractions Can they Reflect Ischemia
91

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