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Paul Vaccaro

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Anthony D. Mahon and Paul Vaccaro

Whether the point of deflection from linearity of heart rate (HRD) coincides with ventilatory threshold (VT) has not been extensively examined in children. The purpose of this study was to assess the relationship between the VO2 measured at VT and the VO2 measured at HRD. Twenty-two boys with a mean age of 10.7 years (±1.0) performed a graded exercise test to determine VT, HRD, and VO2max. There was no significant difference between mean VO2 (ml/kg/min) at VT and at HRD (33.5±3.5 vs. 34.1±4.4; p>0.05). Linear regression analysis revealed a correlation of r = 0.76 (p<0.01) between the VO2 measured at VT and the VO2 measured at HRD. These results indicate that HRD may be an accurate predictor of VT in most but not all children, and caution should be used when interpreting the significance of HRD.

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Ralph K.L. Rogers and Paul Vaccaro

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Ralph K.L. Rogers, Tony Reybrouck, Maria Weymans, Monique Dumoulin, Marc Gewillig and Paul Vaccaro

This study assessed the relationship between the VO2 measured at ventilatory threshold (VT) and the VO2 measured at the point of deflection from linearity of heart rate (HRD). Twelve children (10 boys and 2 girls) with a mean age of 11.3 years (±4.8) performed a graded exercise test to determine VT and HRD. All children had undergone surgical repair for d-transposition of the great arteries at approximately 13 months of age. Because of failure to demonstrate HRD, the data from 4 patients were excluded from statistical analysis. For the remaining 8 patients there was no significant difference between mean VO2 (ml/kg/min) at VT and HRD (26.6 ± 6.4 vs. 26.3 ± 6.8; p > 0.25). Linear regression analysis revealed a correlation of r = 0.92 between the VO2 measured at VT and the VO2 measured at HRD. Only 8 of the 12 patients (66%) in this study satisfied criteria needed to identify the HRD. Therefore HRD may be an accurate predictor of VT in most but not all children who have had surgery for d-transposition of the great arteries.