Giugno 2012 - Volume XXXI - numero 6

Medico e Bambino

Problemi speciali

Il bambino intollerante allo sforzo

Luciano Anfossi

SC di Pneumologia, SS di Allergologia, Ospedale Infantile “Regina Margherita”, Torino

Indirizzo per corrispondenza:

Exercise Intolerance In Children

Key words: Exercise-induced symptoms, Dyspnoea, Asthma, Physical conditioning

Unexplained limitation to exercise is a common clinical problem in children and adolescents. Exercise-induced asthma (EIA) is the most common manifestation. Bronchodilators and other medications have been used in prevention and treatment of EIA and should allow the majority of patients with asthma to perform regular physical activity. Although asthma is the most common cause, dyspnoea on exertion can be a result of other causes. Restrictive thoracic cage abnormalities (scoliosis and pectus deformities) can produce dyspnoea only on exertion. Vocal cord dysfunction syndrome or the less common exercise-induced laryngomalacia and tracheobronchomalacia are often attributed to asthma. Most common is dyspnoea associated with normal physiologic exercise limitation but other causes can include exercise-induced hyperventilation, supraventricular tachycardia and other cardiac abnormalities. Spirometry, and exercise testing with cardiopulmonary monitoring, including gas exchange, provide useful data to sort out the various causes and avoid inappropriate treatments.

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L. Anfossi
Il bambino intollerante allo sforzo
Medico e Bambino 2012;31(6):375-384

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