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3.10.1. Exercise Testing
COR LOE
Recommendations
2a B-NR
1. In patients with ACHD, CPET can be useful for establishing
a baseline functional assessment, guiding clinical care,
stratifying risk for major adverse cardiovascular events, and
ongoing surveillance.
2a B-NR
2. In patients with ACHD and established PAH, or in those
unable to perform CPET yielding reliable diagnostic
information, a 6-minute walk test can be useful to objectively
assess symptom severity, functional capacity, and response to
therapy.
3.10. Exercise Testing and Sports
3.10.2. Physical Activity, Exercise, and Sports Participation
COR LOE
Recommendations
1 B-R
1. Patients with ACHD should have their activity levels assessed
at regular intervals to receive counseling about the types and
intensity of exercise appropriate to their clinical status.
2a B-R
2. In patients with ACHD, exercise training and cardiac
rehabilitation can be useful to increase exercise capacity.
2a C-LD
3. In patients with ACHD, CPET can be useful to guide
physical activity recommendations.
2a C-EO
4. In patients with ACHD, participation in competitive sports
is reasonable following a comprehensive evaluation by an
ACHD specialist that incorporates functional status and
individualized assessment of risks and benefits.
