Study of Exercise Testing and Daily Physical Activity Monitoring in Children and Adolescents With Inherited Heart Rhythm Conditions
Led by Royal Brompton & Harefield NHS Foundation Trust · Updated on 2025-05-31
110
Participants Needed
2
Research Sites
4 weeks
Total Duration
AI-Summary
What this Trial Is About
Researchers are studying children and adolescents aged 6 to 16 years who have inherited arrhythmias, including Long QT Syndrome and Catecholaminergic Polymorphic Ventricular Tachycardia, to understand how exercise testing relates to their daily physical activity. The study aims to find out if the maximum heart rate reached during controlled exercise tests matches the maximum heart rate during everyday activities. It also compares different exercise testing methods and assesses actual physical activity versus reported activity using questionnaires and diaries.
Participants will undergo a routine clinical exercise tolerance test on a treadmill, following a 15-minute protocol with increasing speed and incline. After this test, they will wear activity and heart rate monitors for two weeks to record heart rhythm, heart rate, step count, and types and intensity of physical activity. They will also keep a digital diary and complete a physical activity questionnaire at the end of the monitoring period. Both children with inherited arrhythmias and healthy controls unaffected siblings or children undergoing screening will take part.
Throughout the study, researchers will collect data from the exercise tests, wearable monitors, digital diaries, and questionnaires to compare heart rate and physical activity levels. Parents may help younger children with diary and questionnaire completion. The study includes an advisory group of children and parents affected by inherited arrhythmias to assist with study design and sharing results. The total observation involves initial testing followed by two weeks of activity monitoring and questionnaires.
CONDITIONS
Brief Title
Evaluation of Exercise Testing and Physical Activity in Children and Adolescents Living With Inherited Arrhythmias
Research Team
C
Catherine E Renwick
E
Ethaar El-Emire
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Great Ormond Street Hospital for Children NHS Foundation Trust
Collaborating Sponsor
Who Can Participate
Age: 6Years - 16Years
All Genders
Healthy Volunteers
Eligibility Criteria
You may qualify if you...
Male and female children aged 6 to 16 years
Diagnosed with Long QT Syndrome or Catecholaminergic Polymorphic Ventricular Tachycardia and treated with beta-blocker and/or sodium channel blockade (affected cohort)
Able to complete a treadmill exercise tolerance test (affected and healthy cohorts)
Siblings of affected children who are gene negative or children undergoing screening (healthy cohort)
You will not qualify if you...
Children younger than 6 years
Adults aged 17 years and above
Unable to run on an exercise treadmill due to physical limitations
Unable to speak or understand English due to no translation service available
Pregnancy
Your Study Journey
Screening
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Diagnostic Evaluation
Duration - 1 day
Participants undergo a clinical exercise tolerance test using an exercise treadmill to assess heart rhythm and exercise response according to the arrhythmia protocol.
1 visit (in-person)
Monitoring
Duration - 2 weeks
Participants wear physical activity and heart rate monitors for two weeks to record heart rate, heart rhythm, activities engaged in, and estimated intensity of activities during free-living physical activity.
Continuous monitoring over 2 weeks with device use
Follow-up Assessment
Duration - 1 day
Participants complete a questionnaire about their physical activity which is compared with data obtained during the monitoring period.
1 visit (in-person or remote) at end of monitoring
How is the study designed?
Study Type
OBSERVATIONAL
Masking
N/A
Allocation
N/A
Model
N/A
Primary Purpose
N/A
Number of Arms
2
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Published Research Related To This Trial
ACC/AHA guidelines for exercise testing: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Exercise Testing).
2015 European Society of Cardiology Guidelines for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death summarized by co-chairs.