Exercise Physiology for the Pediatric and Congenital Cardiologist

  • Jonathan Rhodes
  • Mark E. Alexander
  • Alexander R. Opotowsky

Table of contents

  1. Front Matter
    Pages i-xvii
  2. The Normal Cardiopulmonary Response to Exercise

    1. Front Matter
      Pages 1-1
    2. Jonathan Rhodes
      Pages 3-4
    3. Jonathan Rhodes
      Pages 5-9
    4. Jonathan Rhodes
      Pages 15-17
  3. Conduct of the Cardiopulmonary Exercise Test

    1. Front Matter
      Pages 19-19
    2. Julieann O’Neill, Laura Bourette
      Pages 21-28
    3. Iqbal El-Assaad, Keri M. Shafer, Ming Hui Chen
      Pages 29-35
    4. Jennifer L. Pymm
      Pages 47-48
  4. Interpretation of the Cardiopulmonary Exercise Test

    1. Front Matter
      Pages 51-51
    2. Jonathan Rhodes
      Pages 53-64
    3. Jonathan Rhodes
      Pages 65-74
    4. Jonathan Rhodes
      Pages 75-79
  5. Prototypical Lesions

    1. Front Matter
      Pages 81-81
    2. Jonathan Rhodes, Alexander R. Opotowsky, Mark E. Alexander
      Pages 83-95
    3. Jonathan Rhodes, Alexander R. Opotowsky
      Pages 97-115
    4. Jonathan Rhodes
      Pages 117-123
    5. Jonathan Rhodes, Alexander R. Opotowsky
      Pages 125-130
    6. Jonathan Rhodes, Alexander R. Opotowsky
      Pages 139-144
    7. Jonathan Rhodes, Alexander R. Opotowsky
      Pages 145-151
    8. Jonathan Rhodes, Alexander R. Opotowsky
      Pages 153-161
    9. Irene D. Lytrivi, T. P. Singh
      Pages 163-168
    10. Renee Margossian, Jonathan Rhodes
      Pages 169-177
    11. Jennifer Huang, Keri M. Shafer
      Pages 179-185
    12. Jonathan Rhodes
      Pages 187-193
    13. Arene Butto, T. P. Singh
      Pages 195-200
    14. Ana Ubeda-Tikkanen, Naomi S. Gauthier
      Pages 201-208
    15. Jonathan Rhodes
      Pages 209-210
  6. Electrophysiologic Issues

    1. Front Matter
      Pages 211-211
    2. Stephanie F. Chandler, Robyn J. Hylind, Dominic J. Abrams
      Pages 219-226
    3. Tam Dan N. Pham, Mark E. Alexander
      Pages 227-234
    4. Audrey Dionne, Edward T. O’Leary, Shankar Baskar, Vassilios J. Bezzerides, Mark E. Alexander
      Pages 235-255
  7. Part VI

    1. Front Matter
      Pages 257-257
    2. Jonathan Rhodes
      Pages 305-319
  8. Back Matter
    Pages 321-330

About this book


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.


Cardiopulmonary adaptations to exercise Cardiopulmonary exercise testing Congenital heart disease Electrophysiology and exercise testing Exercise physiology Exercise testing in children Pediatric cardiovascular disorders

Editors and affiliations

  • Jonathan Rhodes
    • 1
  • Mark E. Alexander
    • 2
  • Alexander R. Opotowsky
    • 3
  1. 1.Department of PediatricsHarvard Medical SchoolBostonUSA
  2. 2.Department of PediatricsHarvard Medical SchoolBostonUSA
  3. 3.Department of PediatricsHarvard Medical SchoolBostonUSA

Bibliographic information

  • DOI
  • Copyright Information Springer Nature Switzerland AG 2019
  • Publisher Name Springer, Cham
  • eBook Packages Medicine
  • Print ISBN 978-3-030-16817-9
  • Online ISBN 978-3-030-16818-6
  • Buy this book on publisher's site