2025+AHA科学声明：先天性心脏病患者终生心肺运动试验解释.pdfVIP

JournaloftheAmericanHeartAssociation

AHASCIENTIFICSTATEMENT

CardiopulmonaryExerciseTest

InterpretationAcrosstheLifespanin

CongenitalHeartDisease:AScientific

StatementFromtheAmericanHeart

Association

Barbara

Cifra,MD;RachaelL.Cordina,MD,FAHA;NaomiGauthier,MD,FAHA;LauraC.Murphy,APRN;

TamDanPham,MD,FAHA;GruschenR.Veldtman,MBChC,FRCP;KendraWard,MD,FAHA;

DavidA.White,PhD;StephenM.Paridon,MD,ViceChair;AdamW.Powell,MD,MS,FAHA,Chair;onbehalfof

theAmericanHeartAssociationCouncilonLifelongCongenitalHeartDiseaseandHeartHealthintheYoung,

CongenitalCardiacDefectCommittee;theCouncilonCardiovascularRadiologyandIntervention;theCouncilon

ClinicalCardiology;andtheCouncilonCardiovascularandStrokeNursing

ABSTRACT:Survivorshipfromcongenitalheartdiseasehasimprovedrapidlysecondarytoadvancesinsurgicalandmedi-

calmanagement.Becausethesepatientsarelivinglonger,treatmentanddiseasesurveillancetargetshaveshiftedtoward

enhancingqualityoflifeandfunctionalstatus.Cardiopulmonaryexercisetestingisavaluabletoolforassessingfunctional

capacity,evaluatingcardiacandpulmonarypathology,andprovidingguidanceonprognosisandinterventionalrecommenda-

tions.Despitetheextensiveevidencesupportingtheabilityofcardiopulmonaryexercisetestingtoquantitativelyevaluatecar-

diovascularfunction,thereremainsconfusiononhowtoproperlyinterpretcardiopulmonaryexercisetestinginpatientswith

congenitalheartdisease.Thepurposeofthisstatementistoprovidealifespanapproachtotheinterpretationofcardiopulmo-

naryexercisetestinginpatientswithcongenitalheartdisease.ThisisanupdatedreportoftheAmericanHeartAssociation’s

previouspublicationsonexerciseinchildren.Thisevidence-basedupdateonthesignificanceofcardiopulmonaryexercise

testingfindingsinpediatric,adolescent,andadultpatient