Making Sense of Exercise Testing

Dr. Robert B. Schoene is a graduate of Princeton University ’68 and Columbia College of Physicians and Surgeons ’72. He continued his training at the University of Washington School of Medicine in Internal Medicine and Pulmonary Medicine. He was on the faculty there from 1981–2003; his clinical and research endeavors were primarily critical care and exercise physiology, which led to his overseeing two of the exercise laboratories there. He also became involved in high-altitude research, which took him to Mt. Everest in 1981 to explore the limits of human performance, Denali in the mid-1980s to investigate high-altitude pulmonary edema, and the Andes over a couple of decades to investigate people living at high altitude. In 2003, he went to the UCSD School of Medicine to direct the Internal Medicine Training program and continue his work in pulmonary and exercise physiology. He presently is in the San Francisco Bay area practicing intensive care medicine as well as clinical exercise testing. Dr. H. Thomas Robertson is a graduate of Colgate University ’64 and Harvard Medical School ’68. He completed his four-year medical residency at the University of Washington, interspersed by a twoyear tour as a partially trained anesthesiologist with the United States Army. After a two-year pulmonary fellowship at the University of Washington, he joined the Pulmonary Division as a faculty member. Throughout his academic career, he divided his time roughly equally between teaching, care of hospitalized patients, and physiology research in pulmonary gas exchange. He is now an Emeritus Professor of Medicine and Physiology and Biophysics at the University of Washington. In retirement, he continues to exercise patients and conduct the weekly exercise conference at the University Hospital.

• Preface Authors 1. Introduction 2. Orientation to the cardiopulmonary exercise test 3. Exercising muscle during a progressive work test 4. Cardiovascular system during a progressive work test 5. Respiratory system during a progressive work test 6. Planning and conducting the exercise test 7. Interpreting the CPET 8. Exercise testing patients with cardiovascular disease 9. Exercise testing patients with pulmonary hypertension 10. Exercise testing patients with airflow obstruction 11. Exercise testing patients with restrictive lung abnormalities 12. Exercise testing patients with metabolic myopathies 13. Differential diagnosis for loss of exercise tolerance 14. Gender differences in exercise 15. Exercise testing the elderly 16. Exercise testing the obese 17. Exercise testing elite aerobic athletes 18. Exercise training: The role of CPET 19. Cardiac and pulmonary rehabilitation 20. Workplace exercise 21. Exercise at altitude 22. Exercise in heat and cold Index