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Cardiopulmonary Exercise Testing in Children
1Division Chief, Pulmonary, Co-Director Human Performance Lab, Phoenix Children's Hospital, Phoenix, Arizona, USA. Correspondence to: Dr Rajeev Bhatia, Phoenix Children's Hospital, 1919, E Thomas Road, Phoenix, AZ 85016, USA rbhatia@phoenixchildrens.com.
Abstract:
Cardiopulmonary exercise testing (CPET) is a noninvasive test that provides a comprehensive assessment of the integrative exercise responses by measuring parameters calculated on a breath-by-breath basis. It can provide insight into the fitness level, cause of exercise limitation, and safe parameters for exercise prescription in children 6 years and older. Common indications for CPET include undiagnosed exercise-induced dyspnea, exercise intolerance in pediatric chronic conditions and for monitoring response after therapy/intervention. It can be utilized to assess the overall fitness, pre-operative risk, and prognosis in chronic conditions. CPET is accessible and dependable in pediatrics, yet challenges like a lack of standardized protocols are noted. With continued development and technological advancements in CPET, there is potential for revolutionizing pediatric diagnostic health care.
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