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Exercise Testing and Training in Coronary Heart Disease (Paperback, Softcover reprint of the original 1st ed. 1973)
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Exercise Testing and Training in Coronary Heart Disease (Paperback, Softcover reprint of the original 1st ed. 1973)
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This study on "Exercise testing and training in coronary heart
disease" is a remarkable compilation of numerous research studies,
primarily from labora tories in Europe and the United States over
the last decade or more. The topic reflects a growing awareness of
and concern about the rapidly expanding understanding of the
pathophysiology of coronary atherosclerotic heart disease. Since
muscular exercise increases aerobic metabolism of myocardial and
working skeletal muscles, greater flow of oxygenated blood is
required by each; yet underlying vascular disease restricts these
responses. This implicit paradox is here considered forthrightly.
Examination of these relationships in symptomatic patients requires
care and caution, because of the potential and occasionally real
risks entailed. Accordingly, indirect assessment, particularly by
noninvasive techniques, becomes increasingly important to detecting
and monitoring - for the safety of the patients studied - the
evidence of myocardial ischemia and impairment of left ventricular
function under stress. Adequate assessment requires well-designed
experimental studies to quantify true relationships and to measure
the limits of functional capacity and the mechanisms of its
impairment. Further more, alterations can be induced by therapy,
whether this be pharmacological, medical or surgical, or achieved
by physical reconditioning through exercise training. Not only is
the cardiovascular system impaired by discrete and diffuse vascular
lesions at central sites, but the degree of impairment is dynamic
rather than static."
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