Stress Testing: Principles and Practice / Edition 5

by Myrvin H. Ellestad

Overview

From reviews of previous editions:
"This remains...the best book to buy on the subject of exercise testing...an excellent book aimed at general physicians and cardiologists...recommended with enthusiasm."—International Journal of Cardiology
"This book is to be recommended to all physicians who use exercise testing as a diagnostic or rehabilitation procedure..."—Cardiology in Practice
"This is an excellent and detailed text describing the principles and practice of stress testing...I highly recommend this book for anyone involved in non-invasive cardiology."—The Journal of Cardiovascular and Pulmonary Technology
"The author's style is to be lauded...(He) states clearly the absolute, relative, and contraindications to stress testing...highly recommended."—Arch Phys Med Rehabil
"I highly recommend this text as a well-written, integrated collection on current research, pathophysiology, and clinical applications."—Physical Therapy
Although the general format of Stress Testing has not been changed in the Fifth Edition, the chapters have been thoroughly revised and updated. "Take Home" messages are sprinkled throughout the book to emphasize major concepts. The chapter on electrocardiographic changes has been completely re-organized to highlight the importance of unconventional markers of ischemia. Two new chapters cover the role of exercise echocardiography and exercise testing in congestive heart failure.
Overall, Stress Testing, Fifth Edition, remains an essential resource for cardiologists and exercise physiologists.

Product Details

ISBN-13:	9780195159288
Publisher:	Oxford University Press
Publication date:	03/20/2003
Edition description:	Fifth Edition
Pages:	560
Product dimensions:	6.16(w) x 9.70(h) x 1.24(d)

About the Author

Ellestad, Myrvin H., MD, FACC (UC Irvine)

The contributors represent the specialties of cardiology, nuclear medicine, and electrocardiography research. The contributors are from UCLA, USC, and Univ of Cincinnati.

Table of Contents

1. History of Stress Testing2. Cardiovascular and Pulmonary Responses to Exercise3. Physiology of Cardiac Ischemia4. Indications5. Contraindications, Risks, and Safety Precautions6. Parameters to be Measured7. Stress Echocardiography8. Stress Testing Protocol9. Memorial Heart Institute Protocol10. Stress Testing After Myocardial Infarction11. Stress Testing After Surgical Intervention and Coronary Angioplasty12. ECG Patterns and Their Significance13. Rhythm and Conduction Disturbances in Stress Testing14. Predictive Implications15. Stress Testing in Women16. Stress Testing in Congestive Heart Failure17. Chest Pain and Normal Coronary Arteries18. Blood Pressure Measurements During Exercise19. Silent Ischemia20. Sports Medicine and Rehabilitation21. Pediatric Exercise Testing, Frederick W. James, MD22. Radionuclide Techniques in Stress Testing, Fred Mishkin, MD23. Metabolic Abnormalities and Drugs24. Computer Technology and Exercise Testing, Ronald H. Startt Selvester, MD

Editorial Reviews

"The main audience for this text will likely continue to be cardiologistsbut parts may be of value as reference material for more experienced clinicians who perform or interpret stress tests regularly." -Physical Therapy

From the Publisher

Reviewer: Gabor F Matos, MD (Loyola University Stritch School of Medicine)
Description: This book provides a comprehensive review of the underlying physiology and technique of stress testing. It is an integrated collection of current research, pathophysiology and clinical applications of the technique. This new edition includes additional clinical pearls (unconventional markers of ischemia) to the arsenal of the cardiologist. There are also two new chapters, one on stress testing in congestive heart failure and one on exercise echocardiography. The previous edition was published in 1996.
Purpose: The purpose is to provide an integrated review of stress testing in a clinically relevant manner. This edition incorporates new data from recent research since 1996. It also includes the review of stress testing in heart failure and stress echocardiography. Providing this updated reference book to the practitioners of stress testing is an important and worthy objective as it may impact the use and interpretation of this frequently ordered diagnostic tool. The book meets the author's objectives.
Audience: The author's primary targets are cardiologists, general practitioners and exercise physiologists. The entire book or certain chapters can also be used by medical students and medical residents as well as nurse practitioners/physician assistants interested in stress testing. The author is credible authority.
Features: Following a historical overview, the book proceeds to lay down the principles of exercise physiology. Unequivocal identification of indications, contraindications to stress testing as well as recommendations for termination of the stress test is especially valuable for the clinical user. The book is educational in the interpretation of the ECG, physiological data, and imaging modalities in different clinical settings and populations. Major concepts are emphasized by "take home messages" and concise summaries, which seems especially practical to me. Disagreements in regard to certain clinical situations (interpretation of stress ECG in LBBB; relevance of ST elevation in leads with Q waves) are not unequivocally resolved. This can be confusing for practitioners.
Assessment: This is an excellent reference of very high quality and it is probably the best source for clinical practitioners and researchers in the field of exercise testing. The book is concise, easy to read and understand, and useful in everyday practice. It is less focused on nuclear imaging and intravascular ultrasound than Marwick's Cardiac Stress Testing and Imaging: A Clinician's Guide (Churchill Livingstone, 1996). It is also more comprehensive than Chung and Tighe's Pocket Guide to Stress Testing (Blackwell, 1997). This fifth edition is an important improvement over the previous edition because the new material carries clinical significance and impacts the way stress testing is used in the clinical practice.

Doody's Review Service

3 Stars from Doody

This is a fourth edition of a well-known book that presents an interesting and comprehensive review of the mechanisms of normal cardiac exercise physiology, the physiology of cardiac ischemia, stress testing parameters, protocols, and the clinical implication of exercise testing. The purpose is to present a relevant review of the current understanding of cardiac stress testing and its implications in coronary ischemia. In light of the large number of patients that undergo this test each year, this is an important topic in the area of cardiovascular disease. This book will be very useful to its target audience of cardiologists, internists, residents, and students Interested in exercise testing. The authors and contributors are well known and respected In the field of cardiovascular disease. The book contains countless illustrations, charts, and graphs that effectively provide a comprehensive review of the parameters, protocols and ECG tracings essential to this topic. This edition contains expanded chapters on pediatric, nuclear, and pharmacological exercise testing that are thorough and complete. The references are comprehensive and up-to-date. This is a useful text for students, residents, and clinicians interested in the field of cardiac exercise testing. It provides a detailed and comprehensive review of all aspects of cardiac exercise physiology and the protocols and Implications of cardiac exercise testing. The numerous detailed schematics and Illustrations help clarify the intricate mechanisms involved in this subject. Thus, this book will be of value to those who seek a better understanding of this complex topic.

Charles Lanzarotti

A comprehensive text for students of exercise testing. This extensively revised edition (including some 350 additional references) contains invited contributions from four experts who add depth to the selections on pediatric, nuclear, and dobutamine exercise testing, in addition to an expanded chapter on the use of the computer. Annotation c. Book News, Inc., Portland, OR (booknews.com)

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