The role of exercise testing in pediatric cardiology

Summary Exercise testing for cardiac disease in children differs in many aspects from the tests performed in adults; their cardiovascular response to exercise presents different characteristics, which are essential for the interpretation of hemodynamic data. Moreover, diseases that are associated wi...

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Veröffentlicht in:	Archives of cardiovascular diseases 2014-05, Vol.107 (5), p.319-327
1. Verfasser:	Massin, Martial M
Format:	Artikel
Sprache:	eng
Schlagworte:	Acidosis - blood Acidosis - etiology Adaptation, Physiological Adolescent Aerobiosis Aging - physiology Arrhythmia Arrhythmias, Cardiac - diagnosis Arrhythmias, Cardiac - etiology Arrhythmias, Cardiac - physiopathology Arythmies Cardiologie pédiatrique Cardiology - methods Cardiomyopathies - diagnosis Cardiomyopathies - physiopathology Cardiopathies congénitales Cardiovascular Child Child, Preschool Congenital heart disease Contraindications Electrocardiography - instrumentation Enfant Exercise Test - adverse effects Exercise Test - instrumentation Exercise Test - methods Exercise testing Exercise Tolerance - physiology Heart Defects, Congenital - complications Heart Defects, Congenital - physiopathology Heart Diseases - diagnosis Heart Diseases - physiopathology Hemodynamics Humans Internal Medicine Lactates - blood Oxygen Consumption Pediatric cardiology Pediatrics - methods Physical Endurance Respiration Disorders - complications Respiration Disorders - diagnosis Respiration Disorders - physiopathology Test d’effort
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Zusammenfassung:	Summary Exercise testing for cardiac disease in children differs in many aspects from the tests performed in adults; their cardiovascular response to exercise presents different characteristics, which are essential for the interpretation of hemodynamic data. Moreover, diseases that are associated with myocardial ischemia are very rare in young patients, and the main indications for exercise testing are evaluation of exercise capacity and identification of exercise-induced arrhythmias. This article describes the specificity of exercise testing in pediatric cardiology, in terms of techniques, indications and interpretation of data.
ISSN:	1875-2136 1875-2128
DOI:	10.1016/j.acvd.2014.04.004