Cardiopulmonary Exercise Testing Techniques to Evaluate Exercise Intolerance

  • David Thomas
  • Daniel P. Credeur
Part of the Respiratory Medicine book series (RM)


The use of exercise testing is an important tool for the pediatric pulmonologist. Physical stress often reveals cardiorespiratory abnormalities that are not apparent on conventional static tests. There is little doubt the information acquired from exercise tests have diagnostic and prognostic value, but exercise tests may also be critical to determine success or failure of treatment strategies. The purpose of this chapter is to provide the pediatric specialist with an overview of exercise evaluation that may assist in the diagnosis of and management of disease in pediatric and adolescent patients with physical activity intolerance, especially those with cardiorespiratory diseases. The specific aims of this chapter are to: (1) describe various exercise tests and the biomechanical and physiological principles of those tests necessary to assess patients; (2) discuss methods to assess the physical fitness profile of patients with cardiorespiratory diseases and physical limitations; (3) provide specific strategies for an exercise prescription based on the fitness and clinical profile of the patient and; (4) assist the provider in developing a center for exercise evaluation. Although each aim provides unique information, the overall goal of this chapter is to stimulate the pediatric pulmonologist to develop an understanding of indications for cardiopulmonary exercise testing (CPET) and implement strategies to systematically assess each patient’s fitness profile; to track patient’s disease or training progression or alternatively to monitor responses of medical interventions; and to prescribe a well-rounded exercise prescription to maximize functional ability and wellness of individual patients. This chapter is not intended to be an in depth review for exercise physiologists, but is designed to assist the practicing clinician in the logistics of developing a program and a comfort in interpreting studies.


Exercise testing Exercise evaluation Pediatric pulmonology Treatment strategies Cardiorespiratory disease Physical fitness profile Cardiovascular exercise testing 


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • David Thomas
    • 1
    • 2
  • Daniel P. Credeur
    • 3
  1. 1.Pediatric Center for Respiratory, Exercise and Sleep Medicine, Athletic Training Facility Football OperationsLouisiana State UniversityBaton RougeUSA
  2. 2.Louisiana Healthcare Connections8585 Archive Blvd Suite 301Baton RougeUSA
  3. 3.Department of Medical Pharmacology and PhysiologyUniversity of MissouriColumbiaUSA

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