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Published (Version of record)CC BY-NC V4.0, Open Access
Published (Version of record)CC BY-NC V4.0, Open
Journal article
Normative blood pressure response to exercise stress testing in children and adolescents
Open heart, Vol.8(2), e001807
18/10/2021
PMID: 34663749
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Source: InCites
Abstract
Objective
To describe normative values for blood pressure (BP) response to maximal exercise in children/adolescents undergoing a treadmill stress test.
Methods
From 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.
Results
648 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.
Conclusion
The 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.
Details
- Title
- Normative blood pressure response to exercise stress testing in children and adolescents
- Creators
- Melanie M Clarke - Murdoch Children's Research InstituteDiana Zannino - Murdoch Children's Research InstituteNatalie P Stewart - Murdoch Children's Research InstituteJonathan P Glenning - Murdoch Children's Research InstituteSalvador Pineda-Guevara - Murdoch Children's Research InstituteJolien Kik - Royal Children's HospitalJonathan P Mynard - Murdoch Children's Research InstituteMichael M H Cheung - Murdoch Children's Research Institute
- Publication Details
- Open heart, Vol.8(2), e001807
- Publisher
- British Cardiovascular Society
- Grant note
- The Heart Research Group is supported by the Victorian Government’s Operational Infrastructure Support Program, RCH 1000 and Big W. The support from the funders had no role in the design and concept of this study.
- Identifiers
- 991013240112902368
- Copyright
- © Author(s) (or their employer(s)) 2021
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article