About the Book
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:
Part I. Introduction Chapter 1. Clinical Applicability of the Pediatric Exercise Test Thomas Rowland Chapter 2. Conducting the Pediatric Exercise Test Amy Lynne Taylor Part II. Exercise Testing Methodology Chapter 3. Exercise Testing Protocols Richard J. Sabath III, David A. White, and Kelli M. Teson Chapter 4. Normal Cardiovascular Responses to Progressive Exercise Thomas Rowland Chapter 5. Exercise Electrocardiography Thomas Rowland Chapter 6. Blood Pressure Response to Dynamic Exercise Bruce Alpert and Ranjit Philip Chapter 7. Maximal Oxygen Uptake Ali M. McManus and Neil Armstrong Chapter 8. Other Measures of Aerobic Fitness Robert P. Garofano Chapter 9. Cardiac Output Measurement Techniques Darren E.R. Warburton and Shannon S.D. Bredin Chapter 10. Assessing Myocardial Function Thomas Rowland Chapter 11. Pulmonary Function Patricia A. Nixon Part III. Exertion-Based Applications Chapter 12. Congenital and Acquired Heart Disease Michael G. McBride and Stephen M. Paridon Chapter 13. Exercise-Induced Dyspnea Steven R. Boas Chapter 14. Chest Pain With Exercise Julie Brothers Chapter 15. Presyncope and Syncope With Exercise Julie Brothers Chapter 16. Exercise Fatigue Thomas Rowland Part IV. Testing Special Populations Chapter 17. Pectus Excavatum Thomas Rowland Chapter 18. Obesity Laura Banks and Brian W. McCrindle Chapter 19. Intellectual Disability Bo Fernhall and Tracy Baynard Chapter 20. Neuromuscular Disease Olaf Verschuren, Janke de Groot, and Tim Takken
About the Author :
Thomas W. Rowland, MD, is a pediatric cardiologist at Baystate Medical Center in Springfield, Massachusetts, and a professor of pediatrics at Tufts University School of Medicine. A graduate of the University of Michigan Medical School, Rowland is board certified in pediatrics and pediatric cardiology by the American Board of Pediatrics. Rowland, who has had more than 150 journal articles published, is the author of four books: Biologic Regulation of Physical Activity; Children's Exercise Physiology, Second Edition; Tennisology: Inside the Science of Serves, Nerves, and On-Court Dominance; and The Athlete's Clock. He has served as editor of the journal Pediatric Exercise Science and as president of the North American Society for Pediatric Exercise Medicine (NASPEM) and was on the board of trustees of the American College of Sports Medicine (ACSM). He is past president of the New England chapter of the ACSM and received the Honor Award from that organization in 1993. Rowland is a competitive tennis player and distance runner. He and his wife, Margot, reside in Longmeadow, Massachusetts. The American College of Sports Medicine (ACSM), founded in 1954, is the largest sports medicine and exercise science organization in the world. With more than 50,000 members and certified professionals worldwide, ACSM is dedicated to improving health through science, education, and medicine. ACSM members work in a wide range of medical specialties, allied health professions, and scientific disciplines. Members are committed to the diagnosis, treatment, and prevention of sport-related injuries and the advancement of the science of exercise. The ACSM promotes and integrates scientific research, education, and practical applications of sports medicine and exercise science to maintain and enhance physical performance, fitness, health, and quality of life. The North American Society for Pediatric Exercise Medicine (NASPEM), founded in 1985, is a professional organization whose membership is composed of medical doctors, researchers, educators, and students interested in pediatric exercise. NASPEM is dedicated to the mission of promoting exercise science, physical activity, and fitness in the health and medical care of children and adolescents. That mission is accomplished in part through scientific meetings, a scholarly journal (Pediatric Exercise Science), collaborative research, student aid in the form of grants and awards, and a training program database.
