Exercise Testing: New Concepts for the New Century (Developments in Cardiovascular Medicine Book 235)

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. Front Matter....Pages i-xii The Pathophysiology of Exercise Induced Ischemia....Pages 1-6 Does the Angiogram Still Qualify as the Gold Standard for Evaluation of Noninvasive Tests?....Pages 7-13 Statistical Lessons Learned From Exercise Testing Research and Scores....Pages 15-23 Heart Rate Adjustment of Exercise ST Segment Depression: The ST/HR Index....Pages 25-35 Chronotropic Incompetence and Heart Rate Recovery....Pages 37-48 ST-Heart Rate-Recovery Loops and Right Precordial Leads in Exercise Electrocardiography....Pages 49-56 Exercise Electrocardiography in Women with Suspected Coronary Disease....Pages 57-69 Exercise Electrocardiography in the Asymptomatic Patient....Pages 71-80 Exercise Testing of Low Risk Patients Presenting with Acute Chest Pain: Rationale, Methods, Results....Pages 81-89 Premature Contractions—Can They Reflect Ischemia?....Pages 91-99 Exercise Testing in the Congenital Long QT Syndrome....Pages 101-104 Unconventional Markers of Exercise Induced Ischemia....Pages 105-108 Stress Echocardiography....Pages 109-125 Non-Invasive Monitoring of Hemodynamic Changes During Dobutamine Stress Echocardiographic Testing Using Impedance Cardiography (ICG)....Pages 127-136 Gated Myocardial Perfusion Spect for Diagnosis and Prognosis of Patients with Coronary Artery Disease....Pages 137-155 Exercise Testing in Congestive Heart Failure Patients....Pages 157-161 Should We Use Emotional Stress Testing to Identify Ischemia?....Pages 163-171 Back Matter....Pages 173-183