Table 1 .
Condition or question | Preferred ergometer | Rationale |
---|---|---|
Aortic stenosis/insufficiency (unrepaired/repaired) | Cycle | Ischaemia detection on ECG easier because there is less motion artifact |
Repaired transposition of great arteries | Cycle | Ischaemia detection on ECG easier |
Repaired tetralogy of Fallot | Cycle | Arrhythmia assessment during exercise essential |
Coronary artery anomaly, (repaired/unrepaired) | Cycle | Ischaemia detection on ECG easier |
(Functional) single ventricle | Cycle/treadmill | Ischaemia and arrhythmia detection on ECG easier |
Coarctation of the aorta (unrepaired/repaired) | Cycle | Blood pressure assessment more accurate |
Exercise-induced asthma/bronchospasm/chest pain | Treadmill | Running more likely to induce symptoms than cycling |
Aerobic capacity | Cycle/treadmill | Higher VO2max with treadmill than with cycle |
Arrhythmia assessment/ Long QT syndrome | Cycle | Arrhythmia detection and measurement of QT interval on ECG easier because there is less motion artifact |
Assessment of rate responsive pacemakers | Treadmill | Better activation of accelerometer-based sensors |
Modified from Stephens et al.7