Ellestad's Stress Testing

Gregory Thomas, MD, Medical Director, MemorialCare Heart & Vascular Institute, Long Beach Memorial Medical Center; Clinical Professor and Director of Nuclear Cardiology Education, University of California, Irvine, Long Beach, California L. Samuel Wann, MD, Attending Cardiologist, Columbia-St. Mary's Healthcare, Milwaukee, Wisconsin

Preface
List of Contributors

Introduction
1. History of Exercise Testing
2. Physiology of Cardiac Ischemia

Practical Considerations in Stress Testing
3. When to Use Exercise Testing - Indications, Guidelines and Appropriate Use Criteria
4. Contraindications, Risks, and Safety Precautions for Stress Testing
5. Parameters to be Measured During Exercise
6. Blood Pressure Measurement During Exercise
7. Stress Testing Protocols
8. The Ellestad Protocol
9. Interpretation of the ECG During Stress Testing
10. Rhythm and Conduction Disturbances in Stress Testing
11. Predicting Prognosis with the Exercise Test: Putting It All Together
12. Non-physician Supervision of Stress Testing
13. Optimizing Stress Testing in a Limited Financial Resource Environment

Role of Cardiac Imaging in Stress Testing
14. Making Clinical Decisions Based on Exercise Testing
15. Nuclear Cardiology
16. Stress Echocardiography
17. Stress Cardiac Magnetic Resonance Imaging
18. Stress X-Ray Computed Tomography
19. Combining Calcium Scanning and Treadmill Exercise: The "Treadmill Calcium Test"

Physiologic and Metabolic Considerations
20. Cardiovascular and Pulmonary Responses to Exercise
21. Cardiopulmonary Exercise Testing
22. Heart Rate Response to Exercise
23. Metabolic Abnormalities and Drugs

Stress Testing in Specific Populations
24. Stress Testing in Women
25. Stress Testing of Athletes and Those in High Risk Occupations
26. Sports Medicine and Cardiac Rehabilitation for Coronary and Peripheral Artery Disease
27. Stress Testing in Children

The Future of Stress Testing
28. The Impact of Changing Global Atherosclerosis Patterns on Stress Testing
29. Perspectives on the Future of Stress Testing

Appendix