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Wasserman and Whipp's principles of exercise testing and interpretation including pathophysiology and clinical applications

Detalles Bibliográficos
Clasificación:Libro Electrónico
Autor principal: Sietsema, Kathy E.
Otros Autores: Wasserman, Karlman, Stringer, William W., Sue, Darryl Y., Ward, Susan, Rossiter, Harry B., Porszasz, Janos
Formato: Electrónico eBook
Idioma:Inglés
Publicado: Philadelphia : Wolters Kluwer Health, 2020.
Edición:6th ed.
Temas:
Acceso en línea:Texto completo
Tabla de Contenidos:
  • Intro
  • Preface
  • Acknowledgments
  • Contributors
  • 1 Exercise Testing and Interpretation
  • WHAT IS CARDIOPULMONARY EXERCISE TESTING?
  • CELL RESPIRATION AND BIOENERGETICS
  • NORMAL COUPLING OF EXTERNAL TO CELLULAR RESPIRATION
  • WHY MEASURE GAS EXCHANGE TO EVALUATE CARDIORESPIRATORY FUNCTION AND CELLULAR RESPIRATION?
  • CARDIAC STRESS TESTS AND PULMONARY STRESS TESTS
  • PATTERNS OF CHANGE IN EXTERNAL RESPIRATION (VO2 AND VCO2) AS RELATED TO FUNCTION, FITNESS, AND DISEASE
  • FACTORS LIMITING EXERCISE
  • Fatigue
  • Dyspnea
  • Pain
  • EVIDENCE OF SYSTEMIC DYSFUNCTION UNIQUELY REVEALED BY INTEGRATIVE CARDIOPULMONARY EXERCISE TESTING
  • Diagnosis of Exercise Intolerance, Especially Exertional Dyspnea and Myocardial Ischemia
  • Cardiopulmonary Exercise Testing and Prognosis in Patients With Known Disorders
  • Cardiopulmonary Exercise Testing and Preoperative Assessment
  • SUMMARY
  • 2 Physiology of Exercise
  • SKELETAL MUSCLE: MECHANICAL PROPERTIES AND FIBER TYPES
  • BIOENERGETICS
  • Sources of High-Energy Phosphate and Cellular Respiration
  • Phosphocreatine Breakdown
  • Substrate Utilization
  • Carbohydrates
  • Lipids
  • Amino Acids
  • OXYGEN COST OF WORK
  • VO2 Steady State and Work Efficiency
  • VO2 Nonsteady State
  • ARTERIAL LACTATE INCREASE
  • Arterial Lactate Increase as a Function of Work Rate
  • Arterial Lactate Increase as a Function of Time
  • Mechanisms of Arterial Lactate Increase
  • Increasing Glycolytic Flux and Exercise Intensity
  • Sequential Recruitment of Type II Muscle Fibers
  • Pyruvate Dehydrogenase Activity
  • Change in Cytosolic Redox State Limiting Mitochondrial Proton Shuttles
  • Lactate Production and Clearance
  • Oxygen Supply and Critical Capillary PO2
  • PH Change and Oxyhemoglobin Dissociation Above the Anaerobic Threshold
  • BUFFERING THE EXERCISE-INDUCED LACTIC ACIDOSIS
  • CARDIOVASCULAR RESPONSES TO EXERCISE
  • Cardiac Output
  • Oxygen Pulse
  • Distribution of Peripheral Blood Flow
  • Arterial PO2
  • Oxyhemoglobin Dissociation
  • Hemoglobin Concentration
  • Arterial Oxygen Content
  • GAS EXCHANGE KINETICS
  • Oxygen Uptake Kinetics
  • Moderate Exercise
  • Supra-AT Exercise
  • Mean Response Time
  • Oxygen Deficit
  • Oxygen Debt
  • Carbon Dioxide Output Kinetics
  • Moderate Exercise
  • Supra-AT Exercise
  • Power-Duration Curve and Critical Power
  • VENTILATORY RESPONSES TO EXERCISE
  • Arterial and Venous PCO2 and Carbon Dioxide Content
  • Ventilatory Determinants
  • Carbon Dioxide and H+ Elimination
  • Alveolar Ventilation
  • Dead Space Ventilation
  • Total (or Expired) Ventilation
  • Breathing Pattern
  • Ventilatory Control
  • Moderate Exercise
  • Supra-AT Exercise
  • SUMMARY
  • 3 Measurements During Integrative Cardiopulmonary Exercise Testing
  • measurements
  • Electrocardiographic Changes With Exercise
  • Maximal and Peak Oxygen Uptake
  • Oxygen Uptake and Work Rate
  • Normal Subjects