Stress Testing: Principles and Practice / Edition 5

by Myrvin H. Ellestad, Frederic S. Mishkin, Ronald H. Selvester, Frederick W. James, Fred S. Mishkin, Ronald H. Startt Sylvester

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, USA
Publication date:	03/20/2003
Edition description:	Fifth Edition
Pages:	560
Product dimensions:	9.40(w) x 6.30(h) x 1.30(d)

Table of Contents

1. History of Stress Testing
2. Cardiovascular and Pulmonary Responses to Exercise
3. Physiology of Cardiac Ischemia
4. Indications
5. Contraindications, Risks, and Safety Precautions
6. Parameters to be Measured
7. Stress Echocardiography
8. Stress Testing Protocol
9. Memorial Heart Institute Protocol
10. Stress Testing After Myocardial Infarction
11. Stress Testing After Surgical Intervention and Coronary Angioplasty
12. ECG Patterns and Their Significance
13. Rhythm and Conduction Disturbances in Stress Testing
14. Predictive Implications
15. Stress Testing in Women
16. Stress Testing in Congestive Heart Failure
17. Chest Pain and Normal Coronary Arteries
18. Blood Pressure Measurements During Exercise
19. Silent Ischemia
20. Sports Medicine and Rehabilitation
21. Pediatric Exercise Testing, Frederick W. James, MD
22. Radionuclide Techniques in Stress Testing, Fred Mishkin, MD
23. Metabolic Abnormalities and Drugs
24. 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.

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