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August 6, 1982

Clinical Exercise Testing

JAMA. 1982;248(5):597-598. doi:10.1001/jama.1982.03330050079050

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The authors make the point that they do not support the "arbitrary" division between cardiac stress tests and pulmonary exercise studies, since they feel that this leads to a shortsighted approach to both the measurements and their interpretation. This may be so, but it is not very common to find stress laboratory supervisors who are expert both in pulmonary disease and in cardiovascular disease. If the patient's problem happens to be that of episodic chest pain, the attending physician is likely to refer his patient for testing by someone expert in the causes of chest pain rather than to one skilled in the evaluation of lower airway resistance.

This work may conveniently be considered in two sections. The first seven chapters deal with an introduction to exercise testing, the physiology of exercise, indications for testing, and stress test methodology, followed by a discussion of stress test interpretation. The remaining six