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Cardiology
Cardiopulmonary Exercise Laboratory
Morgan Stanley Children's Hospital has one of the few dedicated pediatric cardiopulmonary labs in the metropolitan area. Cardiopulmonary exercise testing is used to study the heart, lungs, and muscles at rest and during intense exercise. These tests may help to identify the cause of chest pain, evaluate cardiopulmonary fitness, assess post-operative heart function, detect arrhythmias, monitor drug efficacy within the child, or determine whether it is safe for a child to participate in regular activity. By observing the body's responses to exercise, physicians can also determine how best to use exercise to help maintain good health.
Through cardiac or pulmonary exercise testing or a combination of the two, our physicians can answer questions such as:
- Does the medicine improve heart rate and blood pressure?
- Did surgery treat the abnormal cardiac rhythm?
- Does the exercise cause changes in the patient's breathing that should be addressed?
- Is the child unable to exercise because the exercise induces asthma or causes other respiratory discomfort?
- Does the child do better with one type of exercise than another?
Exercise tests are administered by a physician and an exercise physiologist and are designed to provoke previously observed symptoms (i.e. chest pain or shortness of breath) in a controlled testing environment. These tests may include:
Cardiovascular stress test - performed on a treadmill while an electrocardiogram measures heart rate and blood pressure changes during a protocol that consists of an increase in speed and incline. Oxygen consumption can also be monitored.
Progressive exercise test - performed on a treadmill or cycle ergometer and involves three different types of breathing tests: slow vital capacity, forced vital capacity, and maximum voluntary ventilation, as well as heart and blood pressure monitoring
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