Blood Pressure Response to Treadmill Cardiopulmonary Exercise Test in Children with Normal Cardiac Anatomy and Function

Sasaki, Takeshi; Kawasaki, Yuki; Takajo, Daiji; Sriram, Chenni S.; Ross, Robert D.; Kobayashi, Daisuke

doi:10.1016/j.jpeds.2021.02.043

Cited by 6 publications

(8 citation statements)

References 19 publications

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“…9 Sasaki et al 12 recently published percentiles for children undergoing exercise on treadmills; their findings were based on a modified Bruce protocol and did not account for height or resting BP in their percentiles. 12 Understanding BP response on a cycle ergometer is useful, especially as cycle ergometers are cheaper and quieter and require less space for exercise labs. 1 Additionally, cycle ergometers are better for individuals with weight-bearing limitations 27 ; however, individuals tend to reach muscular fatigue before reaching volitional fatigue.…”

Section: Discussionmentioning

confidence: 99%

“…The majority of reference papers in the literature focus on cardiovascular response to cycle ergometers, and as such, reference values for treadmill testing are limited, 9 10 with the exception of submaximal stimuli 11 and athletes. 9 Sasaki et al 12 recently published percentiles for children undergoing exercise on treadmills; their findings were based on a modified Bruce protocol and did not account for height or resting BP in their percentiles. 12 Understanding BP response on a cycle ergometer is useful, especially as cycle ergometers are cheaper and quieter and require less space for exercise labs.…”

Section: Discussionmentioning

confidence: 99%

“…9 10 To the best of our knowledge, BP percentiles for treadmill tests are limited, with the exception of submaximal stimuli 2 and athletes, 11 or they do not take into account height percentiles. 12 The aim of this study was therefore to define normative reference values for maximal exercise BP response in children and adolescents for the standard Bruce treadmill stress test.…”

Section: What Does This Study Add?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Normative blood pressure response to exercise stress testing in children and adolescents

et al. 2021

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ObjectiveTo describe normative values for blood pressure (BP) response to maximal exercise in children/adolescents undergoing a treadmill stress test.MethodsFrom a retrospective analysis of medical records, patients who had undergone a Bruce protocol exercise stress test, with (1) normal cardiovascular system and (2) a body mass index percentile rank below 95% were included for analysis. Sex, age, height, weight, resting and peak heart rate, resting and peak systolic blood pressure (SBP), test duration, stage of Bruce protocol at termination, reason for undergoing the test and reason for termination of test were collected. Percentiles for exercise-induced changes in SBP were constructed by age and height for each sex with the use of quantile regression models.Results648 patients with a median age of 12.4 years (range 6–18 years) were included. Typical indications for stress testing were investigation of potential rhythm abnormalities, syncope/dizziness and chest pain and were deemed healthy by an overseeing cardiologist. Mean test duration was 12.6±2.2 min. Reference percentiles for change in SBP by sex, age and height are presented.ConclusionThe presented reference percentiles for the change in SBP for normal children and adolescents will have utility for detecting abnormally high or low BP responses to exercise in these age groups.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: What Does This Study Add?mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Normative blood pressure response to exercise stress testing in children and adolescents

et al. 2021

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“…However, data on BP for children and adolescents using this kind of testing are even more infrequent. Still, two new studies offer some normative values (31,34). Sasaki et al (34) measured BP and maximum oxygen uptake during a standardized test following the Bruce protocol (35).…”

Section: Evaluation Of Blood Pressure Response To Exercisementioning

confidence: 99%

Blood pressure response to exercise in children and adolescents

Álvarez

Herceg-Čavrak²,

Wójcik³

et al. 2022

Front. Cardiovasc. Med.

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Blood pressure changes during exercise are part of the physiological response to physical activity. Exercise stress testing can detect an exaggerated blood pressure response in children and adolescent. It is applied for certain clinical conditions, but is also commonly used as part of the assessment of athletes. The interpretation of blood pressure values in response to exercise during childhood and adolescence requires appropriate reference data. We discuss the available reference values and their limitations with regard to device, exercise protocol and normalization. While the link between an exaggerated blood pressure response and cardiovascular events and mortality has been demonstrated for adults, the situation is less clear for children and adolescents. We discuss the existing evidence and propose that under certain circumstances it might be reasonable to have children and adolescents undergo exercise stress testing as a rather non-invasive procedure to add additional information with regard to their cardiovascular risk profile. Based on the existing data future studies are needed to extend our current knowledge on possible links between the presence of certain clinical conditions, the detectability of an exaggerated blood pressure response during childhood and adolescence and the risk of developing cardiovascular morbidity and mortality in later life.

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Normative values and a new predicted model of exercise blood pressure in young athletes

Mascherini

Galanti²,

Stefani³

et al. 2023

Journal of Science and Medicine in Sport

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Blood Pressure Response to Treadmill Cardiopulmonary Exercise Test in Children with Normal Cardiac Anatomy and Function

Cited by 6 publications

References 19 publications

Normative blood pressure response to exercise stress testing in children and adolescents

Normative blood pressure response to exercise stress testing in children and adolescents

Blood pressure response to exercise in children and adolescents

Normative values and a new predicted model of exercise blood pressure in young athletes

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