Child development exercise center, Wilhelmina Children's Hospital, UMC Utrecht, Utrecht, the Netherlands.
Neth Heart J. 2009 Oct;17(10):385-92. doi: 10.1007/BF03086289.
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.).
儿科心脏病学中的心肺运动测试（CPET）在许多方面与成人心脏病学中的测试不同。儿童在运动测试期间的心血管反应具有不同的特征，特别是氧摄取、心率和血压反应，这些在解释血液动力学数据时至关重要。与心肌缺血相关的疾病在儿童中很少见。CPET 在儿童中的主要适应证是评估运动能力和识别运动引起的心律失常。在本文中，我们将回顾先天性心脏病儿童 CPET 的主要适应证、运动试验的禁忌证和终止运动试验的适应证。此外，我们将讨论先天性心脏病儿童 CPET 中气体交换数据的解释。（Neth Heart J 2009;17:385-92.）。
