Ellestad's Stress Testing: Principles and Practice

Ellestad's Stress Testing: Principles and Practice

Ellestad's Stress Testing: Principles and Practice

Ellestad's Stress Testing: Principles and Practice

eBook

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Overview

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.

Product Details

ISBN-13: 9780190225506
Publisher: Oxford University Press
Publication date: 10/26/2018
Sold by: Barnes & Noble
Format: eBook
Pages: 592
File size: 52 MB
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About the Author

Gregory Thomas, MD, Medical Director, MemorialCare Heart&Vascular Institute, Long Beach Memorial Medical Center; Clinical Professor and Director of Nuclear Cardiology Education, University of California, Irvine, Long Beach, California L. Samuel Wann, MD, Attending Cardiologist, Columbia-St. Mary's Healthcare, Milwaukee, Wisconsin

Table of Contents

Preface List of Contributors Introduction 1. History of Exercise Testing 2. Physiology of Cardiac Ischemia Practical Considerations in Stress Testing 3. When to Use Exercise Testing - Indications, Guidelines and Appropriate Use Criteria 4. Contraindications, Risks, and Safety Precautions for Stress Testing 5. Parameters to be Measured During Exercise 6. Blood Pressure Measurement During Exercise 7. Stress Testing Protocols 8. The Ellestad Protocol 9. Interpretation of the ECG During Stress Testing 10. Rhythm and Conduction Disturbances in Stress Testing 11. Predicting Prognosis with the Exercise Test: Putting It All Together 12. Non-physician Supervision of Stress Testing 13. Optimizing Stress Testing in a Limited Financial Resource Environment Role of Cardiac Imaging in Stress Testing 14. Making Clinical Decisions Based on Exercise Testing 15. Nuclear Cardiology 16. Stress Echocardiography 17. Stress Cardiac Magnetic Resonance Imaging 18. Stress X-Ray Computed Tomography 19. Combining Calcium Scanning and Treadmill Exercise: The "Treadmill Calcium Test" Physiologic and Metabolic Considerations 20. Cardiovascular and Pulmonary Responses to Exercise 21. Cardiopulmonary Exercise Testing 22. Heart Rate Response to Exercise 23. Metabolic Abnormalities and Drugs Stress Testing in Specific Populations 24. Stress Testing in Women 25. Stress Testing of Athletes and Those in High Risk Occupations 26. Sports Medicine and Cardiac Rehabilitation for Coronary and Peripheral Artery Disease 27. Stress Testing in Children The Future of Stress Testing 28. The Impact of Changing Global Atherosclerosis Patterns on Stress Testing 29. Perspectives on the Future of Stress Testing Appendix
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