No hay productos en el carrito



Cardiopulmonary Exercise Testing in Children and Adolescents
Rowland, T. — American College of Sports Medicine — North American Society for Pediatric Exercise Medicine (NASPEM)
1ª Edición Noviembre 2017
Inglés
Tapa dura
288 pags
1043 gr
22 x 28 x 2 cm
ISBN 9781492544470
Editorial HUMAN KINETICS BOOKS
LIBRO IMPRESO
-5%
135,05 €128,30 €IVA incluido
129,86 €123,37 €IVA no incluido
Recíbelo en un plazo de
2 - 3 semanas
Preface
Notice and Disclaimer
Part I: Introduction
Chapter 1: Clinical Applicability of the Pediatric Exercise Test
Thomas W. Rowland
Development of Pediatric Exercise Testing
Unique Features of Exercise Testing in Children
Normative Values
Adjusting Values for Body Size
Tyranny of “Maximal” Testing
Safety of Clinical Exercise Testing
Conclusion
Chapter 2: Conducting the Pediatric Exercise Test
Amy Lynne Taylor
Pediatric Exercise Laboratory Environment and Equipment
Optimizing Safety
Preparing the Child for an Exercise Test
Test Communication
Conclusion
Part II: Exercise Testing Methodology
Chapter 3: Exercise Testing Protocols
Richard J. Sabath III, David A. White, and Kelli M. Teson
Exercise Testing Modality
Protocol Design
Treadmill Protocols
Cycle Ergometer Protocols
Multistage Versus Ramp Protocols
Six-Minute Walk Test
Maximal Test Criteria
Scope of Pediatric Exercise Testing
Conclusion
Chapter 4: Normal Cardiovascular Responses to Progressive Exercise
Thomas W. Rowland
Reductionist’s Disclaimer
Historical Context
Empirical Evidence
Synthesis
Physiological Basis of Cardiovascular Fitness
Conclusion
Chapter 5: Exercise Electrocardiography
Thomas W. Rowland
Effects of Exercise on the Cardiac Conduction System
ECG Setup and Monitoring
Measuring Heart Rate
Identifying Heart Block
Detecting Arrhythmias
Detecting Ischemia
Evaluation of Prolonged QT Interval
Risk Stratification With Ventricular Pre-Excitation
Conclusion
Chapter 6: Blood Pressure Response to Dynamic Exercise
Bruce Alpert and Ranjit Philip
Basic Physiology of Exercise Blood Pressure
Technical Aspects of Blood Pressure Measurement
Normal Blood Pressure Response to Dynamic Exercise in Healthy Children
When to Terminate Exercise Testing Based on Blood Pressure Response
Prognostic Value of Exercise BP Testing
Special Conditions
Interpretation of Results
Conclusion
Chapter 7: Maximal Oxygen Uptake
Ali M. McManus and Neil Armstrong
Physiological Responses to Aerobic Exercise
Measuring Maximal Oxygen Uptake in Children
Developmental Patterns in Maximal Oxygen Uptake
Normal Values
Conclusion
Chapter 8: Other Measures of Aerobic Fitness
Robert P. Garofano
Peak Workload
Ventilatory Anaerobic Threshold
Submaximal Testing Protocols
Oxygen Uptake Efficiency Slope
Conclusion
Chapter 9: Cardiac Output Measurement Techniques
Darren E.R. Warburton and Shannon S.D. Bredin
Invasive Versus Noninvasive Techniques
Direct Fick Method
Dye-Dilution Method
Thermodilution Method
Lithium Dilution Method
Foreign Gas Rebreathing Techniques
Doppler Echocardiography
Impedance Cardiography
Arterial Pulse Contour Method
Conclusion
Chapter 10: Assessing Myocardial Function
Thomas W. Rowland
Systolic Time Intervals
Radionuclide Exercise Testing
Pattern of Stroke Volume Response
Oxygen Pulse
Doppler Echocardiographic Techniques During Exercise
Stress Echocardiography
Conclusion
Chapter 11: Pulmonary Function
Patricia A. Nixon
Protocols
Pulmonary Function at Rest and During Exercise
Asthma
Cystic Fibrosis
Conclusion
Part III: Exertion-Based Applications
Chapter 12: Congenital and Acquired Heart Disease
Michael G. McBride and Stephen M. Paridon
Factors Affecting Exercise Performance
Exercise Testing
Simple Two-Ventricle Defects
Obstructive Lesions
Complex Two-Ventricle Defects
Single-Ventricle Physiology
Primary Arrhythmias and Channelopathies
Acquired Heart Disease and Cardiomyopathies
Conclusion
Chapter 13: Exercise-Induced Dyspnea
Steven R. Boas
Differential Diagnosis
Evaluation
Exercise Testing
Conclusion
Chapter 14: Chest Pain With Exercise
Julie Brothers
Differential Diagnosis
Evaluation
Exercise Testing
Conclusion
Chapter 15: Presyncope and Syncope With Exercise
Julie Brothers
Differential Diagnosis
Evaluation
Exercise Testing
Conclusion
Chapter 16: Exercise Fatigue
Thomas W. Rowland
Differential Diagnosis
Evaluation
Exercise Testing
Conclusion
Part IV: Testing Special Populations
Chapter 17: Pectus Excavatum
Thomas W. Rowland
Physiological Implications
Surgical Results
Cardiopulmonary Testing
Conclusion
Chapter 18: Obesity
Laura Banks and Brian W. McCrindle
Quantifying Childhood Obesity
Physiological Adaptations
Effects of Obesity on Physiologic Measures
Cardiopulmonary Exercise Testing Modifications
Conclusion
Chapter 19: Intellectual Disability
Bo Fernhall and Tracy Baynard
Physiological Implications
Exercise Testing
Conclusion
Chapter 20: Neuromuscular Disease
Olaf Verschuren, Janke de Groot, and Tim Takken
Cerebral Palsy
Duchenne and Becker Muscular Dystrophy
Conclusion
References
Index
About the Editors
About the Contributors
Exercise testing plays an increasingly important role in the diagnosis and assessment of heart disease and lung disease in children and adolescents. In Cardiopulmonary Exercise Testing in Children and Adolescents, leading expert Thomas W. Rowland, backed by the American College of Sports Medicine (ACSM) and the North American Society for Pediatric Exercise Medicine (NASPEM), compiles the latest evidence-based research to provide guidance for clinical exercise physiologists, cardiologists, pulmonologists, and students of exercise physiology who conduct exercise stress testing for young patients.
The core objective of the book is to clarify the differences between clinical exercise testing for children and testing for adults. Because of obvious differences between the two populations, test protocols must be modified based on the patient’s age, size, level of physical fitness, body composition, intellectual and emotional maturity, and state of cardiac and pulmonary health.
Part I provides an introduction to pediatric exercise testing. Part II examines exercise testing methodologies and discusses blood pressure, cardiac output, electrocardiography, oxygen uptake, and pulmonary function. Part III focuses on specific clinical issues addressed by exercise testing, guiding readers through protocols for diagnosis, evaluation, and exercise testing. Part IV explores testing in special populations and focuses on topics such as childhood obesity, neuromuscular disease, and intellectual disabilities.
Where applicable, sample forms and checklists provide practitioners with practical materials to use during exercise testing. Sidebars offer readers insight into considerations such as the presence of parents during testing and adjustments of cardiac measures for youth body dimensions.
This book serves as a means of focusing and unifying approaches to performing pediatric exercise testing in order to lay the foundation for new and innovative approaches to exercise testing in the health care of children and adolescents.
Thomas W. Rowland, MD, is a pediatric cardiologist at Baystate Medical Center in Springfield, Massachusetts, and a professor of pediatrics at Tufts University School of Medicine. A graduate of the University of Michigan Medical School, Rowland is board certified in pediatrics and pediatric cardiology by the American Board of Pediatrics.
Rowland, who has had more than 150 journal articles published, is the author of four books: Biologic Regulation of Physical Activity; Children’s Exercise Physiology, Second Edition; Tennisology: Inside the Science of Serves, Nerves, and On-Court Dominance; and The Athlete’s Clock. He has served as editor of the journal Pediatric Exercise Science and as president of the North American Society for Pediatric Exercise Medicine (NASPEM) and was on the board of trustees of the American College of Sports Medicine (ACSM). He is past president of the New England chapter of the ACSM and received the Honor Award from that organization in 1993.
Rowland is a competitive tennis player and distance runner. He and his wife, Margot, reside in Longmeadow, Massachusetts.
The American College of Sports Medicine (ACSM), founded in 1954, is the largest sports medicine and exercise science organization in the world. With more than 50,000 members and certified professionals worldwide, ACSM is dedicated to improving health through science, education, and medicine. ACSM members work in a wide range of medical specialties, allied health professions, and scientific disciplines. Members are committed to the diagnosis, treatment, and prevention of sport-related injuries and the advancement of the science of exercise.
The ACSM promotes and integrates scientific research, education, and practical applications of sports medicine and exercise science to maintain and enhance physical performance, fitness, health, and quality of life.
The North American Society for Pediatric Exercise Medicine (NASPEM), founded in 1985, is a professional organization whose membership is composed of medical doctors, researchers, educators, and students interested in pediatric exercise. NASPEM is dedicated to the mission of promoting exercise science, physical activity, and fitness in the health and medical care of children and adolescents. That mission is accomplished in part through scientific meetings, a scholarly journal (Pediatric Exercise Science), collaborative research, student aid in the form of grants and awards, and a training program database.
© 2025 Axón Librería S.L.
2.149.0