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Books > Medicine > Other branches of medicine > Sports injuries & medicine
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Computerized Cardiopulmonary Exercise Testing (Paperback, Softcover reprint of the original 1st ed. 1991)
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Computerized Cardiopulmonary Exercise Testing (Paperback, Softcover reprint of the original 1st ed. 1991)
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The measurement of cardio-circulatory and gas-exchange parameters
during phy sical exercise - the so-called ergo spirometry or
cardiopulmonary exercise testing (CPX) - as a basis of
pathophysiological and clinical research has a long tradition in
Cologne. Knipping and his coworkers, especially Hollmann, performed
basic re search work in healthy subjects. In the area of sports
medicine, bicycle or treadmill exercise testing with parallel
serial lactate determinations has gained increasing im portance for
the assessment of cardiac functional capacity. Also, in other
medical disciplines, ergospirometry lost its importance. K.
Wasserman in Los Angeles is to be credited for having further
improved the method to its present standard, a computerized,
on-line measuring and practicable cardiopulmonary exercise testing
procedure. The prerequisites were technical innovations, such as
continuously measuring gas analyzers and personal computers.
Thereby, the knowledge about physiology, pathophysiology, and
clinical circumstances of cardiocirculatory and re spiratory
regulation during exercise were significantly extended. The working
groups of W. Hollmann, Cologne, and K. Wasserman, Los Angeles,
determined normal values for the gas-exchange parameters and
derived values for healthy normals in large populations. Wasserman
and coworkers were able to introduce a differential diagnostic
concept for patients suffering from various cardiovascular and
cardio pulmonary diseases. Many cardiologists, working, for example
in myocardial failure or with rate-adaptive pacemakers, belong to
those who recommended the modem, computerized ergo spirometry.
Furthermore, this method is controversely discussed* by colleagues
working in sports medicine and pulmonary function.
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