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abnormal acute aerobic exercise airway clearance alveolar angina assessment associated asthma atelectasis atherosclerosis bed rest blood pressure body position breathing pattern bronchiectasis cardiac output cardiac rehabilitation Cardiology cardiovascular and pulmonary cells changes Chapter chest wall chronic heart failure chronic obstructive clinical COPD coronary artery cough cystic fibrosis decreased diabetes diaphragm dyspnea dysrhythmias effects emphysema evaluation exercise testing Figure fluid gas exchange heart disease heart rate hemodynamic hypertension hypoxemia impaired improved increased individuals interventions ischemia lifestyle long-term lung disease lung volumes maximal measures mechanical mechanical ventilation Medical Medicine metabolic mobilization monitoring muscle training myocardial infarction myocardium normal nutrition optimal outcomes oxygen transport patients with chronic percussion perfusion peripheral physical activity physical therapy physiological prescription prevention primary pulmonary disease pulmonary function reduced respiratory muscle responses risk factors secondary smoking stress stroke supine position surgery symptoms technique therapist thoracic tissue treatment vascular ventilation ventilatory ventricular