02886cam a2200325 a 4500 16942854 OSt 20150408114145.0 110830s2012 paua b 001 0 eng 2011036549 9781609138998 (hardback : alk. paper) (DNLM)101568248 DNLM/DLC DLC DLC pcc RC683.5.E94 W37 2011 WG 141.5.F9 616.120754 23 PRE Principles of exercise testing and interpretation : including pathophysiology and clinical applications / Karlman Wasserman ... [et al.]. 5th ed. Philadelphia : Wolters Kluwer Health/Lippincott Williams & Wilkins, c2012. xiii, 572 p. : col. ill. ; 29 cm. Includes bibliographical references and index. "In this fifth edition of Principles of Exercise Testing and Interpretation, as in earlier editions, we attempt to develop conceptual advances in the physiology and pathophysiology of exercise, particularly as related to the practice of medicine. The underlying theme of the book continues to be the recognition that the most important requirement for exercise performance is transport of oxygen to support the bioenergetic processes in the muscle cells (including, of course, the heart) and elimination of the carbon dioxide formed as a byproduct of exercise metabolism. Thus, appropriate cardiovascular and ven- tilatory responses are required to match those of muscle respiration in meeting the energy demands of exercise. As depicted by the logo on the book cover, normal exercise performance requires an efficient coupling of external to internal (cellular) respiration. Appropriate treatment of exercise intolerance requires that patients' symptoms be thought of in terms of a gas exchange defect between the cell and the environment. The defect may be in the lungs, heart, peripheral or pulmonary circulations, the muscles themselves, or there may be a combination of defects. Thus, we describe the pathophysiology in gas transport and exchange that affect any site in the cardio- respiratory coupling between the lungs and the muscles. We illustrate how cardiopulmonary exercise testing can provide the means for a critical evaluation by the clinician-scientist of the functional competency of each component in the coupling of cellular to external respiration, including the cardiovascular system. To achieve this, clinical cases are used to illustrate the wide spectrum of pathophysiology capable of causing exercise intolerance"--Provided by publisher. Exercise Test. 8989 Physical Exertion physiology. 38383 Wasserman, Karlman. 38384 7 cbc orignew 1 ecip 20 y-gencatlg ddc BOOK 31503 266003 0 2013-10-27 0 0 616.120754 PRE 2013-10-27 CL 00402256 CL 2013-10-27 00:00:00 BOOK ddc 0 0 2013-10-27 0 0 616.120754 PRE 2013-10-27 CL 00402257 CL 2013-10-27 00:00:00 BOOK ddc 0 0 2013-10-27 0 0 616.120754 PRE 2013-10-27 CL 00402258 CL 2013-10-27 00:00:00 BOOK ddc 0 0 2013-10-27 0 0 616.120754 PRE 2013-10-27 AMF 00402259 AMF 2013-10-27 00:00:00 BOOK ddc 0 0 2013-10-27 0 0 616.120754 PRE 2013-10-27 AMF 00402260 AMF 2013-10-27 00:00:00 BOOK ddc 0 0 2013-10-27 0 0 616.120754 PRE 2013-10-27 AMF 00402261 AMF 2018-10-24 00:00:00 BOOK ddc 0