Exercise and Heart Failure American Heart Association - Fighting Heart Disease and Stroke

by Balady, Gary; Pina, Ileana

• ISBN13: 9780879936679
• ISBN10: 0879936673
• Edition: 1st
• Format: Hardcover
• Copyright: 1997-09-09
• Publisher: Wiley-Blackwell

Summary

Exercise testing has become an integral component of the management of patients with chronic heart failure. Exercise and heart failure can be seen to have a dynamic interrelationship, in which exercise can provide important diagnostic information, yet can also be used to assess the effectiveness of treatment regimes, and as a therapeutic intervention in itself. This is the first book that directly and comprehensively addresses the issues involving exercise patients with heart failure and heart transplants. It presents a unique and comprehensive overview of epidemiological, physiological and clinical aspects of this relationship.The text covers the physiology of myocardial dysfunction, the transplanted heart, and ventricular assist devices as they affect exercise capacity and responses during exercise and exertion. It goes on to discuss in more depth the exercise testing of patients, including the methods and utility of ventilatory gas analysis, the physiologic and clinical effects of exercise training on these patients, and ecommended exercise training programsThis text, part of the American Heart Association Monograph Series, provides a cogent and comprehensive overview of its topic that should be of practical value to a broad range of physicians, exercise physiologists and consultants working in this field.

Author Biography

Gary Balady and Ileana Pina are the authors of Exercise and Heart Failure: American Heart Association - Fighting Heart Disease and Stroke, published by Wiley.

Table of Contents

Preface	vii
Gary J. Balady, MD
Ileana L. Pina, MD
SECTION 1 Epidemiology of Left Ventricular Dysfunction	3	(28)
Chapter 1. Epidemiology of Heart Failure: Evolving Trends	3	(16)
Nihir B. Shah, MD
Barry M. Massie, MD
Chapter 2. Economics of Heart Failure	19	(12)
Marvin A. Konstam, MD
Carey D. Kimmelstiel, MD
SECTION 2 Heart Failure and Exercise Tolerance	31	(84)
Chapter 3. Systolic Failure	31	(8)
Michael B. Higginbotham, MB, BS
Chapter 4. Exercise, Diastolic Function, and Dysfunction	39	(46)
Carl S. Apstein, MD
Joseph R. Libonati, PhD
Niraj Varma, MD
Franz R. Eberli, MD
Chapter 5. Neurohormonal Responses to Exercise in Heart Failure	85	(12)
Gary S. Francis, MD
Chapter 6. The Transplanted Heart	97	(18)
Jon A. Kobashigawa, MD
SECTION 3 Therapeutic Approaches to Heart Failure and Their Impact on Exercise Tolerance	115	(98)
Chapter 7. Overview of Medical Therapy in Heart Failure: The Challenge of Rational Polypharmacy	115	(26)
James B. Young, MD
Chapter 8. Effects of Long-Term Beta-Adrenergic Blockade on Exercise Capacity in Patients with Chronic Heart Failure	141	(30)
Eugene E. Wolfel, MD
Michael R. Bristow, MD, PhD
Chapter 9. Cardiac Transplantation: Current Concepts and Future Directions	171	(14)
Michael Argenziasno, MD
Eric A. Rose, MD
Chapter 10. Cardiac Transplantation: Trends, Techniques, and Bridges	185	(14)
Valluvan Jeevanandam, MD
Chapter 11. Long-Term Implant of Left Ventricular Assist Devices	199	(14)
Brian E. Jaski, MD
Richard S. Maly, MS
SECTION 4 Exercise Testing and Expired Gas Analysis	213	(48)
Chapter 12. Exercise Testing Protocols for Use in Heart Failure	213	(8)
Ileana L. Pina, MD
Chapter 13. Ventilatory Gas Exchange in Heart Failure: Techniques, Problems, and Pitfalls	221	(22)
Jonathan Myers, PhD
Chapter 14. Clinical Utility of Cardiopulmonary Exercise Testing Data in Heart Failure	243	(18)
Rebecca J. Quigg, MD
SECTION 5 Physiological Responses to Exercise Training	261	(50)
Chapter 15. Cardiovascular Adaptations to Exercise Training in Left Ventricular Dysfunction	261	(16)
Martin J. Sullivan, MD
Brian D. Duscha, MS
Chapter 16. Skeletal Muscle and the Role of Exercise Training in Chronic Heart Failure	277	(8)
John R. Wilson, MD
Don B. Chomsky, MD
Chapter 17. Central and Peripheral Responses to Training after Cardiac Transplantation	285	(26)
John R. Stratton, MD
SECTION 6 The Exercise Training Program	311	(32)
Chapter 18. Screening and Evaluation of Patients for Exercise Training	311	(10)
Gerald F. Fletcher, MD
Victor Fernandez, BS
Chapter 19. Training Methods and Monitoring of the Heart Failure Patients	321	(8)
Barbara J. Fletcher, BSN, RN, MN
Sandra Dunbar, RN, DSN
Chapter 20. Training Methods and Monitoring of Cardiac Transplant Patients	329	(4)
Ileana L. Pina, MD
Chapter 21. Costs and Reimbursement Issues for Exercise Training Programs	333	(10)
Suzanne K. White, MN, RN, FAAN, FCCM, CNAA
Index	343