Exercise-Induced Dyspnea in Children and Adolescents: Differential Diagnosis
Title
Exercise-Induced Dyspnea in Children and Adolescents: Differential Diagnosis
Creator
Bhatia R; Abu-Hasan M; Weinberger M
Publisher
Pediatric Annals
Date
2019
2019-03
Description
Exercise-induced dyspnea in children and adolescents can occur for many reasons. Although asthma is the common cause, failure to prevent exercise-induced asthma by pretreatment with a bronchodilator, such as albuterol, indicates that other etiologies should be considered. Other causes of exercise-induced dyspnea include exercise-induced vocal cord dysfunction, exercise-induced laryngomalacia, exercise-induced hyperventilation, chest wall restrictive abnormalities, cardiac causes, and normal physiologic limitation. When exercise-induced dyspnea is not from asthma, cardiopulmonary exercise testing with reproduction of the patient's dyspnea is the means to identify the other causes. Cardiopulmonary exercise testing monitors oxygen use, carbon-dioxide production, end-tidal pCO(2) (partial pressure of carbon dioxide), and electrocardiogram. Additional components to testing are measurement of blood pH and pCO(2) when symptoms are reproduced, and selective flexible laryngoscopy when upper airway obstruction is observed to specifically identify vocal cord dysfunction or laryngomalacia. This approach is a highly effective means to identify exercise-induced dyspnea that is not caused by asthma.
Subject
Pediatrics; adults; asthma; induced bronchoconstriction; hyperventilation; vocal-cord dysfunction
Identifier
Rights
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
URL Address
Search for Full-text
Users with a NEOMED Library login can search for full-text journal articles at the following url: https://libraryguides.neomed.edu/home
Pages
E121–E127
Issue
3
Volume
48
ISSN
0090-4481
Citation
Bhatia R; Abu-Hasan M; Weinberger M, “Exercise-Induced Dyspnea in Children and Adolescents: Differential Diagnosis,” NEOMED Bibliography Database, accessed February 12, 2025, https://neomed.omeka.net/items/show/6416.