A Systematic Approach for the Interpretation of Cardiopulmonary Exercise Testing in Children with Focus on Cardiovascular Diseases

被引：5

作者：

Das, Bibhuti B. ^{[1
]}

机构：

[1] Baylor Coll Med Temple, McLane Childrens Baylor Scott & White Med Ctr, Dept Pediat, Div Pediat Cardiol, Temple, TX 76502 USA

来源：

JOURNAL OF CARDIOVASCULAR DEVELOPMENT AND DISEASE | 2023年 / 10卷 / 04期

关键词：

exercise testing; exercise physiology; cardiopulmonary exercise testing; children; UPTAKE EFFICIENCY SLOPE; COMMITTEE-ON-ATHEROSCLEROSIS; SEVERE HEART-FAILURE; PEDIATRIC AGE-GROUP; IN-THE-YOUNG; OXYGEN-UPTAKE; ANAEROBIC THRESHOLD; REFERENCE VALUES; SUBMAXIMAL EXERCISE; CIRCULATORY POWER;

D O I：

10.3390/jcdd10040178

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiopulmonary exercise testing (CPET) is the clinical standard for children with congenital heart disease (CHD), heart failure (HF) being assessed for transplantation candidacy, and subjects with unexplained dyspnea on exertion. Heart, lung, skeletal muscle, peripheral vasculature, and cellular metabolism impairment frequently lead to circulatory, ventilatory, and gas exchange abnormalities during exercise. An integrated analysis of the multi-system response to exercise can be beneficial for differential diagnosis of exercise intolerance. The CPET combines standard graded cardiovascular stress testing with simultaneous ventilatory respired gas analysis. This review addresses the interpretation and clinical significance of CPET results with specific reference to cardiovascular diseases. The diagnostic values of commonly obtained CPET variables are discussed using an easy-to-use algorithm for physicians and trained nonphysician personnel in clinical practice.

引用

页数：14

共 82 条

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