Special Considerations for Children

Abstract

Cardiopulmonary exercise testing in children is often successful and informative, even in young children. However, to achieve success, a number of accommodations and special considerations will often be necessary. Basic pediatric exercise testing can begin as young as 4 years old, when indicated. Cardiopulmonary exercise testing (CPET) can be undertaken successfully in patients as young as 6 years old, although the maturity required to cooperate adequately for CPET is often not present until 8 years of age or older. For any given individual, the minimal age of compliance for an exercise test depends on the individual’s maturity level, physical abilities, and often, the parent’s support.