Exercise Physiology for the Pediatric and Congenital Cardiologist
This book provides a comprehensive overview of exercise physiology in patients with congenital heart disease and other pediatric cardiopulmonary disorders. It begins with an in-depth but pragmatic discussion of exercise physiology and the cardiopulmonary
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Exercise Physiology for the Pediatric and Congenital Cardiologist
Jonathan Rhodes Mark E. Alexander Alexander R. Opotowsky Editors
Exercise Physiology for the Pediatric and Congenital Cardiologist
Editors Jonathan Rhodes, MD Department of Pediatrics Harvard Medical School Boston, MA USA
Mark E. Alexander, MD Department of Pediatrics Harvard Medical School Boston, MA USA
Alexander R. Opotowsky, MD, MPH Department of Pediatrics Harvard Medical School Boston, MA USA
ISBN 978-3-030-16817-9 ISBN 978-3-030-16818-6 (eBook) https://doi.org/10.1007/978-3-030-16818-6 © Springer Nature Switzerland AG 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To Janet, who has loved and supported me through everything, raised five wonderful children, and added spirituality to my life. How long have we been married??? Not long enough! Jonathan Rhodes To Lori, over 34 years of OB call, child rearing, sage advice and amusement at the many ways academic medicine can keep her husband busy, tolerated this and all the tasks that have let our careers and marriage thrive. Thank you again. Mark E. Alexander To my parents, Barbara and Stuart, who poured for me a foundation of curiosity, love of spirited debate, and zest for understanding. Alexander R. Opotowsky
Preface
hodes’ Postulates and the Reasons Why Pediatric R and Congenital Cardiologists Should Study Exercise Physiology 1. The primary function of the cardiopulmonary system is to provide blood flow (and oxygen) in quantities sufficient to support the metabolic needs of the body. 2. This function is maximally stressed when an individual’s metabolic rate is increased, a condition that occurs most commonly during physical activity/exercise.
