Second Edition
Edited by
Dennis A. Tighe, MD, FACP, FACC, FASE
Associate Director, Noninvasive Cardiology
Director, Adult Congenital Heart Disease Clinic
Professor of Medicine
Division of Cardiovascular Medicine
University of Massachusetts Medical School
Worcester, MA, USA
Bryon A. Gentile, II, MD, FACC
Assistant Professor of Medicine
Division of Cardiovascular Medicine
University of Massachusetts Medical School
Worcester, MA, USA
This edition first published 2020 © 2020 by John Wiley & Sons Ltd.
Edition History [1e, 1997]
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The rights of Dennis A. Tighe and Bryon A. Gentile to be identified as the authors of the editorial material in this work has been asserted in accordance with law.
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Library of Congress Cataloging‐in‐Publication Data
Names: Tighe, Dennis A., editor. | Gentile, Bryon A., II, editor. | Prededed by (work): Chung, Edward K. Pocket guide to stress testing.
Title: Pocket guide to stress testing / edited by Dennis A. Tighe, Bryon A. Gentile, II.
Description: Second edition. | Hoboken, NJ: Wiley, 2020. | Preceded by Pocket guide to stress testing / Edward K. Chung, Dennis A. Tighe. c1997. | Includes bibliographical references and index.
Identifiers: LCCN 2019024458 | ISBN 9781119481775 (paperback) | ISBN 9781119481799 (adobe pdf) | ISBN 9781119481751 (epub)
Subjects: | MESH: Exercise Test | Electrocardiography | Heart Diseases–diagnosis | Handbook
Classification: LCC RC683.5.S77 | NLM WG 39 | DDC 616.1/207543–dc23
LC record available at https://lccn.loc.gov/2019024458
Cover Design: Wiley
Cover Image: © Bryon Gentile
To my wife, Leslie, and our children, Elizabeth and Alexander
—Dennis A. Tighe
To my wife, Kaitlin, and our children, Cecelia and Caroline
—Bryon A. Gentile
Seth T. Dahlberg, MD, FACC
Associate Professor of Medicine
Division of Cardiovascular Medicine
University of Massachusetts Medical School
Worcester, MA, USA
John B. Dickey, MD
Assistant Professor of Medicine
Division of Cardiovascular Medicine
University of Massachusetts Medical School
Worcester, MA, USA
Bryon A. Gentile, II, MD, FACC
Assistant Professor of Medicine
Division of Cardiovascular Medicine
University of Massachusetts Medical School
Worcester, MA, USA
Samuel A.E. Headley, PhD, FACSM
Professor, Exercise Science and Sport Studies
Springfield College
Springfield, MA, USA
Thomas W. Rowland, MD, FAAP, FACSM
Retd. Director, Pediatric Cardiology
Baystate Medical Center
Springfield, MA, USA
Associate Professor of Pediatrics
Tufts University School of Medicine
Boston, MA, USA
Dennis A. Tighe, MD, FACP, FACC, FASE
Associate Director, Noninvasive Cardiology
Director, Adult Congenital Heart Disease Clinic
Professor of Medicine
Division of Cardiovascular Medicine
University of Massachusetts Medical School
Worcester, MA, USA
Since the first edition of the Pocket Guide was published, the role of stress testing in evaluating patients with suspected cardiovascular disease has been affirmed and new indications have emerged. In addition, new information on the application of stress testing in specific patient populations and the role of myocardial imaging in conjunction with stress testing has continued to evolve. Thus, the impetus for this second edition was to update the reader on the proper application, performance, and interpretation of the various stress testing modalities used in the contemporary stress laboratory. Each chapter has been revised to reflect the most up‐to‐date information available.
Although abundant information and expansive texts on stress testing are available, we believe that the success of the first edition of the Pocket Guide stemmed from its focused content, emphasis on key points, and inclusion of informative illustrations and tables. Therefore, in the second edition we intentionally continued using a format that is bulleted and focused, and makes extensive use of tables and illustrations to present the essential information without over‐emphasizing esoteric points. We also include a list of key references in the field at the end of each chapter, so that the reader requiring more detailed information can explore topics of interest in greater depth.
As indications and applications for stress testing have evolved, so has the number of non‐physician healthcare professionals involved in the assessment of patients prior to stress testing, during actual performance and monitoring of the test, and issuing of preliminary interpretation of test results. Given the subject matter and practical information included, this edition of the Pocket Guide should prove to be a valuable resource to both physicians and non‐physicians involved in the care of these patients.
I would like to acknowledge the contributions of my colleagues, who have provided insightful and up‐to‐date information. My co‐author, Bryon A. Gentile, II, deserves special recognition for his contribution of many valuable and highly informative chapters; without his efforts this edition of the Pocket Guide would not have been possible. I wish to acknowledge the staff of Wiley Publishers for their support and cooperation during the process of bringing this project to fruition.
Finally, I wish to pay special recognition posthumously to my mentor, teacher, co‐author, and friend, Edward K. Chung, MD. Dr. Chung was an internationally recognized author and leader in the field of electrocardiography and all its applications. He was a generous teacher who demanded excellence and influenced a generation of learners in the heart station at the Thomas Jefferson University Hospital. I was particularly fortunate to have known him and learned from him. It was my distinct privilege to have co‐authored the first edition of the Pocket Guide with him. I will be forever grateful to him for his wisdom and encouragement.