{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T12:14:11Z","timestamp":1783944851644,"version":"3.55.0"},"reference-count":121,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"8","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,4,15]]},"abstract":"<jats:sec xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">Exercise 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">A narrative literature review was completed. Evidence was ranked by a 4\u2010point 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Twenty\u2010one 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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.124.038585","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T06:05:07Z","timestamp":1744265107000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Serial Exercise Testing in Children With Known or Suspected Congenital and Acquired Heart Disease: A Narrative Review and Survey of Current Practice"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8351-3973","authenticated-orcid":false,"given":"Hannah","family":"Hollon","sequence":"first","affiliation":[{"name":"Children\u2019s Hospital Colorado Heart Institute","place":["Aurora, USA"]},{"name":"University of Colorado School of Medicine","place":["Aurora, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie C.","family":"Fernie","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado Heart Institute","place":["Aurora, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Rausch","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Colorado Heart Institute","place":["Aurora, USA"]},{"name":"University of Colorado School of Medicine","place":["Aurora, USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.106.184461"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3181e52e69"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.167.2.211"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.958025"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951109991818"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.166.1.at110"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwab125"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehr461"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-022-04648-9"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.874700"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2017.04.009"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2018.08.1028"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1123\/pes.2021-0149"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2017.11.30"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/080352502753457987"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a015177"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(89)90460-8"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.21100"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(66)90256-6"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(91)90474-V"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(93)90192-F"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s002469900387"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(02)02620-6"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2008.05.063"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)90120-1"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-002-0281-6"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.63.2.254"},{"key":"e_1_3_2_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(83)90028-0"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-013-0635-2"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.rec.2022.05.006"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.119.13726"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2018.02.004"},{"key":"e_1_3_2_34_2","article-title":"Clinical practice algorithm for the follow\u2010up of repaired coarctation of the aorta","author":"Makhoul M","year":"2023","unstructured":"Makhoul M, Markush D, Baker\u2010Smith C, Edelson J, Jacobsen R, Zaidi AN, Statile C, Sachdeva R, Parthiban A. 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