Computerized Cardiopulmonary Exercise Testing

  • U. J. Winter
  • K. Wasserman
  • H. W. Höpp
  • N. Treese
Conference proceedings

Table of contents

  1. Front Matter
    Pages I-X
  2. Historical and Methodological Aspects

  3. Clinical Value in Coronary Heart Disease and Myocardial Failure

    1. Front Matter
      Pages 71-71
    2. H. Löllgen, P. Dirschedl, U. Fahrenkrog
      Pages 73-84
    3. U. J. Winter, A. K. Gitt, G. Mager, R. Klocke, G. Pothoff, M. Sedlak et al.
      Pages 85-93
    4. Norbert Treese, M. Coutinho, A. Werneyer, S. Rhein, R. Erbel, J. Meyer
      Pages 103-110
    5. F. X. Kleber, L. Niemöller, F. Weißthanner, W. Doering
      Pages 119-127
  4. Clinical Value in Pacemaker Therapy

    1. Front Matter
      Pages 129-129
    2. Norbert Treese, M. Coutinho, A. Stegmeier, S. Jungfleisch, A. Werneyer, U. Nixdorf et al.
      Pages 139-146
    3. Franz van Erckelens, M. Sigmund, Ch. Reupcke, B. Heiermann, P. Hanrath
      Pages 147-157

About these proceedings

Introduction

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.

Keywords

artery cardiac function cardiac pacing cardiology cardiovascular coronary artery disease coronary heart disease heart heart disease heart failure myocardial infarction pacemaker physiology respiration sports medicine

Editors and affiliations

  • U. J. Winter
    • 1
  • K. Wasserman
    • 2
  • H. W. Höpp
    • 1
  • N. Treese
    • 3
  1. 1.Klinik III für Innere MedizinUniversität KölnKöln 41Deutschland
  2. 2.Harbor UCLATorranceUSA
  3. 3.II. Medizinische Klinik und PoliklinikUniversität MainzMainzDeutschland

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-642-85404-0
  • Copyright Information Steinkopff-Verlag Darmstadt 1991
  • Publisher Name Steinkopff
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-642-85406-4
  • Online ISBN 978-3-642-85404-0
  • About this book