Abstract
As noted in chapter 3, a reliable indicator of ventricular dysfunction that was independent of transient variables such as preload, afterload, and catecholamine tone, has long been sought by clinical cardiologists. One candidate for such a test, the hemodynamic response to exercise, has been used for several decades as a tool to assess cardiac performance. Upon reviewing this experience, it is clear that exercise testing in the catheterization laboratory has been an enormously useful tool to help predict the onset of ventricular dysfunction in certain congenital lesions [1–3], to test the degree of hemodynamic normalization that may occur after repair of a congenital lesion [4, 5], and to test the “compliance” of a pulmonary or systemic vascular bed that has been damaged by long-standing congenital heart disease [6–8].
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© 1987 Martinus Nijhoff Publishing, Boston
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Keane, J.F., Lock, J.E. (1987). Special Studies: Exercise, Drug Studies, and Myocardial Biopsy. In: Diagnostic and Interventional Catheterization in Congenital Heart Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-2333-4_8
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DOI: https://doi.org/10.1007/978-1-4613-2333-4_8
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