Cardiopulmonary Exercise Testing in Children and Adolescents

Authors : Thomas W Rowland, American College of Sports Medicine, North American Society for Pediatric Exercise Medicine (NASPEM)
Edition : 1
Year :2018
Descripti on :

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. 


Table of contents : Content: Clinical applicability of the pediatric exercise test / Thomas W. Rowland / Conducting the pediatric exercise test / Amy Lynne Taylor --
Exercise testing protocols / Richard J. Sabath III, David A. White, and Kelli M. Teson --
Normal cardiovascular responses to progressive exercise / Thomas W. Rowland --
Exercise electrocardiography / Thomas W. Rowland --
Blood pressure response to dynamic exercise / Bruce Alpert and Ranjit Philip --
Maximal oxygen uptake / Ali M. McManus and Neil Armstrong --
Other measures of aerobic fitness / Robert P. Garofano --
Cardiac output measurement techniques / Darren E.R. Warburton and Shannon S.D. Bredin --
Assessing myocardial function / Thomas W. Rowland --
Pulmonary function / Patricia A. Nixon --
Congenital and acquired heart disease / Michael G. McBride and Stephen M. Paridon --
Exercise-induced dyspnea / Steven R. Boas --
Chest pain with exercise / Julie Brothers --
Presyncope and syncope with exercise / Julie Brothers --
Exercise fatigue / Thomas W. Rowland --
Pectus excavatum / Thomas W. Rowland --
Obesity / Laura Banks and Brian W. McCrindle --
Intellectual disability / Bo Fernhall and Tracy Baynard --
Neuromuscular disease / Olaf Verschuren, Janke de Groot, and Tim Takken.


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