ReviewJournal of the American Heart Association2025
Serial Exercise Testing in Children With Known or Suspected Congenital and Acquired Heart Disease: A Narrative Review and Survey of Current Practice.
Review in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Oxygen Consumption and Oxygen Pulse Patterns in Two Pediatric Patients With Pulmonary Hypertension and Different Clinical Responses: A Case Report.Case reports in pediatrics · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundExercise parameters can be altered in children with congenital heart disease or acquired heart disease compared with children with normal hearts. Exercise testing has proven a useful tool to predict patient outcomes and even the need for reintervention in several cardiovascular disease processes. There are established guidelines for serial exercise stress testing in adults with congenital heart disease, but corollary guidelines do not exist for the pediatric population. METHODS AND
resultsA narrative literature review was completed. Evidence was ranked by a 4-point scale as outlined by the American College of Sports Medicine evidence categories. A survey was sent to experts in pediatric exercise physiology across the country regarding their current testing practices for 26 unique congenital heart disease or known or suspected acquired heart disease lesions. Survey questions were related to the frequency of testing, the age at which exercise testing is started, and if the frequency of testing is altered by a patient presenting with symptoms. Our literature search yielded 122 relevant studies pertaining to exercise stress testing in pediatric heart disease. We received 59 responses to our survey from 33 unique institutions in the United States and Canada.
conclusionsTwenty-one summaries were provided regarding exercise stress testing in pediatric patients with heart disease. Multicentered or national stress testing registries may allow for adequate sample sizes of rare pediatric diseases to allow for development of improved guidelines regarding the type and timing of stress testing.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.