The sixth edition of Ellestad's classic text on cardiac stress testing has been extensively updated and re-written to communicate contemporary understanding of the classical principles of stress testing to clinicians and researchers, students and seasoned practitioners alike. The current techniques for performing stress tests presented herein reflect major technologic advances in imaging, physiologic monitoring and the assessment of cardiovascular risk, addressing fundamental paradigm shifts in interventional, surgical and medical treatment of heart disease. Moreover, the text addresses the dramatic changes that are occurring in patient demographics and the environmental, socioeconomic, gender and genomic factors that crucially impact heart disease and warrant attention when performing cardiac stress testing.Chapters on the physiology of exercise testing including practical details regarding protocols for conducting the stress test, proper supervision, important parameters to be monitored, and the diagnostic and prognostic information to be gleaned from the electrocardiogram set the stage for expanded chapters on the use of cardiac imaging in conjunction with stress testing. Physiologic and metabolic considerations during stress testing are covered in detail. Application of stress testing to special populations, such as women, children, athletes, and individuals in both high and low risk groups are covered in new chapters. Finally, the authors address the use of stress testing in limited resource environments and discuss global changes in the incidence of atherosclerosis, and suggest how stress testing may evolve.
PrefaceList of ContributorsIntroduction1. History of Exercise Testing2. Physiology of Cardiac IschemiaPractical Considerations in Stress Testing3. When to Use Exercise Testing - Indications, Guidelines and Appropriate Use Criteria4. Contraindications, Risks, and Safety Precautions for Stress Testing5. Parameters to be Measured During Exercise6. Blood Pressure Measurement During Exercise7. Stress Testing Protocols8. The Ellestad Protocol9. Interpretation of the ECG During Stress Testing10. Rhythm and Conduction Disturbances in Stress Testing11. Predicting Prognosis with the Exercise Test: Putting It All Together12. Non-physician Supervision of Stress Testing13. Optimizing Stress Testing in a Limited Financial Resource EnvironmentRole of Cardiac Imaging in Stress Testing14. Making Clinical Decisions Based on Exercise Testing15. Nuclear Cardiology16. Stress Echocardiography17. Stress Cardiac Magnetic Resonance Imaging18. Stress X-Ray Computed Tomography19. Combining Calcium Scanning and Treadmill Exercise: The Physiologic and Metabolic Considerations20. Cardiovascular and Pulmonary Responses to Exercise21. Cardiopulmonary Exercise Testing22. Heart Rate Response to Exercise23. Metabolic Abnormalities and DrugsStress Testing in Specific Populations24. Stress Testing in Women25. Stress Testing of Athletes and Those in High Risk Occupations26. Sports Medicine and Cardiac Rehabilitation for Coronary and Peripheral Artery Disease27. Stress Testing in ChildrenThe Future of Stress Testing28. The Impact of Changing Global Atherosclerosis Patterns on Stress Testing29. Perspectives on the Future of Stress TestingAppendix
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