This book by Corey H. Evans, Russell D. White, and coauthorsis a gem. There was a time when exercise testing was largely limited to cardiologists, but no more. Ex- cise testing, which providesinformationon tness, the risk of coronarydisease, and all around vitality, is now being performed in the of ces of primary care physicians across the United States. Although there is a signi cant risk in some populations, a careful doctor who takes the trouble to become knowledgeable in exercise physiology and the pat- physiologyof coronary artery disease can use exercise testing to improve his ability to give excellent, preventive medicine. Over the years I have read many books on this subject, and even contributed to some,andthis oneratesrightup therewith the best. Likemanymultiauthoredbooks thereissomerepetition,butthisisnotallbad.Acarefulstudyofthevariouschapters willprovideadepthofknowledgethatwillcomeingoodsteadwhenproblemsarise. I can especially recommendthe chapter on exercise physiology.When the reader has mastered the material presented in this chapter, he has acquired a knowledge base so that he can become an expert in exercise testing equal to almost anyone. Over the years I have been privileged to know several of the authors and have followed their publications. Their contributions to our knowledge base in this eld havebeenconsiderable.Acquiringthisbookandbecomingfamiliarwithitscontents will set you apart in the eld of exercise testing.

This practical book is a guide to exercise stress testing for primary care, family medicine, and sports medicine physicians. Sections are devoted to performing the stress test, test interpretation and application, and sports medicine applications. An evidence-based approach is incorporated where appropriate, and cases highlight patient management. Flow charts and algorithms further aid with the decision-making process. Hospital privilege, risk, and medical-legal concerns are addressed as well. The book is complete with appendices that outline equipment requirements and reimbursement and coding.

Section 1: Performing the Test: Why to Exercise Stress Test.- Physiology.- Test Performance.- Special Protocols and Testing Special Populations.- Hospital Privilege, Risk and Medical-Legal Concerns.- Section 2: Test Interpretation and Application: Test Interpretation.- Managing Common Abnormal Responses.- Nuclear Imaging Techniques.- Stress Echocardiography.- Risk Stratification of Symptomatic Patients.- Exercise Testing for Preoperative Evaluation.- Risk Stratification of Asymptomatic Patients: Exercise Test and Other Tools.- Exercise Testing for Cardiac Patients.- Section 3: Sports Medicine Applications: Exercise Testing for Fitness Evaluation.- Exercise Prescription.- Gas Analysis.- Athletic Populations.- Section 4: Case Studies: Appendix A: Equipment.- Appendix B: Reimbursement and Coding