Atrial septal defect exercise testing


 * Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. mailto:psingh@perfuse.org; ; Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. mailto:kfeeney@perfuse.org

Overview
Exercise testing can be used to document changes in oxygen saturation.However, it is contraindicated in severe pulmonary artery hypertension

Indications

 * To find exercise capacity in individuals with symptoms that are not matching with clinical findings.
 * To document changes in oxygen saturation in patients with pulmonary artery hypertension.

Contraindications

 * Maximal exercise testing is not recommended in ASD with severe pulmonary artery hypertension

==ACC / AHA Guidelines - Evaluation of the Unoperated Patient (DO NOT EDIT) == {{cquote|

Class I
2) Patients with unexplained RV volume overload should be referred to an ACHD center for further diagnostic studies to rule out obscure ASD, partial anomalous venous connection, or coronary sinoseptal defect. (Level of Evidence: C)

Class IIa
1) Maximal exercise testing can be useful to document exercise capacity in patients with symptoms that are discrepant with clinical findings or to document changes in oxygen saturation in patients with mild or moderate PAH. (Level of Evidence: C)

Class III
2) Maximal exercise testing is not recommended in ASD with severe PAH. (Level of Evidence: B) }}