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01-10-2009 | Review article | Uitgave 10/2009

Netherlands Heart Journal 10/2009

Cardiopulmonary exercise testing in congenital heart disease: (contra)indications and interpretation

Tijdschrift:
Netherlands Heart Journal > Uitgave 10/2009
Auteurs:
T. Takken, A. C. Blank, E. H. Hulzebos, M. van Brussel, W. G. Groen, P. J. Helders
Belangrijke opmerkingen
Child development exercise center, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, the Netherlands.
Department of Paediatric Cardiology, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, the Netherlands
T. Takken Department of Paediatric Physical Therapy & Exercise Physiology, Wilhelmina Children's Hospital, University Medical Center Utrecht, Room KB02.056.0, PO Box 85090, 3508 AB Utrecht, the Netherlands

Abstract

Cardiopulmonary exercise testing (CPET) in paediatric cardiology differs in many aspects from the tests performed in adult cardiology. Children's cardiovascular responses during exercise testing present different characteristics, particularly oxygen uptake, heart rate and blood pressure response, which are essential in interpreting haemodynamic data. Diseases that are associated with myocardial ischaemia are rare in children. The main indications for CPET in children are evaluation of exercise capacity and the identification of exercise-induced arrhythmias. In this article we will review the main indications for CPET in children with congenital heart disease, the contraindications for exercise testing and the indications for terminating an exercise test. Moreover, we will address the interpretation of gas exchange data from CPET in children with congenital heart disease. (Neth Heart J 2009;17:385–92.)

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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