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Clinical Exercise Electrocardiography [Kõva köide]

  • Formaat: Hardback, 384 pages, kaal: 737 g
  • Ilmumisaeg: 27-Feb-2015
  • Kirjastus: Jones and Bartlett Publishers, Inc
  • ISBN-10: 1284034208
  • ISBN-13: 9781284034202
Teised raamatud teemal:
  • Formaat: Hardback, 384 pages, kaal: 737 g
  • Ilmumisaeg: 27-Feb-2015
  • Kirjastus: Jones and Bartlett Publishers, Inc
  • ISBN-10: 1284034208
  • ISBN-13: 9781284034202
Teised raamatud teemal:
Each new print copy includes Navigate 2 Advantage Access that unlocks a comprehensive and interactive eBook, student practice activities and assessments, a full suite of instructor resources, and learning analytics reporting tools.

Written for the Exercise Physiologist, Clinical Exercise Electrocardiography address the needs of Exercise Physiologists working in a clinical setting and addresses static interpretation of rhythm strips and 12-leads. It concentrates on the physiology and etiology of arrhythmia, as well as the treatment of arrhythmia. It includes not only the traditional basic ECG, arrhythmia, myocardial infarction and pacemaker chapters but goes on to provide easy to read chapters on Cardiac Pathophysiology, Cardiovascular testing procedures, Cardiac Pharmacology and Structural Heart Disease, and Inflammatory Processes. The authors explore differences in ECG interpretation in women, children, and athletes, and look at the use of ECG’s in exercise stress testing situations.

Key Features:

- Provides tips and hints on how to evaluate an ECG dynamically
- The first text of its kind to offer a specific educational experience in a clinical education for Exercise Physiologists
- Over 100 test strips allow students to evaluate ECGs of different age groups, genders, and athletic abilities
- A bulleted points format helps students better understand and retain key information
- Also, a great study tool for those preparing for the ACSM CES Certification Exam, as well as a great reference tool for the cardiac rehabilitation professional, physician, physician assistant or nurse
- Includes learning objectives, key terms glossary, clinical case studies, and over 100 practice ECGs.
- Instructor resources include Presentations in PowerPoint format and Test Bank.

With Navigate 2, technology and content combine to expand the reach of your classroom. Whether you teach an online, hybrid, or traditional classroom-based course, Navigate 2 delivers unbeatable value. Experience Navigate 2 today at www.jblnavigate.com/2
Foreword xii
Preface xiv
Acknowledgments xvi
About The Authors xvi
Contributors xix
Chapter 1 Heart Structure and Function
1(8)
Shel Levine
Adam deJong
Primary Heart Function
2(1)
Heart Location and Structure
2(2)
Location
2(1)
Pericardium and the Layers of the Heart
2(1)
Heart Wall
2(1)
Myocardial Cells
3(1)
Internal Heart Structures
3(1)
Blood Supply
4(1)
Neural Factors Influencing the Heart
4(1)
Properties of Myocardial Cells
5(1)
Autonomic Nervous System
5(1)
Electrical Conduction System
5(1)
SA Node
6(1)
Internodal Conduction Tracts
6(1)
AV Node
6(1)
Bundle of His
6(1)
Bundle Branches
6(1)
Purkinje Fibers
6(1)
States of Polarization
6(1)
Polarized State
7(1)
Depolarization
7(1)
Repolarization
7(1)
Refractory Periods
7(1)
Wiggers Diagram
7(2)
Bibliography
7(1)
Key Terms
8(1)
Chapter 2 Cardiovascular Pathophysiology
9(18)
Thomas J. Birk
Susan Ann Talley
Introduction
10(1)
Congenital Structural Abnormalities
10(6)
Atrial Septal Defect
10(1)
Ventricular Septal Defect
11(1)
Transposition of the Great Vessels
12(1)
Tetralogy of Fallot
13(1)
Pulmonary Valve Stenosis
13(1)
Patent Ductus Arteriosus
14(1)
Coarctation of the Aorta
15(1)
Acquired Structural Abnormalities
16(7)
Rheumatic Heart Disease
16(1)
Infective Endocarditis
17(2)
Coronary Artery Disease
19(1)
Myocardial Infarction
20(1)
Heart Failure
21(2)
References
23(1)
Key Terms
24(3)
Chapter 3 Cardiovascular Testing and Procedures
27(16)
Jonathan K. Ehrman
Introduction
28(1)
Pretest Probability of Coronary Artery Disease
28(2)
Diagnostic Test Accuracy
28(1)
How to Decide Which Test to Order
29(1)
Exercise Test
30(2)
Other Names Used to Describe the Exercise Test
30(1)
General Reasons for an Exercise Test
30(1)
Staffing
30(1)
Safety
31(1)
Test Modalities
31(1)
Test Protocols
31(1)
Cardiopulmonary Assessment
31(1)
Imaging
32(3)
Echocardiography
32(3)
Myocardial Perfusion Imaging
35(1)
Coronary Angiography
35(6)
Percutaneous Coronary Intervention
37(1)
Coronary Artery Bypass Graft
38(1)
Positron Emission Tomography
38(1)
Cardiac Magnetic Resonance Imaging
38(1)
Coronary Calcium Scoring
38(3)
Other Types of Tests
41(1)
T-Wave Alternans Testing
41(1)
References
41(1)
Key Terms
42(1)
Chapter 4 Basic ECG Concepts and the Normal ECG
43(20)
Brian J. Coyne
Shel Levine
Introduction
44(1)
ECG Standardization
44(2)
ECG Paper
44(1)
ECG Paper Speed
45(1)
Calibration of the ECG
45(1)
Standard 12-Lead Printouts
45(1)
Calculation of Heart Rate
46(2)
Dark Line Method
46(1)
The 1500 Method
46(2)
The 6-Second Method
48(1)
Development of the 12 Leads
48(4)
Bipolar Limb Lead Development (Einthoven's Triangle)
48(2)
Unipolar Limb Lead Development
50(1)
Hexaxial Reference System
50(1)
Precordial Leads
51(1)
Precordial Leads in the Horizontal Plane
51(1)
The Normal Cardiac Cycle
52(4)
The P Wave
52(1)
The PR Interval
53(1)
QRS Complex
53(2)
ST Segment
55(1)
T Wave
55(1)
U Wave
56(1)
QT Interval
56(1)
Axis Deviation
56(5)
Calculation of the Mean QRS Axis
57(1)
Two-Lead Method of Axis Determination
57(1)
Left Axis Deviation
57(4)
Right Axis Deviation
61(1)
Indeterminate Axis
61(1)
References
61(1)
Key Terms
61(2)
Chapter 5 Systematic Interpretation Techniques
63(4)
Lisa Cooper Colvin
Shel Levine
Brian J. Coyne
Introduction
64(1)
The Systematic Process
64(1)
Step 1 Determine the Regularity of the R Wave or Ventricular Rate/Rhythm
64(1)
Step 2 Calculate the Heart Rate
64(1)
Step 3 Locate and Examine the P Wave
64(1)
Step 4 Measure the PR Interval
65(1)
Step 5 Measure the QRS Complex
65(1)
Step 6 Identify Abnormal Q Waves
65(1)
Step 7 Evaluate the ST Segment and T Wave
65(1)
Additional Steps for Interpreting 12-Lead ECGs
65(1)
Summary
65(1)
References
65(1)
Key Terms
65(2)
Chapter 6 Sinus Rhythms
67(8)
Shel Levine
Brian J. Coyne
Normal Sinus Rhythm
68(1)
Appearance
68(1)
Sinus Bradycardia
68(1)
Pathophysiology
68(1)
Appearance
69(1)
Causes
69(1)
Treatment
69(1)
Sinus Tachycardia
69(2)
Pathophysiology
69(1)
Appearance
70(1)
Causes
70(1)
Treatments
70(1)
Sinus Arrhythmia
71(1)
Sinus Block/Pause or Arrest
71(2)
Appearance
71(1)
Causes
71(1)
Treatment
71(2)
Asystole
73(1)
Key Terms
73(2)
Chapter 7 Chamber Enlargement
75(10)
Lisa Cooper Colvin
Shel Levine
Brian J. Coyne
Introduction
76(1)
Right Atrial Enlargement
76(1)
Pathophysiology
76(1)
Appearance
76(1)
Causes
76(1)
Treatment
76(1)
Clinical Significance
76(1)
Left Atrial Enlargement
77(1)
Pathophysiology
77(1)
Appearance
77(1)
Causes
77(1)
Treatment
77(1)
Clinical Significance
77(1)
Right Ventricular Hypertrophy
78(2)
Pathophysiology
78(1)
Appearance
78(1)
Causes
78(1)
Treatment
78(1)
Clinical Significance
78(2)
Left Ventricular Hypertrophy
80(3)
Pathophysiology
80(1)
Appearance
80(2)
Causes
82(1)
Treatment
82(1)
Clinical Significance
82(1)
References
83(1)
Key Terms
83(2)
Chapter 8 Conduction Disturbances: Atrioventricular Blocks
85(8)
Shel Levine
Introduction
86(1)
First-Degree AV Block
86(1)
Pathophysiology
86(1)
Appearance
86(1)
Causes
87(1)
Treatment
87(1)
Second-Degree AV Block
87(1)
Second-Degree AV Block Type I
87(1)
Pathophysiology
87(1)
Appearance
87(1)
Causes
87(1)
Treatment
88(1)
Second-Degree AV Block Type II
88(1)
Pathophysiology
88(1)
Appearance
88(1)
Causes
88(1)
Clinical Significance
89(1)
Treatment
89(1)
Third-Degree AV Block
89(1)
Pathophysiology
89(1)
Appearance
90(1)
Causes
90(1)
Clinical Significance
90(1)
Treatment
90(1)
Differential Diagnosis of AV Heart Blocks
90(1)
Third-Degree AV Block Versus Mobitz I
91(1)
Third-Degree AV Block Versus Mobitz II
91(1)
Mobitz I Versus Mobitz II
91(1)
References
91(1)
Key Terms
92(1)
Chapter 9 Conduction Disturbances: Bundle Branch Blocks
93(10)
Lisa Cooper Colvin
Shel Levine
Brian J. Coyne
Introduction
94(1)
Right Bundle Branch Block
94(1)
Pathophysiology
94(1)
Appearance
94(1)
Causes
94(1)
Treatment
94(1)
Left Bundle Branch Block
94(2)
Pathophysiology
96(1)
Appearance
96(1)
Causes
96(1)
Treatment
96(1)
Clinical Significance
96(1)
Hemiblocks (Fascicular Blocks)
96(3)
Bifascicular Blocks
99(2)
References
101(1)
Key Terms
101(2)
Chapter 10 Ventricular Arrhythmias
103(12)
Shel Levine
Sara M. Wilchowski
Introduction
104(1)
Premature Ventricular Contractions
104(5)
Pathophysiology
104(1)
Appearance
104(1)
PVC Patterns
105(3)
Causes
108(1)
Treatment
109(1)
Monomorphic Sustained Ventricular Tachycardia
109(2)
Pathophysiology
110(1)
Appearance
110(1)
Causes
110(1)
Clinical Significance
111(1)
Treatment
111(1)
Polymorphic Ventricular Tachycardia
111(1)
Pathophysiology
111(1)
Appearance
111(1)
Causes
111(1)
Clinical Significance
111(1)
Treatment
111(1)
Accelerated Idioventricular Rhythm
111(1)
Ventricular Fibrillation
112(1)
References
113(1)
Key Terms
113(2)
Chapter 11 Supraventricular Arrhythmias
115(18)
Kathryn S. Bizek
Introduction
116(1)
Premature Atrial Contractions
116(2)
Pathophysiology
116(1)
Appearance
116(1)
Patterns
117(1)
Causes
117(1)
Treatment
117(1)
Premature Junctional Contractions
118(1)
Pathophysiology
118(1)
Appearance
118(1)
Causes
118(1)
Treatment
119(1)
Supraventricular Tachycardia
119(1)
AV Nodal Reentrant Tachycardia
120(2)
Pathophysiology
120(1)
Appearance
120(1)
Causes
121(1)
Treatment
121(1)
AV Reciprocating Tachycardia
122(2)
Pathophysiology
122(1)
Appearance
123(1)
Causes
123(1)
Treatment
123(1)
Atrial Tachycardia
124(1)
Pathophysiology
124(1)
Causes
125(1)
Treatment
125(1)
Atrial Fibrillation
125(3)
Pathophysiology
125(1)
Appearance
125(1)
Causes
126(1)
Treatment
126(2)
Atrial Flutter
128(1)
Pathophysiology
128(1)
Appearance
128(1)
Causes
128(1)
Treatment
129(1)
SVT with Aberrancy
129(1)
References
130(1)
Key Terms
130(3)
Chapter 12 Myocardial Ischemia and Infarction
133(26)
Brian J. Coyne
Mahesh Patel
Introduction
134(1)
Myocardial Ischemia on the Resting ECG
134(4)
Baseline ECG Patterns That Complicate Interpretation of Exercise-Induced Myocardial Ischemia
138(1)
Phases of Myocardial Infarction on the Resting ECG
138(1)
Acute Phase
139(1)
Evolving/Resolution Phase
139(1)
Stable, Chronic (Old) Phase
139(1)
ECG Changes with Each Area of the Heart
139(9)
Location
139(1)
Multiple Locations
140(4)
Reciprocal ECG Changes Seen in Each Phase of Infarction
144(1)
Treatment
144(4)
ECG Patterns That Can Mimic Myocardial Infarctions
148(1)
ECG Changes Seen with Aneurysm
148(1)
ECG Changes Seen with Pericarditis
148(1)
ECG Changes Seen with Early Repolarization
149(1)
Myocardial Ischemia Patterns During Exercise Testing
149(8)
Contraindications to Exercise Testing
149(1)
Indications for Termination of Exercise Testing
150(2)
Diagnostic ECG Criteria for Exercise-Induced Myocardial Ischemia
152(5)
Summary
157(1)
Acknowledgment
157(1)
References
157(1)
Key Terms
157(2)
Chapter 13 Pacemakers and Internal Cardiac Defibrillators
159(14)
Ruth Ann Greenfield
Introduction
160(1)
Pacemaker Terminology, Function, and Programming
160(1)
Pacemaker Function
161(1)
Pacemaker Sensing
161(1)
Examples of Normal and Abnormal Pacemaker Function
161(9)
Examples of Normal Pacemaker Function
161(1)
Examples of Abnormal Pacemaker Function
162(3)
Patients Appropriate for Stress Testing if Coronary Disease Is Known or Suspected
165(1)
Pitfalls to Exercise ECG Interpretation in the Pacemaker Patient
165(1)
Pacemaker Driven Stress Testing
166(1)
Alternate Indications for Exercise Testing in Patients with Pacemakers
167(3)
Summary
170(1)
References
170(1)
Key Terms
170(3)
Chapter 14 Influence of Pharmacologic Agents and Electrolytes on ECGs
173(12)
Nicholas Norgard
Amanda McEvoy
Thomas Madejski
Introduction
174(1)
Digoxin
174(1)
Mechanism of Action of Digoxin in Heart Failure
174(1)
Mechanism of Action of Digoxin in Atrial Fibrillation
174(1)
Digoxin Levels
174(1)
Effects of Digoxin on ECG at Therapeutic Levels
174(1)
Effects of Digoxin on ECG at Toxic Levels
174(1)
Additional Factors Predisposing Patients to Digoxin-Induced Arrhythmias
175(1)
Class II and IV Antiarrhythmics: Beta-Blockers and Calcium Channel Blockers
175(1)
Calcium Channel Blockers
175(1)
Beta-Blockers
175(1)
Drugs That Prolong the QT Interval: Class I and III Antiarrhythmics and Nonantiarrhythmics
176(2)
Drug-Induced QT Interval Prolongation
176(1)
Class I Antiarrhythmic Agents
177(1)
Class III Antiarrhythmic Agents
177(1)
Nonantiarrhythmics
178(1)
Electrolyte Abnormalities
178(2)
Potassium
178(2)
Calcium
180(1)
Magnesium
180(1)
Acknowledgments
180(1)
References
181(2)
Key Terms
183(2)
Chapter 15 ECGs and Women
185(6)
Tiffany Randolph
Cary C. Ward
Coronary Artery Disease in Women
186(1)
Disease Presentation
186(1)
Exercise ECG in Women
186(2)
Appropriate Application of Exercise ECG in Women
186(1)
Differences in Electrode Placement in Women Compared to Men
186(1)
Test Characteristics
186(1)
Sex-Related Differences in Interpretation
187(1)
Further Testing
188(1)
Diseases Specific to Women
188(1)
Peripartum Cardiomyopathy
188(1)
Idiopathic Pulmonary Hypertension
189(1)
Summary
189(1)
References
189(1)
Key Terms
190(1)
Chapter 16 ECGs in the Pediatric Population
191(16)
Jennifer L. Martin
Michael P. Carboni
Introduction
192(1)
General Differences Between Children and Adults
192(1)
Clinical Exercise Testing
192(1)
Rationale for Exercise Testing in the Pediatric Population
192(1)
Protocol Selection
192(1)
Test Termination Criteria
193(1)
General Test Termination Guidelines
193(1)
Exercise and the ECG
193(3)
Common ECG Findings in Pediatric Exercise Testing
193(2)
Symptoms
195(1)
Congenital Heart Disease in Pediatrics
196(6)
Left-to-Right Shunt
197(1)
Right-to-Left Shunt
197(4)
Cardiac Obstructions
201(1)
Noncongenital Heart Disease in Pediatrics
202(3)
Mitral Valve Prolapse
202(1)
Kawasaki Disease
202(1)
Hypertrophic Cardiomyopathy
203(1)
Long QT Syndrome
203(2)
Summary
205(1)
Key Terms
205(2)
Chapter 17 ECGs in Athletes
207(14)
Jacob Kelly
Eric J. Velazquez
Introduction
208(1)
Normal ECG Findings in Athletes at Rest
208(1)
Age, Gender, Race, and Sporting Differences
208(1)
Resting Changes Typically Seen in Athletes' Hearts
208(4)
Sinus Bradycardia
208(1)
Sinus Arrhythmia
208(1)
Junctional Escape
208(1)
First-Degree AV Block
209(1)
Second-Degree AV Block
209(1)
Incomplete Right Bundle Branch Block
209(1)
Left Ventricular Hypertrophy
210(1)
Early Repolarization and ST Segment Elevation
210(2)
Changes Seen During Exercise in Athletes
212(1)
Pathologic ECG Findings Seen in Athletes' ECGs
212(4)
T Wave Inversions
212(1)
Nonvoltage Criteria for Left Ventricular Hypertrophy
212(1)
ST Segment Depression in Two or More Leads
212(1)
Pathologic Q Waves
212(1)
Conduction Delays
212(4)
Screening
216(1)
References
217(2)
Key Terms
219(2)
Chapter 18 Structural Heart Disease and Inflammatory Processes
221(14)
Justin E. Trivax
James L. Smith
Introduction
222(1)
Aortic Stenosis
222(1)
Pathophysiology
222(1)
Electrocardiography
222(1)
Mitral Stenosis
222(2)
Pathophysiology
223(1)
Electrocardiography
223(1)
Hypertrophic Cardiomyopathy
224(1)
Pathophysiology
224(1)
Electrocardiogram
225(1)
Arrythmogenic Right Ventricular Dysplasia
225(3)
Diagnosis
228(1)
ECG Abnormalities
228(1)
Pericardial Disease
228(4)
Pathophysiology
228(2)
Electrocardiogram
230(2)
Summary
232(1)
References
232(1)
Key Terms
233(2)
Chapter 19 Applied Case Studies
235(44)
Case Study 19--1
236(1)
Carla Vorndran
Kari Smith
Case Study 19--2
237(3)
Kathryn S. Bizek
Case Study 19--3
240(1)
Carla Vorndran
Kari Smith
Case Study 19--4
241(1)
Carla Vorndran
Kari Smith
Case Study 19--5
242(4)
Kathryn S. Bizek
Case Study 19--6
246(11)
Brian J. Coyne
Case Study 19--7
257(3)
Kathryn S. Bizek
Case Study 19--8
260(3)
Lisa Cooper Colvin
Case Study 19--9
263(1)
Jacob Kelly
Brian Coyne
Case Study 19--10
264(5)
Jennifer L. Martin
Michael P. Carboni
Case Study 19--11
269(10)
Brian J. Coyne
Chapter 20 Practice ECGs
279(76)
Rhythm Strips
279(26)
12-Lead ECGs
305(50)
Appendix A Generic and Brand Name Drugs by Classification 355(2)
Appendix B Answers to Case Studies 357(4)
Appendix C Answers to Practice ECGs 361(4)
Glossary 365(8)
Index 373
Shel is currently an Associate Professor of Clinical Exercise Physiology at Eastern Michigan University (EMU) where he has taught courses in ECG, Exercise Testing and Prescription, and Diabetes and Obesity since 1999. In addition, he has been an Adjunct Lecturer at the University of Detroit-Mercy since 2006 teaching ECG courses to the Physician Assistant students; and a Clinical Instructor at Oakland University teaching ECG courses since 1997. Prior to joining the faculty at EMU, Shel was a Clinical Exercise Physiologist at Botsford Hospital in Farmington Hills, MI where he developed exercise programs for patients with clinical concerns (diabetes, COPD, PVD, multiple risk factor reduction, weight loss, Parkinsons disease, multiple sclerosis, osteoporosis and cancer recovery), as well as cardiac rehabilitation. Previous to Botsford Hospital, Shel was the Assistant Director of the hospital wellness center at the Medical College of Ohio (now the University of Toledo Medical Center) where he assisted with risk factor reduction programs and cardiac rehabilitation. In service to ACSM, Shel was a member of the Committee on Certification and Registry Board (CCRB) Clinical Exercise Specialist subcommittee for seven years and currently serves on the CCRB International subcommittee. Prior to CCRB, Shel served on ACSMs Professional Education Committee for seven years. Originally from Syracuse, NY, Shel will always bleed ORANGE!''

Brian is a Clinical Operations Supervisor in the Cardiac Diagnostic Unit at Duke University Hospital in Durham, NC. As part of his responsibilities, Brian supervises the Ambulatory Monitoring and the Cardiopulmonary Testing Labs. Prior to his time at Duke University, Brian was an Instructor in the Department of Kinesiology at the University of Louisiana at Monroe, where he also obtained his Masters degree when it was called Northeast Louisiana University. While at ULM, Brian directed the Human Performance Lab, taught graduate and undergraduate exercise science classes (including Electrocardiography and Cardiac Rehabilitation), trained many students who are now successful across the country, directed the Warhawk Triathlon, and performed many stress tests on members of the community. Brian also was the faculty sponsor for ULMs Exercise is Medicine program during his tenure. Previously in his career, Brian has worked for WellnessWorks and Lincoln General Hospital in corporate wellness and community health roles. Brian started his career in employee fitness and physical rehabilitation prior to moving into cardiac rehabilitation as a staff exercise physiologist at Lourdes Hospital in Binghamton, NY. Later he started the cardiac rehab program in Ruston, LA at Lincoln General Hospital. He has been a member of ACSMs Committee on Certification and Registry Board for 12 years serving on the RCEP Practice Board as member and chair as well as on the CCRB Executive Committee as an Elected At-Large member for three years; Brian also served on the ACSM Professional Education Committee for six years. Brian was one of the founding members of the Clinical Exercise Physiology Association an affiliate organization of ACSM; he served as Treasurer for three years and is currently the Advocacy Committee chair. While in Louisiana, Brian was licensed as a Clinical Exercise Physiologist and involved with the Louisiana Association of Exercise Physiologists where he served as an Area Representative then President for a couple years before serving on various committees. Brian is a lifelong endurance athlete and enjoys running and cycling interspersed with some soccer when he can find the time. As part of his teaching in his current and past positions, Brian tries to instill an active lifestyle and encourages healthy lifestyle behaviors. He feels blessed to have worked with his coauthors and all the contributors on this book, as they have taught him a great deal and is happy to be able to pass this knowledge on to future generations.

Lisa is currently a Professor of Kinesiology and Exercise Physiology at the University of Louisiana at Monroe.' She is the Director of the ULM Human Performance Laboratory and the Dr. Lucy Shackelford Endowed Professor in Kinesiology.' Lisa obtained her B.S. in Health and Physical Education/Biology at Northeast Louisiana and her M.Ed. in Physical Education/Counseling at Northeast Louisiana University.' While working on her M.Ed., Lisa taught at Neville High School in Monroe, Louisiana and was the girls varsity cross-country, basketball, and track and field coach.' After teaching at the high school level, Lisa felt a calling to teach at the higher education level.' Lisa earned her Ph.D. in Exercise Physiology at The University of Southern Mississippi then joined the faculty of Valdosta State University where she was the director of the exercise science curriculum and Applied Exercise Physiology Laboratory.' During that time, Lisa and her husband began a cardiac services business, ErgoWell Solutions, performing all cardiac testing at the office and referring to other physicians for more invasive studies.' The company was bought and the family moved to El Dorado, Arkansas where Lisa taught at Southern Arkansas University.' She built the Brown Complex that housed the Exercise Science Laboratory, aquatic center, SAU Wellness Center and Magnolia Hospital Outpatient Rehabilitation Services.' Since then, Lisa has served ULM in capacities of Professor, Administrative Faculty in Residence, Associate Dean of the ULM Graduate School, and the Department Head of Kinesiology.' Lisa is now back to her true life calling of teaching both graduate and undergraduate students in the CAAHEP accredited Exercise Science Programs and directing a robust Human Performance Laboratory, where students truly learn theory and application of the cardiopulmonary physiology, electrocardiography, and cardiac rehabilitation skills learned before leaving the exercise science program at ULM.' During her career, Lisa has been very active with The American College of Sports Medicine, in which she is a Fellow and reviewer for Medicine and Science in Sports and Exercise. She also served on the first committee that drafted the bylaws for the Accreditation of Exercise Science program which evolved into todays Accreditation Standard for Exercise Science program through CAAHEP.' She was truly honored to serve at the asking of Dr. Walt Thompson.