Exercise Stress Electrocardiography Using the Two-Minute Jump Test in Children

Autor: Yutaro, Koyama, Masaru, Miura, Jun, Maeda, Yoshihiko, Morikawa, Hiroyuki, Yamagishi
Rok vydání: 2022
Předmět:
Zdroj: Pediatric Cardiology.
ISSN: 1432-1971
0172-0643
DOI: 10.1007/s00246-022-03058-w
Popis: Although the treadmill and cycle ergometer are commonly used for exercise stress electrocardiography (ECG) testing, they are often difficult to perform with children. We herein evaluated the utility and safety of the two-minute jump test (2MJT) as a simple, alternative exercise test. One hundred patients, including 60 male patients, with an average age at study commencement of 10.7 ± 3.5 years (mean ± standard deviation) and with no exercise restriction who underwent a cardiac check-up between November 2020 and March 2022 at the study center were included. After recording their resting ECG, they jumped for two minutes during ECG recording, and the change in heart rate (HR), ECG findings, and occurrence of adverse events were investigated. The patients were asked to jump 185 ± 60 times in two minutes. As a result, their HR increased from 76 ± 13 beats/min at rest to 172 ± 18 beats/min at peak during the test. Ninety (90%) patients attained the ideal target HR of > 150 beats/minute. Five patients had abnormal ECG findings (ventricular extrasystoles, second-degree atrioventricular block, and atrial extrasystoles in two, two, and one patient, respectively) after loading but achieved complete spontaneous recovery within three minutes. Our findings suggested that the 2MJT is a useful and safe exercise test capable of inducing sufficient increase in HR in a short time in children.
Databáze: OpenAIRE
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