Bookeditors, Jonathan Rhodes, Mark E. Alexander and Alexander R. Opotowsky.
Summary: This book provides a comprehensive overview of exercise physiology in patients with congenital heart disease and other pediatric cardiopulmonary disorders. It begins with an in-depth but pragmatic discussion of exercise physiology and the cardiopulmonary adaptations to physical activity, followed by a review of the conduct and interpretation of cardiopulmonary exercise tests. Subsequent chapters discuss exercise physiology and testing in patients with a variety of congenital heart diseases, including tetralogy of Fallot, Fontan physiology, transposition of the great arteries, aortic valve disease, and coarctation of the aorta. Additional chapters analyze other conditions commonly encountered by pediatric and congenital cardiologists such as pulmonary vascular disease, cardiomyopathies, heart transplants, and metabolic disorders. The book also examines the role of exercise testing in patients with electrophysiologic issues such as Wolff-Parkinson-White Syndrome, long QT syndrome, atrioventricular node dysfunction, and pacemakers. The presentations are enhanced by data from Boston Childrens Hospitals vast experience with clinical exercise testing. The textbook concludes with a series of interesting and illustrative cases that build on the earlier chapters, present some fascinating physiology, and provide real-world examples of how exercise testing can inform clinical decision making. Exercise Physiology for the Pediatric and Congenital Cardiologist is a detailed, practical reference for clinicians and other health care providers engaged in exercise testing for children and adults with congenital heart disease and other conditions that may be encountered by the pediatric and congenital cardiologist. It is an essential resource for physicians, medical students, and exercise physiologists as well as researchers in cardiology, pediatrics, and cardiopulmonary fitness.
Contents:
Intro; Preface; Rhodes' Postulates and the Reasons Why Pediatric and Congenital Cardiologists Should Study Exercise Physiology; Clinical Value of Cardiopulmonary Exercise Testing in Patients with CHD and Other Disorders; Contents; Contributors; Part I: The Normal Cardiopulmonary Response to Exercise;
1: Biochemistry of Exercise; Suggested Readings;
2: Oxygen Delivery; Heart Rate; Stroke Volume; Oxygen Extraction; Kinetics of Oxygen Delivery and Oxygen Debt; References;
3: Central Hemodynamics and Coronary Blood Flow During Exercise; References;
4: CO2 Elimination (V̇CO2); Tidal Volume Respiratory RateVD/VT Ratio; Anaerobic Threshold: Implications for CO2 Elimination (and Oxygen Delivery); References; Part II: Conduct of the Cardiopulmonary Exercise Test;
5: Laboratory Setup, Equipment, and Protocols; Environment; Equipment; Protocols; The 6-Minute Walk Test (6MWT); Exercise Testing with Electrocardiographic Monitoring; Cardiopulmonary Exercise Testing (CPET); Other Protocols; References;
6: Exercise Stress Echocardiography; Background; Assessment of Myocardial Ischemia; Assessment of Patients with Known or Suspected Hypertrophic Cardiomyopathy Assessment of Patients with Known or Suspected Pulmonary HypertensionConclusions; References;
7: Other Modalities: Assessment of Pulmonary Response and Measurement of Cardiac Output; Exercise Flow-Volume Loops; Measurement of Cardiac Output; Noninvasive Measurement of Cardiac Output: Inert Gas Rebreathing; Invasive Measurements of Cardiac Output; Blood Sampling During Exercise; Exercise Oscillatory Ventilation; References;
8: Supervision and Safety Precautions for Exercise Testing; References;
9: Special Considerations for Children; Introduction; Pediatric Patients and Their Families Test EquipmentImaging Studies; Conclusion; References;
10: Special Considerations for Adults with Congenital Heart Disease; Introduction; Comorbidities; Exercise Testing; Conclusion; Reference; Part III: Interpretation of the Cardiopulmonary Exercise Test;
11: Peak Exercise Parameters; Peak V̇O2; Peak Work Rate and Endurance Time; Heart Rate; The Oxygen Pulse (O2P); Respiratory Exchange Ratio (RER); Blood Pressure; Arterial O2 Saturation; Respiratory Measurements; References;
12: Parameters from Submaximal Exercise; Ventilatory Anaerobic Threshold (VAT); V̇E/V̇CO2 Slope; End-Tidal pCO2