EXERCISE PHYSIOLOGY FOR THE PEDIATRIC AND CONGENITAL CARDIOLOGIST

• SECTION I: The Normal Cardiopulmonary Response to Exercise
1. Biochemistry of Exercise
2. Oxygen Delivery
3. Central Hemodynamics and Coronary Blood Flow During Exercise
4. CO2 Elimination (V?CO2)
• SECTION II: Conduct of the Cardiopulmonary Exercise Test
5. Laboratory Setup, Equipment, and Protocols
6. Exercise Stress Echocardiography
7. Other Modalities
8. Supervision and Safety Precautions for Exercise Testing
9. Special Considerations for Children
10. Special Considerations for Adults with Congenital Heart Disease
• SECTION III: Interpretation of the Cardiopulmonary Exercise Test
11. Peak Exercise Parameters
12. Parameters from Submaximal Exercise
13. Putting It All Together
• SECTION IV: Prototypical Lesions
14. Repaired Tetralogy of Fallot
15. Patients with a Fontan Circulation
16. Aortic Valve Disease
17. Coarctation of the Aorta
18. Systemic Right Ventricles with a Biventricular Circulation (L-Transposition and D-Transposition s/p Atrial Switch)
19. D-Transposition s/p Arterial Switch Operation
20. Ebstein’s Anomaly
21. Pulmonary Vascular Disease
22. Exercise Testing in Pediatric Dilated Cardiomyopathy
23. Hypertrophic Cardiomyopathy
24. Coronary Anomalies
25. Metabolic Disorders
26. Exercise Testing After Pediatric Heart Transplantation
27. Cardiac Rehabilitation and Exercise Training
28. Summary of Lesions
• SECTION V: Electrophysiologic Issues
29. Syncope, Orthostatic Intolerance, and Exertional Symptoms
30. Exercise Stress Testing: Diagnostic Utility in the Evaluation of Long QT Syndrome
31. Wolff-Parkinson-White Syndrome
• 32. Exercise Testing in the Management of Arrhythmias
Section VI: Interesting/Instructive Cases
33. Patients with Physiologically Normal Hearts and Lungs
34. Patients with Unusual Congenital Heart Defects and/or Intracardiac Shunts
35. Patients with Significant Lung Disease.

This book provides a comprehensive overview of exercise physiology in patients with congenital heart disease and other pediatric cardiopulmonary disorders. It begins with an in-depth but pragmatic discussion of exercise physiology and the cardiopulmonary adaptations to physical activity, followed by a review of the conduct and interpretation of cardiopulmonary exercise tests. Subsequent chapters discuss exercise physiology and testing in patients with a variety of congenital heart diseases, including tetralogy of Fallot, Fontan physiology, transposition of the great arteries, aortic valve disease, and coarctation of the aorta. Additional chapters analyze other conditions commonly encountered by pediatric and congenital cardiologists such as pulmonary vascular disease, cardiomyopathies, heart transplants, and metabolic disorders. The book also examines the role of exercise testing in patients with electrophysiologic issues such as Wolff-Parkinson-White Syndrome, long QT syndrome, atrioventricular node dysfunction, and pacemakers. The presentations are enhanced by data from Boston Children’s Hospital’s vast experience with clinical exercise testing. The textbook concludes with a series of interesting and illustrative cases that build on the earlier chapters, present some fascinating physiology, and provide real-world examples of how exercise testing can inform clinical decision making. Exercise Physiology for the Pediatric and Congenital Cardiologist is a detailed, practical reference for clinicians and other health care providers engaged in exercise testing for children and adults with congenital heart disease and other conditions that may be encountered by the pediatric and congenital cardiologist. It is an essential resource for physicians, medical students, and exercise physiologists as well as researchers in cardiology, pediatrics, and cardiopulmonary fitness..

Features
• Provides concrete examples of cardiopulmonary exercise test data and its interpretation
• Focuses on congenital heart disease and other pediatric cardiovascular disorders
• Explains the physiology and its relationship to the clinical picture